A. PERSONAL INFORMATION
- A1. Full Name: Leon Wagner
A2. Date of Birth: 08/DEC/2000
A3. Phone Number: 3956037
A4. Residence Address: 36, Carson Ave
A5. Please attach a photocopy of your driver's licenses *Example*: A6. Is your record clear of Level Four charges? Yes
A7. Is your record 6 months clear of Level Three charges? Yes
A8. Is your record 3 months clear of Level Two charges? Yes
A9. Is your record 1 month clear of Level One charges? Yes
A10. Was your firearms license revoked within the past month? No
B. DESCRIPTION OF WEAPONS
- B1. Why do you wish to own a personal firearm license? (If selecting a Flare Gun please additionally explain the reasoning for this)
- i wish to own a personal firearm because Los Santos is a very dangerous city with gangs robbing innocent people all the time which is making me very scared to be by myself on the streets of Los Santos so i would like to defend myself under the legal rules of the firearm
Mark each box by changing [cb] to [cbc]- Double-Action Revolver
Heavy Revolver
Heavy Revolver Mk II
Navy Revolver
Pistol
Pistol Mk II
Pistol .50
Heavy Pistol
Combat Pistol
SNS Pistol
SNS Pistol Mk II
Vintage Pistol
WM 29 Pistol
Flare Gun
- I would be storing my firearm in my house which is located at 36, carson ave and it will be placed inside a secured safe that is bolted in the walls behind a door that requires a passcode and the safe it self needing a passcode with cameras inside my house also
C. RULES AND RESTRICTIONS
- The licensee is responsible for all liability for, injury to, or death of any person, or damage to any property which may result through any act or omission of either the licensee or the agency that issued the license. In the event any claim, suit, or action is brought against the agency that issued the license, its chief officer, or any of its employees, by reason of, or in connection with any such act or omission, the licensee shall defend, indemnify, and hold harmless the agency that issued the license, its chief officer or any of its employees from such claim, suit, or action.
The licensee authorizes the licensing agency to investigate, as they deem necessary, the licensee's record and character to ascertain any and all information which may concern his/her qualifications and justification to be issued a license to carry a personal firearm and release said agency of any and all liability arising out of such investigation.
I hereby certify under penalties of providing a false statement that the answers I have given are true and correct to the best of my knowledge and belief and that I understand and agree to the provisions, conditions, and restrictions herein or otherwise imposed. I hereby declare that I have read and understood the Requirements & Regulations and understand the consequences that follow should I violate them.
C1. Signature: ℒ.𝒲𝒶ℊ𝓃ℯ𝓇
C2. Date Signed: 07/AUG/2026
D. (( OUT-OF-CHARACTER INFORMATION ))
- D1. Please upload a screenshot of your admin logs and character names *Example*:D2. Do you understand that applying for a firearms license for the sole purpose of delivering weapons to any of your other characters or friends of your other characters constitutes as metagaming & is also a violation of Eclipse RP's OOC trading/RMT rule?
Yes
