Form 51a150 - Aircraft Exemption Certificate Form

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___________________________________________
________________________________________________
Exemption Holder’s Name
Address
Check applicable block:
IMPORTANT — Certificate not
!
AIRCRAFT EXEMPTION CERTIFICATE
Blanket
valid unless completed.
!
Single Purchase
I HEREBY CERTIFY:
That the tangible personal property to be purchased from:
____________________________________________________________________________________________________________
Name of Vendor
Address
constitutes aircraft, repair and replacement parts therefor, and supplies, except fuel for the direct operation of aircraft in
interstate commerce and used exclusively for the conveyance of property or passengers for hire which is exempt under the
provisions of KRS 139.480(19).
Description of property to be purchased: ________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
In the event that the property purchased is not used for an exempt purpose, it is understood that I am required to pay the tax
measured by the purchase price of the property.
Under penalties of perjury, I swear or affirm that the information on this certificate is true and correct as to every material
matter.
______________________________________________________________
_______________________________________
Authorized Signature (Owner, Partner or Corporate Officer)
Title
_______________________________________
CAUTION TO SELLER: This certificate may not be used for
Date
purchases made for private aircraft.
51A150 (1-05)
Department of Revenue
Frankfort, Kentucky 40620

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