Post on 18-Jun-2018
transcript
APPLICATION FOR REGISTRATION OF AIRCRAFT/ULTRALIGHT AND REMITTANCE OF EXCISE TAX NORTH DAKOTA AERONAUTICS COMMISSION SFN 11627 (01-2018)
FOR OFFICE USE ONLYND Aircraft Registration Number
Year
REGISTRATION INSTRUCTIONS1. Registration fees on aircraft and ultralights are due January 1 of each year. Locate your registration fee on the chart on the enclosed
fee's card and remit the correct amount along with excise tax due.2. Aircraft must be registered within 30 days after being brought into North Dakota.3. Registration fees are based on the weight (gross weight for aircraft and empty weight for ultralights).4. For aircraft that become based in the state after July 1 of a calendar year, the registration fee is one-half the annual fee.
AIRCRAFT/OWNER INFORMATIONType of Aircraft/Ultralights (check all that apply)
Aerial Sprayer Balloon Glider Jet Helicopter Homebuilt Multi-Engine Single Engine Ultralight
Aircraft FAA Number Make/Model Year Manufactured Engine Manufactured
Manufacturer Serial Number Horsepower Maximum Gross Weight Ultralight Empty Weight Airport Location Base
Owner's Name Telephone Number
Address Email Address
City State ZIP Code County of Residence
Owner's Signature Date
RETURN APPLICATION WITH REMITTANCE TO:North Dakota Aeronautics Commission PO Box 5020 Bismarck, ND 58502 Telephone Number: (701) 328-9650 Email Address: ndaero@nd.gov
AIRCRAFT STATUSThis aircraft was sold. I am no longer the owner. Sign and return form to the address below.
This aircraft is leased. Remit Excise Tax. Sign and return form to address below.
This aircraft was totally destroyed and will not be put back into service. Sign and return this form so the aircraft can be removed from our registration records.This aircraft is not airworthy at the present time. Please sign and return form to the address below. Excise Tax is still due.
EXCISE TAX INSTRUCTIONSExcise tax is levied on every purchase transaction and due at time of registration. A trade-in credit of another aircraft is allowed.If a person buys partial ownership of aircraft, excise tax is due on that share.Excise tax rate is 5% on conventional aircraft and ultralights, and 3% on agricultural aircraft. North Dakota has reciprocity with all States on sales or excise taxes except Alaska, Delaware, Montana, New Hampshire, Oregon, and Texas. Please provide proof of tax paid if you wish to claim a tax credit in North Dakota.
1.2.3.4.
AIRCRAFT PURCHASE INFORMATIONPurchase Price
Less Trade In Value
NET PRICE PAID
Multiply By Tax Rate3% AG 5% Non-AG
Registration Fee
TOTAL REMITTED
Purchased From (seller)
Trade-In Aircraft Make/Model (if applicable) Aircraft FAA Number (of trade-in)
TOTAL TAX DUE
Seller Address ZIP CodeStateCity