Make:
Model:
Serial number:
Year of production:

BARREL:
Length:
Shortened?Yes or No
Bore:
Choke:
Chamber length:
Original Proof of chamber:
Still in proof? yes no
Reproof? Yes No
Type of proofs:
Barrel thickness:
Bore diameter:
Dents:
Pitting:
Name on barrel
Fluid steel/ Damascus
Ejector/Nonejector
Finish and amount present:
Refinished?
On the face? Yes No
Type of rib
Condition of rib:

Action:
Sidelock/Boxlock
Opening system:
Engraving:
Condition of engraving:
Type of finish______
Name on action:
Crossbolt: Yes or No
Sideclips:Yes or No
Proof marks:
Screw condition:
Wear on ejectors:
Finish on action and condition:

ForendType:
Wood condition:
Fit:

Stock:

LOP:to heel___;to toe___;to center___
Bend:at comb____;heel____
Cast:
Wood to metal fit:
Pad? Yes or NoDescription of pad______
Thickness of pad:
Chequered butt? Yes or no

Description of butt:
Wood condition/description:
Cracks:
Patches or repairs:
Description of wood:
Condition of chequering:
Pitch:

Trigger/Trigger guard
Single or double
Trigger pull:
Type of trigger guard:
Condition of trigger guard:

Miscellaneous:
Ejectors work:Yes or NO
Position of top lever

Seller:
Price:
Warranty :
Inspection period:

DATE_____