Bleecker, NY · Fulton County
Pistol Permit Arrest Affidavit
Fulton County pistol permit applicants use this affidavit to disclose arrests and case outcomes and submit it to the Fulton County Sheriff’s Office Civil Division.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
This affidavit asks pistol permit applicants to list arrests, charges, and court dispositions, including sealed arrests, youthful offender matters, ACODs, and dismissals. The instructions say to complete the application forms but not sign them before submission; return them to the Sheriff’s Office Civil Division for review. Applicants are also told to provide required references, photos, and the application fee, and to attend a pistol safety training course.
Who needs it
A person applying for a Fulton County pistol permit who must disclose arrest history completes this affidavit for the Fulton County Sheriff’s Office Civil Division.
Why it needs a notary
The affidavit has a “Sworn to before me” jurat; the applicant signs the arrest disclosure before a notary public when instructed to do so.
How to get this notarized
- 1
Download The Affidavit
Get the arrest affidavit and application instructions from the Town of Bleecker documents page.
- 2
Complete The Required Information
List arrests and dispositions as directed. The instructions warn applicants not to sign before submitting the forms for review.
- 3
Book An Online Notary
Check with the Fulton County Sheriff’s Office Civil Division about when notarization should take place, then book a commissioned online notary if accepted.
- 4
- 5
Submit The Application
Return the application forms and required materials to the Fulton County Sheriff’s Office Civil Division for review.
Preview the form
The blank PDF straight from Bleecker. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete and submit the arrest affidavit?
- List all required arrests and dispositions, follow the application instructions, and return the completed forms to the Fulton County Sheriff’s Office Civil Division for review. The instructions say not to sign before submission.
- Do I need to sign the affidavit before a notary?
- The affidavit includes a “Sworn to before me” jurat and a Notary Public block. Because the instructions say not to sign the application before submission, ask the Civil Division when to complete notarization.
- Can I use a remote online notary for this affidavit?
- New York authorizes remote online notarization by a commissioned online notary. Confirm that the Sheriff’s Office will accept the remotely notarized affidavit before signing.
- What should I bring with my application?
- The instructions list three small photo-quality pictures, four Fulton County resident references who are not relatives, and a $116 fee payable by cash or money order. Confirm with the city, town or village if unsure.