Ch. 561                                    1996 LAWS OF MARYLAND

(1)     Applicant's name,, address, DRIVER'S OR PHOTOGRAPHIC
IDENTIFICATION SOUNDEX NUMBER, SOCIAL SECURITY NUMBER, occupation, place
and date of birth, height, weight, race, eye and hair color and signature AND
REGULATED FIREARM INFORMATION FOR EACH FIREARM TO BE PURCHASED,
RENTED, OR TRANSFERRED. In the event the applicant is a corporation, the application
shall be completed and executed by a corporate officer who is a resident of [the
jurisdiction in which the application is made] THIS STATE.

(2)     A statement by the applicant UNDER THE PENALTY OF PERJURY that
he or she:

(i) Has never been convicted of [a crime of violence, in this State or
elsewhere, or of a violation of any of the provisions of §§ 286, 286A or 286C of this article
or any conspiracy to commit any crimes established by those sections, or of any of the
provisions of this subtitle.]:

. 1. A CRIME OF VIOLENCE;

2.       ANY VIOLATION CLASSIFIED AS A FELONY IN THIS STATE;

3.       ANY VIOLATION CLASSIFIED AS A MISDEMEANOR IN THIS
STATE THAT CARRIES A STATUTORY PENALTY OF MORE THAN 2 YEARS; OR

4.       ANY VIOLATION CLASSIFIED AS A COMMON LAW
OFFENSE WHERE THE PERSON RECEIVED A TERM OF IMPRISONMENT OF MORE
THAN 2 YEARS.

(ii) Is not a fugitive from justice.

(iii) Is not a habitual drunkard.

(iv) Is not an addict or habitual user of [narcotics, barbiturates or
amphetamines] ANY CONTROLLED DANGEROUS SUBSTANCES.

(v) Has never spent more than thirty consecutive days in any medical
institution for treatment of a mental disorder or disorders, unless there is attached to the
application a physician's certificate, issued within thirty days prior to the date of
application, certifying that the applicant is capable of possessing a [pistol or revolver]
REGULATED FIREARM without undue danger to himself or herself, or to others.

(vi) Is a at least 21 years of age [as required by federal law].

(vii) Has [ or has not submitted a prior application and, if so, when and
where] NEVER BEEN IS NOT A RESPONDENT AGAINST WHOM A CURRENT NON EX
PARTE CIVIL PROTECTION PROTECTIVE ORDER HAS BEEN ENTERED UNDER § 4-506
OF THE FAMILY LAW ARTICLE.

(VIII) IS NOT PROHIBITED BY FEDERAL LAW FROM PURCHASING OR
POSSESSING A FIREARM.

(3)     The date and hour the application was delivered in completed form to
the prospective seller or transferor by the prospective purchaser, LESSEE, or transferee.

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