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[size=55][color=#FFFFFF].[/color][/size][/aligntable][aligntable=right,0,0,0,0,0,transparent][b]Los Santos Police Department Headquarters
1 Pershing Square, Los Santos
SA 97447


Firearms Licensing Division
License to Purchase a Firearm
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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b]Section 1: Personal Information[/b][/size]

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[list][b]01. Surname:[/b] Ballesteros
[b]02. Forename:[/b] Carlos

[b]03. City and County of Residence:[/b] Los Santos, Los Santos.
[b]04. Country of Citizenship:[/b] United States of America
[b]05. Date of Birth:[/b] 10/12/1992

[b]06.[/b] [color=#2E5894][b][IF US][/b][/color] [b]City, County, State of Birth:[/b] Los Santos, Los Santos, San Andreas.
[b]07.[/b] [color=#2E5894][b][IF NON-US][/b][/color] [b]City, Country of Birth:[/b] N/A

[b]08. Height:[/b] 6' 3"
[b]09. Weight:[/b] 175 lbs.
[b]10. Eye Color:[/b] Brown
[b]11. Hair Color:[/b] Brown
[b]12. Gender (tick):[/b] Male [cbf][/cbf] Female [cb][/cb]
[b]13. Race (tick):[/b] White [cb][/cb] Black [cb][/cb] Hispanic [cbf][/cbf] Asian [cb][/cb] Other [cb][/cb]

[b]14. Residence Address:[/b] 503 Acacia Street, Willowfield, Los Santos 516, San Andreas
[b]15. Contact Number:[/b] 42012
[b]16. Occupation:[/b] Taxi driver
[b]17. Business/Employer Name:[/b] N/A

[b]18. Business Owner:[/b] Yes [cb][/cb] No [cbf][/cbf]
[b]19. Business Address:[/b] N/A

[b]20. Do you now possess a valid San Andreas driver's license?[/b] No [cb][/cb] Yes [cbf][/cbf] [/list]

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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b]Section 2: Description of Weapons[/b][/size]

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[list][b]01. What firearm(s) do you plan to purchase and restock regularly (List within specified fields below, maximum of THREE firearms):[/b]

[list]
[b]1.[/b] Beretta 92FS Compact Type M (Blue Steel), 4.3", 9mm
[b]2.[/b] Remington 1100, 12 gauge
[b]3.[/b] N/A
[/list]

[b]02. If a rifle is listed, confirm that it is semi-automatic and is not capable of selective fire (may not switch from semi-automatic to burst or fully automatic). If no rifle is listed, leave empty:[/b] Yes [cb][/cb] No [cb][/cb]

[b]03. If a shotgun is listed, confirm that it is either pump action, single loaded, or double loaded. If no shotgun is listed, leave empty:[/b] Yes [cbf][/cbf] No [cb][/cb]

[b]04. Where will the firearm(s) be stored?[/b] Home [cbf][/cbf] Business [cb][/cb]

[list]If you have listed 'business', provide a link of proof of business ownership: [url=LINK TO SCREENSHOT or BUSINESS REGISTRATION]ACCESS[/url]
[/list]

[b]05. What is your purpose for obtaining a firearm license? (Check all that apply)[/b] Defense [cbf][/cbf] Sport [cb][/cb] Hunting [cbf][/cbf]
[/list]

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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b]Section 3: Rules and Restrictions[/b][/size]

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[list][b]The licensee is responsible for all liability for, injury to, or death of any person, or damage to any property which may result through any act or omission of either the licensee or the agency that issued the license. In the event any claim, suit, or action is brought against the agency that issued the license, its chief officer or any of its employees, by reason of, or in connection with any such act or omission, the licensee shall defend, indemnify, and hold harmless the agency that issued the license, its chief officer or any of its employees from such claim, suit, or action.

I hereby certify under penalties of perjury that the answers I have given are true and correct to the best of my knowledge and belief, and that I understand and agree to the provisions, conditions, and restrictions herein or otherwise imposed.[/b]

I, Forename Surname, hereby declare that I have read and understood the restrictions, and understand the consequences that follow should I violate the license rules and restrictions.

Carlos Ballesteros

[/list]
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[img]http://i.imgur.com/dUCxWca.png[/img] [size=130][b](( Section 4: Out of Character ))[/b][/size]

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[list][b]01. Screenshot of Character Level (/stats):[/b] [url=LINK TO SCREENSHOT]ACCESS[/url]

[b]02. Screenshot of Streetname (/myhouse or /streetname):[/b] [url=LINK TO SCREENSHOT]ACCESS[/url]

[b]03. LS:RP Forum Name:[/b] [url=LSRP_PROFILE_LINK]LSRP_FORUM_NAME[/url]

[b]04. License abuse is a serious issue, and is considered a [color=#2E5894]ban-worthy offence[/color]. You must only ever be in possession of ONE of each weapon you have applied for and can not mass store or stockpile weapons in any way whatsoever. You must also NOT give ANY firearm to ANY other individual for any purposes, for example, the sale of license-bought firearms. This includes storing firearms so that they may be willfully stolen by those you know.

Please state below, in your own words (copying may lead to a ban from applying), that you are aware of these regulations and the consequences that will follow if they are violated:[/b]

WRITE ACKNOWLEDGEMENT HERE
[/list]
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