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APPLICATION FOR REGISTRATION OF AIRCRAFT/ULTRALIGHT AND REMITTANCE OF EXCISE TAX NORTH DAKOTA AERONAUTICS COMMISSION SFN 11627 (01-2018) FOR OFFICE USE ONLY ND Aircraft Registration Number Year REGISTRATION INSTRUCTIONS 1. 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 INFORMATION Type 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: [email protected] AIRCRAFT STATUS This 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 INSTRUCTIONS Excise 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 INFORMATION Purchase Price Less Trade In Value NET PRICE PAID Multiply By Tax Rate 3% 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 Code State City
