Gt-500002 5/2 - Suggested Format For Affidavit For Exemption Of Aircraft Sold For Removal From The State Of Florida By A Nonresident Purchaser Form Page 2

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Description of Aircraft
Make __________________________________________
Model _______________________ Year
___________
Serial number ___________________________________
FAA registration number __________________________
(Check one)
New
Used
Purchase
Net purchase
price $ _________________________
Trade-in $ ______________________ price $ ________________________
Primary location of aircraft while in Florida ______________________________________________________________
I claim exemption from Florida sales and use tax on the purchase price of the aircraft described herein under
s. 212.05(1)(a)2, Florida Statutes, for the following reason (check one):
The aircraft will be removed from Florida within 10 days of the date of purchase.
The aircraft requires repairs, additions, or alterations and it will immediately be taken to a repair facility and
will be removed from Florida within 20 days (excluding tolled days) after completion of the work.
Under penalty of perjury, I declare that I have read the foregoing and the facts alleged are true to the best of my
knowledge and belief. I understand that if I fail to comply with the requirements of this affidavit, I will be liable for
payment of the tax and a mandatory penalty equal to the tax.
______________________________________________
Signature of affiant/purchaser
Sworn to (or affirmed) and subscribed before me this day of ____________ , ________ .
_____________________________________________
Signature of Notary
_____________________________________________
Print, type, or stamp name of Notary
Personally known
Produced identification
Type of Identification: _________________________
Distribution of Documents
The original affidavit and a copy of the sales invoice, bill of sale, or closing document must be sent to the Florida
Department of Revenue, Aircraft Enforcement Unit, P.O. Box 6417, Tallahassee FL 32314-6417 within five (5) days of the
date of sale.
A copy of the affidavit must be retained by the selling dealer and made a part of the dealer’s records.
The selling dealer or broker should provide the purchaser with a copy.
Notice To Dealers
Affidavits not filed within five (5) days of the date of sale may not be accepted by the Department of Revenue and
the selling dealer or broker may be billed for tax, penalty, and interest due.

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