Form S.P.280 "Application for Registration as Wholesale Dealer & Manufacturer of Firearms" - New Jersey

What Is Form S.P.280?

This is a legal form that was released by the New Jersey State Police - a government authority operating within New Jersey. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on July 1, 2013;
  • The latest edition provided by the New Jersey State Police;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form S.P.280 by clicking the link below or browse more documents and templates provided by the New Jersey State Police.

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Download Form S.P.280 "Application for Registration as Wholesale Dealer & Manufacturer of Firearms" - New Jersey

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CLEAR FORM
This form is prescribed by the
STATE OF NEW JERSEY
Application for Registration as Wholesale Dealer
Superintendent for use by
applicants for a Manufacturer/
& Manufacturer of Firearms
Wholesale Dealer of Firearms
License. Any alteration to this
Initial
Renewal
Change of Name
Change of
form is expressly forbidden.
(Personal or business)
Business Address
If applicant is a Corporation or Partnership, form S.P. 280A must be completed.
Print or type answers to all questions and submit in duplicate.
(All Licenses valid for three years from the date of issuance)
(1) Last Name ( If female, include maiden) First
Middle
(2) Resident Address
(Number - Street - City - State - Zip)
(3) Date of Birth
(4) Age
(Place of Birth - City - State or Country)
(5) U.S. Citizen
(6) Social Security Number
/
/
Yes
No
-
-
Month
Day
Year
(7) Sex
Height
Weight
Eyes
Race
Hair
(8) Distinguishing Physical Characteristics
(9) Trade Name
(10) Business Address (Number - Street - City - State - Zip)
(11) Home Telephone
(12) Business Telephone
(13) Driver's License Number & State
(14) Business Hours
(
)
(
)
-
-
Full Time
Part Time
(14a) If Part Time, Name of Full Time Employer
Address (Number - Street - City - State - Zip)
Telephone Number
(
)
-
(15) If you possess a New Jersey Retail Firearms Dealer's License, List
(16) If you possess a Federal Firearms Dealer's License, List
(A) License Number
(B) Date of Issue
(A) License Number
(B) Date of Issue
(17) Have you ever been adjudged
If Yes, List Date(s)
Place(s)
Offense(s)
Yes
a juvenile delinquent?
No
(18)
Have you ever been convicted
If Yes, List Date(s)
Place(s)
Offense(s)
Yes
of a disorderly persons offense, that
has not been expunged or sealed?
No
If Yes, List Date(s)
Place(s)
Offense(s)
(19) Have you ever been convicted
Yes
of a criminal offense that has
not been expunged or sealed?
No
If Yes, By Whom?
When?
Where
Why?
(20) Have you ever had a firearms
Yes
purchaser identification card,
permit to purchase a handgun, or
No
permit to carry a handgun
refused or revoked?
(21) Have you ever had an
If Yes, By Whom?
When?
Where
Why?
Yes
Employee of Firearms Dealer
License refused or revoked?
No
(22) Are you an Alcoholic?
(23) Have you ever been confined or committed to a mental institution or hospital for treatment or observation
Yes
Yes
of a mental or psychiatric condition on a temporary, interim or permanent basis? If Yes, give the name and
location of the institution or hospital and the date(s) of such confinement or commitment.
No
No
(24) Are you dependent upon the
Yes
use of any narcotic or other
controlled dangerous substance?
No
(25) Are you now being treated for
(26) Have you ever been attended, treated or observed by any doctor or psychiatrist or at any hospital or mental
Yes
Yes
institution on an in-patient or outpatient basis for any mental or psychiatric conditions? If Yes, give the name &
a drug abuse problem?
location of the doctor, psychiatrist, hospital or institution and the date(s) of such occurrence.
No
No
(27) Do you suffer from a physical
Yes
defect or sickness?
No
(28) If answer to question 27 is yes, does this make it unsafe for you to
(29) If you possess a New Jersey Firearms Purchaser Identification Card, list the
handle firearms? If not, explain.
Yes
number.
No
(30) Are you subject to any court order issued pursuant to Domestic Violence? If yes, explain.
Yes
No
(31) Have you ever been convicted of any domestic violence in any jurisdiction which involved the elements of (1) striking, kicking, shoving, or (2) purposely or
Yes
attempting to or knowingly or recklessly causing bodily injury, or (3) negligently causing bodily injury to another with a weapon? If Yes, explain.
No
(32) Are you presently, or have you ever been a member of any organization which advocates or approves the commission of acts of violence, either to overthrow
Yes
the government of the United States or of this State, or to deny others of their rights under the Constitution of either the United States or the State of New
Jersey? If yes, list name and
No
address of organization(s) here:
A fee of $150.00 payable to the Superintendent of State Police
I hereby certify that the answers given on this application are complete, true
must accompany this application.
and correct in every particular. I realize that if any of the foregoing answers
Forward to: New Jersey State Police
made by me are false, I am subject to punishment.
Firearms Investigation Unit
P.O. Box 7068
West Trenton, NJ 08628-0068
(33)
Signature of Applicant
Date of Application
DO NOT WRITE BELOW THIS SPACE
(The disclosure of my social security number is voluntary. Without this number, the processing of my
application may be delayed. This number is considered confidential.)
License Number
Date of Issue
Falsification of this form is a crime of the fourth degree as provided in NJS 2C:28-3a.
S.P. 280 (Rev 07/13)
CLEAR FORM
This form is prescribed by the
STATE OF NEW JERSEY
Application for Registration as Wholesale Dealer
Superintendent for use by
applicants for a Manufacturer/
& Manufacturer of Firearms
Wholesale Dealer of Firearms
License. Any alteration to this
Initial
Renewal
Change of Name
Change of
form is expressly forbidden.
(Personal or business)
Business Address
If applicant is a Corporation or Partnership, form S.P. 280A must be completed.
Print or type answers to all questions and submit in duplicate.
(All Licenses valid for three years from the date of issuance)
(1) Last Name ( If female, include maiden) First
Middle
(2) Resident Address
(Number - Street - City - State - Zip)
(3) Date of Birth
(4) Age
(Place of Birth - City - State or Country)
(5) U.S. Citizen
(6) Social Security Number
/
/
Yes
No
-
-
Month
Day
Year
(7) Sex
Height
Weight
Eyes
Race
Hair
(8) Distinguishing Physical Characteristics
(9) Trade Name
(10) Business Address (Number - Street - City - State - Zip)
(11) Home Telephone
(12) Business Telephone
(13) Driver's License Number & State
(14) Business Hours
(
)
(
)
-
-
Full Time
Part Time
(14a) If Part Time, Name of Full Time Employer
Address (Number - Street - City - State - Zip)
Telephone Number
(
)
-
(15) If you possess a New Jersey Retail Firearms Dealer's License, List
(16) If you possess a Federal Firearms Dealer's License, List
(A) License Number
(B) Date of Issue
(A) License Number
(B) Date of Issue
(17) Have you ever been adjudged
If Yes, List Date(s)
Place(s)
Offense(s)
Yes
a juvenile delinquent?
No
(18)
Have you ever been convicted
If Yes, List Date(s)
Place(s)
Offense(s)
Yes
of a disorderly persons offense, that
has not been expunged or sealed?
No
If Yes, List Date(s)
Place(s)
Offense(s)
(19) Have you ever been convicted
Yes
of a criminal offense that has
not been expunged or sealed?
No
If Yes, By Whom?
When?
Where
Why?
(20) Have you ever had a firearms
Yes
purchaser identification card,
permit to purchase a handgun, or
No
permit to carry a handgun
refused or revoked?
(21) Have you ever had an
If Yes, By Whom?
When?
Where
Why?
Yes
Employee of Firearms Dealer
License refused or revoked?
No
(22) Are you an Alcoholic?
(23) Have you ever been confined or committed to a mental institution or hospital for treatment or observation
Yes
Yes
of a mental or psychiatric condition on a temporary, interim or permanent basis? If Yes, give the name and
location of the institution or hospital and the date(s) of such confinement or commitment.
No
No
(24) Are you dependent upon the
Yes
use of any narcotic or other
controlled dangerous substance?
No
(25) Are you now being treated for
(26) Have you ever been attended, treated or observed by any doctor or psychiatrist or at any hospital or mental
Yes
Yes
institution on an in-patient or outpatient basis for any mental or psychiatric conditions? If Yes, give the name &
a drug abuse problem?
location of the doctor, psychiatrist, hospital or institution and the date(s) of such occurrence.
No
No
(27) Do you suffer from a physical
Yes
defect or sickness?
No
(28) If answer to question 27 is yes, does this make it unsafe for you to
(29) If you possess a New Jersey Firearms Purchaser Identification Card, list the
handle firearms? If not, explain.
Yes
number.
No
(30) Are you subject to any court order issued pursuant to Domestic Violence? If yes, explain.
Yes
No
(31) Have you ever been convicted of any domestic violence in any jurisdiction which involved the elements of (1) striking, kicking, shoving, or (2) purposely or
Yes
attempting to or knowingly or recklessly causing bodily injury, or (3) negligently causing bodily injury to another with a weapon? If Yes, explain.
No
(32) Are you presently, or have you ever been a member of any organization which advocates or approves the commission of acts of violence, either to overthrow
Yes
the government of the United States or of this State, or to deny others of their rights under the Constitution of either the United States or the State of New
Jersey? If yes, list name and
No
address of organization(s) here:
A fee of $150.00 payable to the Superintendent of State Police
I hereby certify that the answers given on this application are complete, true
must accompany this application.
and correct in every particular. I realize that if any of the foregoing answers
Forward to: New Jersey State Police
made by me are false, I am subject to punishment.
Firearms Investigation Unit
P.O. Box 7068
West Trenton, NJ 08628-0068
(33)
Signature of Applicant
Date of Application
DO NOT WRITE BELOW THIS SPACE
(The disclosure of my social security number is voluntary. Without this number, the processing of my
application may be delayed. This number is considered confidential.)
License Number
Date of Issue
Falsification of this form is a crime of the fourth degree as provided in NJS 2C:28-3a.
S.P. 280 (Rev 07/13)