Form Dr-42a - Ownership Declaration And Sales And Use Tax Report On Aircraft

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DR-42A
Ownership Declaration and Sales and Use Tax Report on Aircraft
R. 10/10
Rule 12A-1.097
Florida Administrative Code
Purchaser’s Name: _ _____________________________________________________________________
Address: _ ______________________________________________________________________________
City, State, ZIP: _ ________________________________________________________________________
Telephone Number: _____________________________________________________________________
Florida Sales Tax Number (Registered Dealers Only): ________________________________________
STATEMENT OF PURCHASER
The aircraft purchased is a __________, __________, __________, bears serial number___________________ and FAA registration
(year)
(make)
(model)
number_______________________. Total amount paid for this aircraft was $_________________ and a lien in the amount of
$____________________ is held by: ________________________________________________________________________________________ .
The aircraft described herein was purchased from ___________________________________________________________________________
(name of seller)
__________________________________________________________________________________________________________ on ___/___/___.
(address)
(city)
(state)
(zip)
(date)
Delivery of this aircraft was taken at _____________________________________________________ and arrived in Florida on ___/___/___.
(city)
(state)
(zip)
(date)
Total purchase price ....................................................
$ _________________________________
Less: trade-in .............................................................
( _________________________________ )
Net purchase price ......................................................
___________________________________
Florida sales tax due at 6% . ........................................
___________________________________
Florida discretionary sales surtax ................................
___________________________________
Penalty . ........................................................................
___________________________________
Interest . ........................................................................
___________________________________
Sub-total . .....................................................................
$ _________________________________
Less credit for tax paid in another state* ................
( _________________________________ )
TOTAL DUE
$ _________________________________
*You must include a copy of the Bill of Sale which shows the correct purchase price (not the FAA Bill of Sale) even if no tax is due.
Please make your check payable to the Florida Department of Revenue.
The plane is presently located at _ __________________________________________________________________________________________
(FBO)
(city)
(state)
(zip)
and its permanent FBO/tie-down location is _ _______________________________________________________________________________ .
(city)
(state)
(zip)
The aircraft was bought for the following purpose(s) _ ________________________________________________________________________ .
This purchaser also owns _______ other aircraft and they have the following FAA registration numbers: _ ___________________________ .
Under penalties of perjury, I declare that I have read the foregoing declaration and the facts stated in it are true.
____________________________________________________
____________________________________________
Signature of Purchaser
Date
Please Mail To: Department of Revenue, Compliance Campaigns, PO Box 6417, Tallahassee, FL 32314-6417.

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