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Document cortlandcountyny_gov_doc_814247349a

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I, (Grantor), permit no. grant permission to to co-register the following handgun registered on my pistol permit: Make Caliber Model Serial Number Rev/Pistol *Grantor’s permit issued in another county.* County: Permit No.: Address: In case of disposition of any of the above named guns, we shall both file amendments with the Cortland County Clerk’s Office, to remove them from our permits. Grantor Signature Date Grantee Signature Date Sworn to, before me, a Notary Public, on this day of 20 Notary Public The Grantor’s signature must be notarized, if not present in Cortland County Clerk’s office during processing. The Grantee must be present to process.