| Operator Class | Amateur Extra |
| Group Code | A Group |
| Region Code | 4 |
| Previous Call Sign | WA4NTF |
| Previous Operator Class | Advanced |
| License ID | 9609254643 |
| First | JERRY |
| Last | TANNER |
| Street Address | 🔒 [PRIVATE] |
| City / State / ZIP | ASHBURN, GA, [PRIVATE] |
| Applicant Type | Individual |
| License Status | Cancelled |
| Grant Date | 11/04/1996 |
| Expiration Date | 11/04/2006 |
| Effective Date | 11/04/1996 |