Gun Permit Online Application Step 1, Please Enter All Information

Welcome! This is an official application for a permit to purchase a pistol or handgun. You must completely and accurately fill-out this application to be considered for a permit. Any falsification of the information within this application will result in the denial of this application for a purchase permit.

A non-refundable processing fee of $5.00 per permit is required. In addition, a $3.00 convenience fee per application is required to process payment. These fees will be charged even if your application is denied.

Add An Address

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

From:

To:

Add Address Add And Close

Add An Alias

Prev. Last Name:

Prev. First Name:

City Where Changed:

State or Region Where Changed :

Court File Number:

Add Alias Add And Close

Agreement
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Profile

Please read the following before proceeding:

Applicant Information:

Last Name: ^{(official ID)}

First Name:

Middle Name:

Maiden Name:

Suffix: ^{(jr, sr, etc.)}

SSN:

SSN: ^(confirm)

Previous Aliases: ^{(please list all previous aliases)}

Previous Last Name	Previous First Name	City Where Changed	State	Court File #

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth County:

Birth Country:

Reason for Request:

Current Military Status:

Military Status:

Active Reserve Discharged Retired N/A

Please bring in your DD214 with you for the appointment. If you were dishonorably discharged, you will be denied.

Demographic Information:

Race:

Amera-Indian Asian Black Native Hawaiian Pacific Islander White

Hispanic/Latino:

Yes No

Gender:

Male Female

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Physical Description:

Telephone Number: ^{(###-###-####)}

^Primary:

^Work:

^Cell:

^Fax:

Updates via text message?

Yes No

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

^{ID Number:}

^{Issuing State:}

Email:

^Address:

^Confirm:

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Password:

Password Strength:

Password: ^(confirm)

Password Information: In order to comply with CJIS standards we have employed the use of a password complexity monitor. As you enter your password, we will display an indicator of complexity. You will only be able to submit passwords thats are sufficiently complex as to be considered 'safe' by CJIS standards. The visual indicator will turn Blue or Green to indicate that your password is safe.

Important: CJIS requires we maintain a strict password policy and system of checks. As such, we check the following items as you enter your new password:

The password must be a minimum length of eight (8) characters on all systems
The password must not be a dictionary word
The password must not be the same as your email address
The password must not be a proper name

Current Residence Address: ^{(this may be different than your mailing address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

^{Mailing Address Different:}

Yes No

Present Mailing Address: ^{(if different from residence address)}

Address Line 1:

Address Line 2:

City:

State : ^(region)

Zip Code: ^{(postal code)}

Country:

Additional Residency Information:

Are you a resident of Pitt?

Yes No

How long have you lived in Pitt?

^Years:

^Months:

How long have you lived in NC?

^Years:

^Months:

Reason for Request for Gun Purchase Permit:

Protection of Myself, Home, Business, Property, or Family To add to Collection Target Shooting Hunting

Select Purchase Option:

Purchase Permit(s)

Total Fee:

$0

I, the above applicant, being duly sworn, hereby make application for a North Carolina Permit(s) to Purchase a Handgun and state that the following information is correct to the best of my knowledge. I also understand that any falsification of the above information will result in the refusal of my application for a purchase permit. CAUTION: Federal law and State law on the purchase or possession of handguns and firearms may differ. If you are prohibited by federal law from purchasing or possessing a handgun or a firearm, you may be prosecuted in federal court.

I hereby authorize and request any and all Clerks of Superior Court of North Carolina to inform the Sheriff of the county named above whether or not the clerk’s files or records contain any court orders concerning my mental health or capacity. If so, I authorize the clerk to reveal to the sheriff the court orders within any confidential court files or records that the sheriff may reasonably require in order to determine whether or not to issue a pistol purchase permit to me.

This Release may be treated as a motion in the cause for disclosure pursuant to G.S. 122C-54(d), which disclosure is necessary to enable the sheriff to determine my qualification to purchase or possess a handgun. I stipulate that a clerk may reveal to the sheriff any court orders pursuant to any specific or standing order entered in response to or anticipation of this motion.

I understand that further disclosure or redisclosure by the sheriff of any information disclosed to the sheriff pursuant to this Release is prohibited without my further written consent unless otherwise provided for by state or federal law. I understand that I may revoke this authorization at any time except to the extent that action has already been taken in reliance on this Release. Even without my express revocation, this Release will expire upon the satisfaction of the request or one year from the date of execution, whichever occurs first.

Your Initials:

Clear Form

Survey Questions:

Yes No

Are you lawfully in the United States?

Yes No

Are you 18 years of age or older?

Yes No

Are you INeligible to own, possess, or receive a firearm under the provisions of state or federal law?

Yes No

Are you under indictment or has a finding of probable cause been entered against you for a pending felony charge?

Yes No

Have you been adjudicated guilty in cany court of a felony?

If Yes: Have your firearm rights been restored pursuant to N.C.G.S. § 14-415.4, or have you received a pardon which allows you to possess firearms?

Please enter YES or NO below. (If Yes, you will need to provide documentation. You can upload this via the order tracker after submitting this application or send it to the Sheriff's Office by mail/fax).

Yes No

Are you a fugitive from justice?

Yes No

Are you an unlawful user of or addicted to marijuana, or any depressant, stimulant, or narcotic drug, or any other controlled substance as defined in 21 U.S.C. § 802?

Yes No

Have you ever been adjudicated mentally incompetent or been committed to a mental institution?

Yes No

Have you been discharged from the U.S. Armed Forces under dishonorable conditions?

10.

Yes No

Have you renounced your U.S. citizenship?

11.

Yes No

Are you currently subject to a court order that restrains you from harassing, stalking, or threatening an intimate partner or child of an intimate partner, or engaging in other conduct that would place an intimate partner in reasonable fear of bodily injury to the partner or child?

12.

Yes No

Are you currently under any type of probation or parole?

Are you US Citizen?

Yes No

Prohibitions applicable to certain aliens. Federal law makes it unlawful for aliens who are illegally or unlawfully in the United States to receive or possess firearms. In addition, subject to certain exemptions, aliens who are in a non-immigrant status are prohibited from possessing or receiving firearms in the United States.

A non-immigrant alien is not subject to this prohibition if the alien:

is in possession of a valid hunting license or permit lawfully issued in the United States;
is an official representative of a foreign government who is accredited to the United States Government or his or her government’s mission to an international organization having its headquarters in the United States; or
has received a waiver from the prohibition from the Attorney General of the United States.

See 18 USC 922(y)(2) for additional exceptions.

In order to determine whether applicants who are not United States citizens are prohibited from possessing firearms under Federal law, it is necessary to obtain answers to the following questions:

^{Country of Citizenship}

^{INS Alien #}

^{INS Alien # (confirm)}

^{I Am Illegally In US?}

Yes No

^{I Am Non-immigrant Alien?}

Yes No

^{I Am Exempt?}

Yes No

Under which 18 USC 922(y) exemptions do you fall?: ^{(if 'yes')}

YES! I would like to make a $2.00 donation to support the Sheriffs across North Carolina by donating to the NC Sheriffs' Association.

Through your donation you will receive timely e-mail updates from the North Carolina Sheriffs’ Association on important gun law changes on both the state and federal levels that affect you.

Coupon Code:

Your Initials:

Back To Step 1

Your signature is required.

You must use the Signature Pad to sign your name to this application. Please close this dialog and use your mouse / finger / pointer to sign.

Additional Information Required

Error processing application

There was an error processing your application.

Gun Permit Online Application Step 1, Please Enter All Information

Add An Address

Add An Alias

Please read the following before proceeding:

Applicant Information:

Previous Aliases: (please list all previous aliases)

Information Related To Your Birth:

Current Military Status:

Demographic Information:

Telephone Number: (###-###-####)

Driver's License / Non-Operator ID: (or other State Issued ID)

Email:

Please Create A Password: (you can use this to track progress, and we may need to contact you during the process)

Current Residence Address: (this may be different than your mailing address)

Present Mailing Address: (if different from residence address)

Additional Residency Information:

Reason for Request for Gun Purchase Permit:

Select Purchase Option:

Total Fee:

$0

Survey Questions:

Your signature is required.

Additional Information Required

Error processing application

Previous Aliases: ^{(please list all previous aliases)}

Telephone Number: ^{(###-###-####)}

Driver's License / Non-Operator ID: ^{(or other State Issued ID)}

Please Create A Password: ^{(you can use this to track progress, and we may need to contact you during the process)}

Current Residence Address: ^{(this may be different than your mailing address)}

Present Mailing Address: ^{(if different from residence address)}