Orange County, NY · Orange County
Pistol Permit Applicant Address History
This form records a pistol permit applicant’s previous residences and the police authority covering each address during the last 10 years.
At a glance
- Issued by
- City of Orange County · Orange County, Orange County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- orangecountygov.com
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Pistol permit applicants use this form to list their previous residences for the last 10 years; the current residence is not needed. It asks for the applicant’s name, dates at each address, the address, and the police authority covering each address. List residences starting with the most recent and ending with the oldest.
Who needs it
Pistol permit applicants who need to provide their previous residence history for the last 10 years use this form.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; it asks for residence history and has no notarized or sworn attachment listed.
How to submit this form
- 1
Download the Form
Download the Pistol Permit Applicant Address History PDF.
- 2
Complete the Form
Enter your name and list previous residences from most recent to oldest, including dates and the police authority for each address.
- 3
Check Your Entries
Confirm that your list covers the last 10 years; the form says your current residence is not needed.
- 4
Submit to the County
Submit the form to the county office named on it; check the county website for current contact details.
Frequently asked questions
- What information does the address history form ask for?
- It asks for the applicant’s name, previous addresses, dates at each address, and the police authority covering each address.
- Do I need a notary for the Pistol Permit Applicant Address History form?
- No. This form is signed without a notary and lists no notarized or sworn attachment.
- How do I submit the address history form?
- Submit it to the county office named on the form; check the county website for current contact details.