Pitt County Sheriff's Office Online Gun Permit Director

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.

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	Previous Middle Name	City Where Changed	State	Court File #

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

^{ID Number:}

^{Issuing State:}

Information Related To Your Birth:

Date of Birth:

Current Age:

Birth City:

Birth State:

Birth County:

Birth Country:

Current Military Status:

Military Status:

Height:

^feet ^inches

Weight:

Hair Color:

Eye Color:

Physical Description:

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

^Primary:

^Work:

^Cell:

^Fax:

Updates via text message?

Yes No

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: ^(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 that 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

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

None Selected

I DO HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND 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 CONCEALED HANDGUN PERMIT. IN ADDITION, BY SUBMITTING THIS APPLICATION, I AUTHORIZE THE PITT COUNTY CLERK OF COURTS TO RELEASE MENTAL HEALTH INFORMATION TO THE PITT COUNTY SHERIFF'S OFFICE. CAUTION: FEDERAL LAW AND STATE LAW ON THE POSSESSION OF HANDGUNS AND FIREARMS DIFFER.

Coupon Code:

Your Initials:

Back To Step 1

Gun Permit Online Application Step 1, Please Enter All Information

Please read the following before proceeding:

Applicant Information:

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

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

Information Related To Your Birth:

Current Military Status:

Demographic Information:

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

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:

Select Appropriate Immigrant Classification: ^{(only choose one)}

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}

Please select a time below:

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)

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

Information Related To Your Birth:

Current Military Status:

Demographic Information:

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

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:

Select Appropriate Immigrant Classification: (only choose one)

Which of the following exceptions set forth in 18Z USC 922(y) do you meet?:

You Must Select An Appointment: your appointment will be confirmed prior to checkout

To Reserve An Appointment Select The Date & Time Below

Please select a time below:

Your Appointment Choice Is:

Your signature is required.

Additional Information Required

Error processing application

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

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

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

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)}

Select Appropriate Immigrant Classification: ^{(only choose one)}

You Must Select An Appointment: ^{your appointment will be confirmed prior to checkout}