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Application For Aircraft Registration Or Exemption 7695 - Indiana

Application For Aircraft Registration Or Exemption Form. This is a Indiana form and can be used in Aircraft Department Of Revenue Statewide .
 Fillable pdf Last Modified 1/28/2011
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State Form 7695 (R5 / 9-10) · · · · · APPLICATION FOR AIRCRAFT REGISTRATION OR EXEMPTION Indiana Department of Revenue Must be filed within 31 days after the purchase of an aircraft, regardless of the aircraft's condition. ST108AC form must be submitted with Application if purchased from an Indiana Dealer. Application will not be accepted without a signature. For assistance call (317) 615-2544 Mail application, required documentation & check to: INDIANA DEPARTMENT OF REVENUE Special Tax ­ Aeronautics P.O. Box 644 Indianapolis, IN 46206-0644 YOUR SOCIAL SECURITY NUMBER OR FEDERAL ID# IS MANDATORY (I.C. 4-1-8-1) CONFIDENTIAL - Subject to penalty for unauthorized disclosure of information. 1. FAA Number N 2. Make 3. Model 4. Serial Number SECTION A - AIRCRAFT SECTION B - OWNERSHIP 1. Type of ownership (check only one box) Individual Corporation Co-owned Government Other Dealer Number All correspondence, billings and receipts will be sent to the First Owner listed below. 2. Name of Owner /Lessee (First, Middle initial, Last) Street Address of Owner/Lessee City Daytime Telephone Number Indiana Taxpayer ID# 3. Name of Co-Owner/Lessor (First, Middle initial, Last) Street Address of Co-Owner/Lessor City State Zip Code Indiana Taxpayer ID# State Zip Code 5. Gross (landing) Weight 6. Year of Manufacture 7. Aircraft type (check only one box) 1. Piston Driven 2. Piston Driven & Pressurized 3. Turbine Driven 4. Homebuilt 5. Glider 6. Hot Air Balloon 8. County (of Airport) 9. Base Airport Name 10. Township of Airport 11. Date of Aircraft Purchase (Month, Day, Year) 12. Date Moved to Indiana (Month, Day, Year) 13. Date FAA Airworthiness Certificate Issued on Homebuilt Social Security or Federal ID# Social Security or Federal ID# Daytime Telephone Number ( ) SECTION C - SALES/USE TAX INFORMATION Yes No 1. Was aircraft purchased from a registered Indiana Aircraft Dealer? (If yes, ST108AC form must be submitted with this application) 2. Aircraft was purchased by registered retail merchant for the following exempt use: Registered Indiana Dealer purchase for resale Rental or Lease to others per IC 6-2.5-5-8 Public Transportation operating under FAA Part __________ (Must submit copy of FAA Certificate for Public Transportation) Enter Retail Merchants Number 3. Aircraft was transferred for no money consideration from: (Check One) Spouse Parent Child 4. Homebuilt aircraft from raw material Indiana sales/use tax was paid on each part as purchased. All receipts are available upon request. Any kit, parts or material purchased to build aircraft but Indiana sales/use tax was not paid, the Indiana sales/use tax is due. The accumulative total of all untaxed purchases must be entered in the purchase price area below and receipts submitted on request. 5. Aircraft Purchased From: (Name, Address, City, State, Zip Code) 6. Description of Aircraft Trade-In FAA Number N Aircraft Make Aircraft Model Serial Number 7. Aircraft Trade-In Sold To: (Name, Address, City, State, Zip Code) American LegalNet, Inc. www.FormsWorkFlow.com 8. Sales and Use Tax Computation: (A detailed bill of sale listing purchase price, invoice, or sworn affidavit signed by seller must be submitted with this form). A. Purchase Price $ B. C. D. Subtract Trade-in Allowance Amount Subject to Sales/Use Tax -$ $ Sales/Use tax due (7% of Line C) $ (Enter amount on Line 1 of SECTION E) SECTION D - EXCISE TAX COMPUTATION TABLE 2 - TAX RATES (Based on Class, Weight, Age of Aircraft) AIRCRAFT CLASS A AGE 0-4 Years $ .04/LB .035/LB .03/LB .025/LB .02/LB .01/LB CLASS B $ .065LB .055/LB .05/ LB .025/LB .02/LB .01/LB CLASS C CLASS D TABLE 1 - CLASSES OF AIRCRAFT (Based on Type or Power Sources) A. B. C. D. 1. Piston-Driven 2. Piston-Driven and Pressurized 3. Turbine-Driven 4. Homebuilt 5. Glider 6. Hot Air Balloon $ .09/LB $ .0175/LB .08/LB .07/LB .025/LB .02/LB .01/LB .015/LB .0125/LB .01/LB .0075/LB .005/LB 5-8 Years 9-12 Year 13-16 Years 17-25 Years 26 & Older TABLE 3 - TAX REDUCTION (Based on month of purchase) JAN. FEB. MAR. APR. MAY JUN. JUL. AUG. SEP. OCT. NOV. DEC. N/A N/A N/A 10% 20% 30% 40% 50% 60% 70% 80% 90% a. Gross landing weight (Section A no. 5) b. 1c. 2c. 3c. Tax Rate (Tables 1 and 2) X$ Gross Tax Percent of Tax Reduction (Table 3) $ X % FAA number of aircraft sold this year Excise Tax paid on aircraft sold N 90% X $ Number of months remaining in calendar Percent Excise tax paid 10% X year AFTER aircraft was sold = % X$ Enter the lowest of 1c and 2c = d. Compare lines b and 3c. Enter greatest amount e. Subtract line d from line a. (Enter amount on line 2 Section E) EXCISE TAX DUE SECTION E - TAX SUMMARY/AMOUNT DUE 1. SALES/USE TAX (Enter amount from Section C, line 8D) 1a. SALES/USE TAX LATE PENALTY DUE IF PAID AFTER 31 DAY REQUIREMENT 1b. SALES/USE TAX INTEREST DUE IF PAID AFTER 31 DAY REQUIREMENT 2. EXCISE TAX DUE ON GROSS (LANDING) WEIGHT (Enter amount from Section D, line e) 3a. LATE PENALTY ON EXCISE TAX (Due if paid after 31 day requirement) 3b. LATE INTEREST ON EXCISE TAX (Due if paid after 31 day requirement) 4. REGISTRATION FEE/TRANSFER FEE $10.00 5. TOTAL AMOUNT DUE (Add line 1 through 4) REMIT AMOUNT PAYABLE TO INDIANA DEPARTMENT OF REVENUE. $ $ $ $ $ $ $ $ Tax Reduction =$ 1. Tax Credit =$ 2. Tax Credit =$ True Tax Credit $ Gross Tax $ Tax Reduction or Tax Credit $ $ EXCISE TAX DUE TAX YEAR SECTION F - CERTIFICATION (APPLICATION WILL NOT BE ACCEPTED WITHOUT SIGNATURE(S)) I/We certify, under the penalties of perjury, that all the information and statements are true and correct to the best of my knowledge. (Attach signatures if more space is needed.) Signature of Aircraft Owner/Authorized Person Date Signed Signature of Aircraft Co-Owner Date Signed Printed Name of Aircraft Owner/Authorized Person Date Signed Printed Name of Aircraft Co-Owner Date Signed American LegalNet, Inc. www.FormsWorkFlow.com Instructions SECTION A - AIRCRAFT 1. FAA "N" Number............................................... 2. Make .................................................................. 3. Model ................................................................. 4. Serial Number .................................................... 5. Gross (landing) Weight ..................................... Assigned to the aircraft by the Federal Aviation Administration (FAA). The manufacturer name. (i.e. Cessna, Mooney, Piper) The model name or number assigned by manufacturer (i.e. 150, M22, PA28-140). The serial number assigned to the aircraft (not the engine)
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