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Outline

The Connecticut Fpd 124 form is a critical document for precious metal dealers operating in Fairfield. This weekly report form ensures that dealers maintain transparency and compliance with local regulations. Each submission must include detailed business information, such as the dealer's name, owner's name, address, and contact number. The form requires meticulous documentation of every transaction, including the date, time, and ticket or receipt numbers, which indicate whether items were pledged or sold. Additionally, it mandates a comprehensive description of each item, including brand names, serial numbers, and any distinctive markings. Personal details of the seller or pledger are also necessary, requiring identification that includes their full name, address, and verifiable ID, such as a driver’s license. The form goes further to collect demographic information, including race, date of birth, height, weight, eye color, and hair color. To ensure authenticity, the completed form must be signed and notarized, attesting to the accuracy of the reported transactions. Failure to submit this form weekly can lead to serious consequences, including the potential revocation of the dealer's license. Compliance is not just a legal obligation; it fosters trust within the community and supports law enforcement efforts to monitor transactions involving precious metals.

Sample - Connecticut Fpd 124 Form

FAIRFIELD POLICE
100 Reef Road, Fairfield, CT 06824 (203) 254-4840
PRECIOUS METAL DEALERS WEEKLY REPORT FORM
NAME:
A
DDRESS:
OWNER'S NAME:
TELEPHONE #:# STREET
FAIRFIELD, CT
REPORT FOR WEEK ENDING:
BUSINESS INFORMATION
ALL INFORMATION ON THIS FORM SHALL BE EITHER TYPED OR LEGIBLY PRINTED. THE
FRONT AND REAR OF THIS SHEET WILL BE FILLED OUT, SIGNED, AND NOTARIZED (SEAL
REQUIRED). IF MORE THAN ONE PAGE IS UTILIZED FOR A WEEK, THE PAGES WILL BE
CONSECUTIVELY NUMBERED. COMPLETE ONLY THE TOP SECTION OF PAGE ONE AND
COMPLETELY FILL IN PAGE 2 OF ANY ADDITIONAL SHEETS.
On the reverse side of this form each and every transaction will be listed. This will include the date
and time of the transaction, the ticket/receipt number (indicating pledge or sold), a complete
description of the item or article (to include brand name, make, serial number, model number, and
any other definitive markings or engravings), the Seller/Pledger's full name and residence as well as
verifiable identification (such as motor vehicle operator's license) and a description of the Seller/
Pledger. The description SHALL include Race (W=White, B=Black, H=Hispanic, A=Asian, O=Other),
date of birth, height, weight, eye color and hair color.
INSTRUCTIONS
NOTARIZATION
The information contained on this form represents the total transactions completed by me for the week ending, as
indicated above, in compliance with Chapter 409, Section 21-11 of the Connecticut General Statutes.
SIGNATURE OF DEALER / PAWNSHOP OPERATOR DATE
STATE OF CONNECTICUT, COUNTY OF SS.
Subscribed to and sworn before me on this ________ day of ___________________ 20_______.
NOTARY PUBLIC
commission expires:
PAGE:
OF
FPD-124
rev.11/08
THESE REPORTS MUST BE SUBMITTED TO THE FAIRFIELD POLICE DEPARTMENT WEEKLY.
FAILURE TO DO SO COULD RESULT IN THE DEALERS LICENSE BEING REVOKED.
DATE TIME
PLEDGE SOLD
TICKET #
PLEDGER
SELLER
NAME
RESIDENCE
TYPE OF IDENTIFICATION
IDENTIFICATION NUMBER
DATE OF BIRTH RACE SEX HEIGHT WEIGHT EYES HAIR
A
RTICLE DESCRIPTION
PAID BY CHECK NUMBER
# STREET TOWN / CITY STATE ZIP
DATE TIME
PLEDGE SOLD
TICKET #
PLEDGER
SELLER
NAME
DATE OF BIRTH RACE SEX HEIGHT WEIGHT EYES HAIR
A
RTICLE DESCRIPTION
PAID BY CHECK NUMBER
DATE
TIME
PLEDGE SOLD
TICKET #
PLEDGER
SELLER
NAME
DATE OF BIRTH RACE SEX HEIGHT WEIGHT EYES HAIR
A
RTICLE DESCRIPTION
PAID BY CHECK NUMBER
DATE TIME
PLEDGE SOLD
TICKET #
PLEDGER
SELLER
NAME
DATE OF BIRTH RACE SEX HEIGHT WEIGHT EYES HAIR
A
RTICLE DESCRIPTION
PAID BY CHECK NUMBER
DATE TIME
PLEDGE
SOLD
TICKET #
PLEDGER
SELLER
NAME
DATE OF BIRTH RACE SEX HEIGHT WEIGHT EYES HAIR PAID BY CHECK NUMBER
A
RTICLE DESCRIPTION
LAST, FIRST, MI
RESIDENCE
LAST, FIRST, MI
TYPE OF IDENTIFICATION
IDENTIFICATION NUMBERZIPSTATE
TOWN / CITY
# STREET
RESIDENCE
LAST, FIRST, MI
TYPE OF IDENTIFICATION
IDENTIFICATION NUMBERZIPSTATE
TOWN / CITY
# STREET
RESIDENCE
LAST, FIRST, MI
TYPE OF IDENTIFICATION
IDENTIFICATION NUMBERZIPSTATE
TOWN / CITY
# STREET
# STREETRESIDENCE
LAST, FIRST, MI TYPE OF IDENTIFICATION
IDENTIFICATION NUMBERZIPSTATE
TOWN / CITY

Form Information

Fact Name Details
Submission Requirement This form must be submitted weekly to the Fairfield Police Department. Failure to comply can lead to the revocation of the dealer's license.
Notarization The form requires notarization. The dealer must sign and have the document notarized, confirming the accuracy of the reported transactions.
Transaction Details Each transaction must include comprehensive details such as the seller's identification, item description, and personal characteristics of the seller.
Governing Law This form is governed by Chapter 409, Section 21-11 of the Connecticut General Statutes, which outlines the requirements for reporting precious metal transactions.

Detailed Guide for Filling Out Connecticut Fpd 124

Completing the Connecticut FPD 124 form is essential for precious metal dealers to comply with local regulations. This report must be submitted weekly to the Fairfield Police Department. Ensure all information is accurate and complete to avoid potential issues with your dealer's license.

  1. Obtain the Connecticut FPD 124 form from the Fairfield Police Department or their official website.
  2. Fill in the "Business Information" section at the top of Page 1. Include the week ending date, your business name, owner's name, address, and telephone number.
  3. Legibly print or type all information on the form. Ensure that it is clear and easy to read.
  4. Complete Page 2 for each transaction made during the week. List the date and time of the transaction, ticket/receipt number, and whether the item was pledged or sold.
  5. Provide a detailed description of each item, including brand name, make, serial number, model number, and any distinctive markings or engravings.
  6. For each seller or pledger, include their full name, residence address, and a form of verifiable identification, such as a driver's license number.
  7. Document the seller/pledger's demographic information: date of birth, race (using the provided codes), height, weight, eye color, and hair color.
  8. If multiple pages are used, number them consecutively.
  9. Sign and date the form at the designated area, certifying the accuracy of the information provided.
  10. Have the completed form notarized. The notary public must sign and affix their seal.

Obtain Answers on Connecticut Fpd 124

  1. What is the purpose of the Connecticut Fpd 124 form?

    The Connecticut Fpd 124 form is used by precious metal dealers to report their weekly transactions to the Fairfield Police Department. This report is crucial for maintaining compliance with local regulations and helps ensure transparency in the buying and selling of precious metals.

  2. How often must the Fpd 124 form be submitted?

    The form must be submitted weekly. It is important for dealers to adhere to this timeline, as failure to do so could lead to the revocation of their dealer's license. Timely submission helps maintain good standing with the local authorities.

  3. What information is required on the form?

    Dealers must provide detailed information about each transaction, including:

    • Date and time of the transaction
    • Ticket or receipt number
    • Description of the item, including brand name, make, serial number, and any markings
    • Seller's full name and residence
    • Verifiable identification details, such as a driver's license
    • Seller's physical description, including race, date of birth, height, weight, eye color, and hair color

    All information must be typed or legibly printed.

  4. What is the notarization requirement for the form?

    Notarization is required to validate the information provided on the form. The dealer or pawnbroker must sign the form, and a notary public must witness and seal the document. This step ensures the accuracy and authenticity of the report.

  5. What happens if the form is not submitted on time?

    If the Fpd 124 form is not submitted by the deadline, it may result in serious consequences, including the potential revocation of the dealer's license. It is essential for dealers to prioritize timely submissions to avoid any legal complications.

Common mistakes

Filling out the Connecticut FPD 124 form can seem straightforward, but many people make common mistakes that can lead to complications. One frequent error is neglecting to provide complete business information. It's essential to fill in the name, owner's name, address, and telephone number accurately. Incomplete information can result in delays or even rejection of the form.

Another common mistake is not following the instructions regarding legibility. The form must be either typed or printed clearly. If the information is difficult to read, it may cause confusion for the police department and could lead to issues with compliance.

Many individuals also forget to sign and notarize the form. This step is crucial, as the submission is not valid without a signature and a notary seal. Failing to complete this requirement can jeopardize the dealer's license.

People often overlook the need to number additional pages. If more than one page is used, it is important to number them consecutively. This helps the police department keep track of all submitted information and ensures that nothing is missed.

Another mistake is insufficient detail in listing transactions. Each transaction must include specific information such as the date, time, ticket number, and a complete description of the item. Omitting any of these details can lead to complications in record-keeping.

Many also fail to include accurate descriptions of the seller or pledger. The form requires details such as race, date of birth, height, weight, eye color, and hair color. Incomplete or inaccurate descriptions can create issues when verifying identities.

Some individuals mistakenly think they can submit the form without providing proper identification for the seller or pledger. This is a critical requirement. The form must include verifiable identification, such as a driver's license number, to ensure compliance with regulations.

Another error occurs when people do not check the payment method. If a transaction is paid by check, the check number must be noted. Failing to include this can lead to discrepancies in financial records.

Lastly, many forget to keep a copy of the submitted form for their records. Retaining a copy can be beneficial for future reference and helps in case of any disputes or questions from the police department.

Documents used along the form

The Connecticut Fpd 124 form is essential for precious metal dealers, requiring detailed reporting of weekly transactions to ensure compliance with state regulations. Along with this form, several other documents may be necessary to maintain accurate records and fulfill legal obligations. Below is a list of related forms and documents commonly used in conjunction with the Fpd 124.

  • Dealer License Application: This document is required for individuals or businesses seeking to obtain a license to operate as a precious metal dealer in Connecticut. It typically includes personal and business information, as well as background checks.
  • Transaction Record Form: Used to document each individual transaction, this form captures details such as item descriptions, seller information, and transaction dates. It helps dealers maintain organized records for review by authorities.
  • Notary Acknowledgment Form: This form is necessary for notarizing the Fpd 124 and other documents. It provides a formal declaration that the signatures on the documents are authentic and made in the presence of a notary public.
  • Identification Verification Form: This document is used to confirm the identity of sellers or pledgers. It may require copies of identification documents, ensuring that all transactions are conducted legally and ethically.
  • Weekly Summary Report: A summary report compiles all transactions for the week, highlighting key details and totals. This document aids in financial tracking and reporting to relevant authorities.
  • State Compliance Guidelines: These guidelines outline the legal requirements and best practices for precious metal dealers in Connecticut. They serve as a reference to ensure that dealers remain compliant with state laws.

Understanding these forms and documents is crucial for precious metal dealers in Connecticut. Proper use of these materials not only ensures compliance with the law but also fosters trust and transparency in business operations.

Similar forms

The Connecticut Fpd 124 form, used by precious metal dealers to report weekly transactions, shares similarities with several other documents. Here are eight documents that are comparable:

  • IRS Form 8300: This form is used to report cash payments over $10,000 received in a trade or business. Like the Fpd 124, it requires detailed information about the transaction and the individuals involved.
  • Uniform Commercial Code (UCC) Financing Statement: This document is filed to give notice of a secured party's interest in personal property. It contains identifying details similar to those required in the Fpd 124 for tracking ownership and transactions.
  • Sales Tax Report: Businesses submit this report to document sales and the corresponding tax collected. Both forms require accurate reporting of transactions to comply with regulations.
  • Pawn Ticket: Issued by pawnshops, this document records the details of items pawned or sold. It includes similar information about the seller and the item, akin to the Fpd 124.
  • Motor Vehicle Bill of Sale: This document is used to transfer ownership of a vehicle. It requires details about the buyer, seller, and the vehicle, similar to the information collected in the Fpd 124.
  • Real Estate Purchase Agreement: This agreement outlines the terms of a property sale. It includes buyer and seller information and property details, paralleling the Fpd 124's requirements for transaction specifics.
  • Credit Application: When individuals apply for credit, they provide personal information and financial details. This is somewhat similar to the identification requirements in the Fpd 124.
  • Business License Application: This form is completed to obtain a license to operate a business. It often requires detailed information about the business and its owners, similar to the Fpd 124's business information section.

Dos and Don'ts

When filling out the Connecticut FPD 124 form, there are several important dos and don'ts to keep in mind. Following these guidelines can help ensure your submission is complete and accepted without issues.

  • Do type or print legibly. Clarity is key to avoid misunderstandings.
  • Do fill out both the front and back of the form completely.
  • Do number all pages consecutively if you use more than one.
  • Do include all required details about each transaction, such as descriptions and identification.
  • Don't leave any sections blank unless instructed otherwise.
  • Don't forget to sign and notarize the form before submission.
  • Don't submit the form late; aim to deliver it weekly as required.
  • Don't use abbreviations or shorthand that may confuse the reader.

By following these simple guidelines, you can navigate the process with confidence and ensure compliance with local regulations. Remember, accuracy and thoroughness are your best allies in this endeavor!

Misconceptions

Understanding the Connecticut Fpd 124 form can be a bit tricky, especially with the various misconceptions that surround it. Here’s a breakdown of nine common misunderstandings:

  • It’s optional to submit the form weekly. Some people believe that submitting the form is optional. However, it is mandatory to submit this report to the Fairfield Police Department every week.
  • Only large dealers need to fill it out. Many think that only large precious metal dealers are required to use this form. In reality, all dealers, regardless of size, must complete it.
  • Handwritten submissions are acceptable. There’s a misconception that handwritten forms are fine. The instructions clearly state that all information must be typed or legibly printed.
  • Notarization is not necessary. Some believe that notarization is optional. In fact, the form must be signed and notarized to be valid.
  • Only the front page needs to be filled out. It's a common myth that only the first page is important. You must fill out both the front and back of the form completely.
  • Transaction details can be vague. Some think they can provide minimal details about transactions. However, the form requires a comprehensive description of each item, including brand, model, and serial numbers.
  • Identification information isn’t crucial. Many underestimate the importance of including seller identification. The form explicitly requires full identification details for each seller or pledger.
  • There’s no need to number additional pages. A misconception exists that if more than one page is used, numbering isn’t necessary. The instructions specify that all pages must be consecutively numbered.
  • The form can be submitted anytime during the week. Some individuals think they can submit the form whenever they like. It must be submitted by the end of the week, as specified.

Clearing up these misconceptions can help ensure compliance and avoid potential issues with licensing. Always refer to the official guidelines when filling out the Connecticut Fpd 124 form.

Key takeaways

When filling out and using the Connecticut FPD 124 form, keep the following key points in mind:

  • Weekly Submission Required: Ensure that the form is submitted to the Fairfield Police Department on a weekly basis. Failure to do so could jeopardize your dealer's license.
  • Legible Information: All information must be typed or printed clearly. This helps prevent misunderstandings and ensures compliance with the reporting requirements.
  • Complete All Sections: Fill out the front and back of the form completely. If additional pages are needed, they must be consecutively numbered.
  • Detailed Transaction Records: Each transaction must include specific details such as the date, time, ticket number, item description, and seller's identification. This level of detail is essential for accurate reporting.
  • Notarization Required: The form must be signed and notarized. This step is crucial to validate the authenticity of the information provided.
  • Descriptive Seller Information: Collect and report comprehensive information about the seller, including race, date of birth, height, weight, eye color, and hair color. This information is necessary for compliance with state regulations.