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The Connecticut FPD 124 form serves as a crucial tool for precious metal dealers operating in Fairfield. Each week, these dealers must submit a detailed report to the Fairfield Police Department, ensuring compliance with local regulations. This form captures essential business information, including the dealer's name, address, and contact details. It requires a comprehensive account of all transactions conducted during the week, documenting specifics such as the date, time, and nature of each transaction, whether items were pledged or sold. Moreover, the form mandates a complete description of each item, including brand names, serial numbers, and other identifying features. Notably, it also collects personal information about the seller or pledger, including their full name, residence, and physical characteristics. This data must be accompanied by verifiable identification, ensuring that all transactions are traceable and legitimate. To maintain the integrity of the reporting process, the form must be filled out legibly, signed, and notarized, with penalties for non-compliance that could jeopardize the dealer's license. By adhering to these guidelines, precious metal dealers contribute to a safer and more accountable marketplace.

File Information

Fact Name Details
Purpose of the Form The FPD 124 form is used by precious metal dealers to report weekly transactions to the Fairfield Police Department.
Submission Requirement Dealers must submit this report weekly. Failure to do so may lead to the revocation of their dealer's license.
Notarization The form requires notarization. This includes a signature from a notary public, verifying the information provided.
Information Required Dealers must provide detailed information about each transaction, including seller identification and a complete description of the items.
Governing Law This form is governed by Chapter 409, Section 21-11 of the Connecticut General Statutes.

Connecticut Fpd 124 Sample

FAIRFIELD POLICE

100 Reef Road, Fairfield, CT 06824 (203) 254-4840

PRECIOUS METAL DEALERS WEEKLY REPORT FORM

THESE REPORTS MUST BE SUBMITTED TO THE FAIRFIELD POLICE DEPARTMENT WEEKLY.

FAILURE TO DO SO COULD RESULT IN THE DEALERS LICENSE BEING REVOKED.

BUSINESS INFORMATION

REPORT FOR WEEK ENDING:

PAGE:

OF

NAME:

OWNER'S NAME:

ADDRESS: # STREET

FAIRFIELD, CT

TELEPHONE #:

INSTRUCTIONS

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.

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 OFSS.

Subscribed to and sworn before me on this ________ day of ___________________ 20_______.

 

NOTARY PUBLIC

FPD-124

 

 

rev.11/08

commission expires:

 

DATE

 

 

TIME

 

 

 

 

 

 

 

 

TICKET #

 

 

 

 

 

 

 

 

PLEDGE

 

SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

LAST, FIRST, MI

 

 

 

 

 

 

 

 

 

TYPE OF IDENTIFICATION

PLEDGER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENCE

#

STREET

 

 

TOWN / CITY

 

STATE

ZIP

IDENTIFICATION NUMBER

SELLER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

RACE

SEX

HEIGHT

 

WEIGHT

 

EYES

 

HAIR

PAID BY CHECK NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARTICLE DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

TIME

 

 

 

 

 

 

 

 

TICKET #

 

 

 

 

 

 

 

 

PLEDGE

 

SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

LAST, FIRST, MI

 

 

 

 

 

 

 

 

 

TYPE OF IDENTIFICATION

PLEDGER

 

 

 

 

 

 

 

 

 

 

RESIDENCE

#

STREET

 

 

TOWN / CITY

 

STATE

ZIP

IDENTIFICATION NUMBER

SELLER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

RACE

SEX

HEIGHT

 

WEIGHT

 

EYES

 

HAIR

PAID BY CHECK NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARTICLE DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

TIME

 

 

 

 

 

 

 

 

TICKET #

 

 

 

 

 

 

 

 

PLEDGE

 

SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

LAST, FIRST, MI

 

 

 

 

 

 

 

 

 

TYPE OF IDENTIFICATION

PLEDGER

 

 

 

 

 

 

 

 

 

 

RESIDENCE

#

STREET

 

 

TOWN / CITY

 

STATE

ZIP

IDENTIFICATION NUMBER

SELLER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

RACE

SEX

HEIGHT

 

WEIGHT

 

EYES

 

HAIR

PAID BY CHECK NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARTICLE DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

TIME

 

 

 

 

 

 

 

 

TICKET #

 

 

 

 

 

 

 

 

PLEDGE

 

SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

LAST, FIRST, MI

 

 

 

 

 

 

 

 

 

TYPE OF IDENTIFICATION

PLEDGER

 

 

 

 

 

 

 

 

 

 

RESIDENCE

#

STREET

 

 

TOWN / CITY

 

STATE

ZIP

IDENTIFICATION NUMBER

SELLER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

RACE

SEX

HEIGHT

 

WEIGHT

 

EYES

 

HAIR

PAID BY CHECK NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARTICLE DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

TIME

 

 

 

 

 

 

 

 

TICKET #

 

 

 

 

 

 

 

 

PLEDGE

 

SOLD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME

LAST, FIRST, MI

 

 

 

 

 

 

 

 

 

TYPE OF IDENTIFICATION

PLEDGER

 

 

 

 

 

 

 

 

 

 

RESIDENCE

#

STREET

 

 

TOWN / CITY

 

STATE

ZIP

IDENTIFICATION NUMBER

SELLER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

RACE

SEX

HEIGHT

 

WEIGHT

 

EYES

 

HAIR

PAID BY CHECK NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARTICLE DESCRIPTION

Common mistakes

Completing the Connecticut FPD 124 form can be straightforward, but many individuals make common mistakes that can lead to complications. One frequent error is failing to provide all required information. Each section of the form must be filled out completely. Leaving out details such as the owner’s name, address, or contact number can result in delays or even penalties.

Another mistake involves improper notarization. The form requires a signature from a notary public, and this must be done correctly. If the notary's seal is missing or the signature is not dated, the form may be deemed invalid. This step is crucial, as it verifies the authenticity of the information provided.

People often overlook the importance of legibility. The instructions specify that all information must be typed or printed clearly. Illegible handwriting can lead to misunderstandings or errors in processing the report. Ensuring clarity helps prevent issues that could arise from misinterpretation.

Additionally, individuals sometimes forget to number the pages consecutively when more than one page is used. This oversight can create confusion and make it difficult for the police department to track the report accurately. Proper organization is essential for efficient processing.

Lastly, some individuals do not provide complete descriptions of items being reported. The form requires detailed information, including brand names, serial numbers, and other identifying features. Failing to include this information can hinder the police department’s ability to verify transactions and could lead to complications with compliance.

Key takeaways

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

  • Timely Submission: Submit the completed form to the Fairfield Police Department weekly. Missing this deadline may lead to the revocation of your dealer's license.
  • Legibility is Crucial: Ensure all information is either typed or printed clearly. This helps avoid any misunderstandings or errors.
  • Complete All Sections: Fill out both the front and rear of the form. If you use additional pages, they must be numbered consecutively.
  • Detailed Transaction Records: On the reverse side, list every transaction, including specifics like date, time, and complete descriptions of items. Include seller details and identification information.
  • Notarization Required: The form must be signed and notarized. This adds a layer of authenticity and compliance with state regulations.

Similar forms

The Connecticut Fpd 124 form is similar to the Uniform Commercial Code (UCC) financing statement. Both documents serve to provide a record of transactions involving personal property. The UCC financing statement is filed to give notice of a secured party's interest in the collateral, which can include items like equipment or inventory. Similarly, the Fpd 124 form documents the sale or pledge of precious metals, ensuring that the police department is informed about the transactions. This helps in tracking ownership and preventing theft, just as the UCC filing helps protect lenders by establishing their rights over a debtor's property.

Another document that shares similarities with the Fpd 124 form is the pawn ticket. A pawn ticket is issued by a pawnbroker when a customer pawns an item, detailing the terms of the transaction. Like the Fpd 124, it includes essential information about the item, the pledger, and the transaction date. Both documents serve as a means of record-keeping, ensuring that the pawnbroker and law enforcement can trace the history of the item. This is crucial for preventing the sale of stolen goods and ensuring transparency in the pawnbroking industry.

The Bill of Sale is another document that resembles the Fpd 124 form in terms of its purpose. A Bill of Sale serves as a legal document that transfers ownership of an item from one party to another. It typically includes details about the item, the seller, and the buyer. Like the Fpd 124, which records transactions involving precious metals, a Bill of Sale ensures that there is a clear record of ownership. This can be important for both legal purposes and for proving ownership in case of disputes.

The Sales Tax Permit application also has a parallel with the Fpd 124 form. While the Fpd 124 focuses on transactions involving precious metals, the Sales Tax Permit application is necessary for businesses that sell taxable goods or services. Both documents require detailed information about the business and its transactions, ensuring compliance with state regulations. This helps maintain a level of oversight in the marketplace, similar to how the Fpd 124 form helps monitor the sale of valuable items.

The New York Mobile Home Bill of Sale form is crucial for documenting the transfer of ownership of a mobile home, similar to the importance of various regulatory documents discussed earlier. Just like the Fpd 124 form and pawn ticket, this form ensures that transactions are transparent and legally recognized. For those looking to streamline the process or find templates for such documentation, Templates and Guide can provide valuable resources to ensure compliance and proper record-keeping.

In addition, the IRS Form 8300, which reports cash payments over $10,000, shares similarities with the Fpd 124 form. Both documents are designed to prevent illegal activities such as money laundering and tax evasion. The Fpd 124 form requires detailed information about each transaction, including the seller’s identification, while Form 8300 mandates reporting of large cash transactions. This helps law enforcement and regulatory agencies track suspicious activities in financial transactions.

The Inventory Report is another document that parallels the Fpd 124 form. An Inventory Report is often used by businesses to keep track of their stock, detailing items on hand and their values. Like the Fpd 124, which requires a detailed description of each transaction involving precious metals, an Inventory Report must accurately reflect the items a business possesses. This is essential for both accounting purposes and for ensuring that businesses comply with legal requirements regarding asset reporting.

Lastly, the Connecticut Business Entity Information form is similar to the Fpd 124 form in that both require businesses to provide detailed information about their operations. The Business Entity Information form collects data about the business structure, ownership, and contact details. This is akin to the Fpd 124 form's requirements for submitting information about precious metal transactions. Both forms aim to maintain transparency and accountability within the business community, ensuring that all operations are conducted legally and ethically.