A. The last, first and middle name of the pledgor or seller.

B. The permanent address and telephone number, if applicable, of the pledgor or seller.

C. The physical description of the pledgor or seller, including height, weight, hair and eye color, sex, race, date of birth, prominent scars and other distinguishing features.

D. The number and type of identification document presented by the pledgor or seller; and, for scrap metals, the number and state of issuance of the license on the vehicle used to deliver the scrap metal.

E. An accurate, legible description of each item pledged or sold, including the manufacturer’s name, model number, serial number, caliber, size, type of item and any owner applied number, inscription or monogram; and, for scrap metals, the description and weight of the scrap metal received.

F. The pawnbroker’s or secondhand dealer’s name and address, and the initials or identifying number of the employee who received the item.

G. The date and time of the initial pawn or purchase transaction.

H. The type of transaction and initial pawn ticket number.

I. The amount loaned or paid in the transaction.

J. A fingerprint of the pledgor or seller only as required by State law, and a right index fingerprint of each seller.

The requirements of this section are in addition to those listed in Arizona Revised Statutes, Section 44-1601 et seq. ((O)11-03, 02/02/2011)