Rhode Island Aircraft Registration Application Form - Instructions Page 2
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1
2
3State of Rhode Island
Rhode Island Airport Corporation
AIRCRAFT REGISTRATION APPLICATION
Please complete all information on this application and return with
Rhode Island Airport Corporation
Please make checks payable to: Rhode Island Airport
Attn: Aircraft Registrations
2000 Post Road
Warwick, RI 02886
AIRCRAFT INFORMATION
1. FAA REG NO.
_____________YEAR ________ MAKE ______________________
MODEL ________________________
COLOR ________________
AIRCRAFT SERIAL # ______________________________
GROSS WEIGHT (LBS) ______________
NO. OF SEATS _______
AIRCRAFT TYPE
HELICOPTER
EXPERIMENTAL
PRIVATE
CORPORATE
SINGLE ENGINE
MULTI-ENGINE
RECIPROCATING ENGINE
JET ENGINE
PRIMARY OWNER INFORMATION
1. OWNER
____________________________________________
4. PHONE #'S (HOME) ________________________________________
2. COMPANY
____________________________________________
(CELL) ________________________________________
3. ADDRESS
____________________________________________
(WORK) ________________________________________
5. E-MAIL
____________________________________________
Registration Fee Calculation
6. PRINCIPAL BASE AIRPORT IN STATE OF RI
________________________________________________
Aircraft Dealer
$25
7. DEALER OR PRIVATE
____________________________________
Less than 2,000 lbs $30
2,001 - 3,000 lbs
$60
3,001 - 4,000 lbs
$110
4,001 - 12,500 lbs
$160
Over 12,500 lbs
$250
EMERGENCY CONTACT INFORMATION
Aircraft Dealer's must pay $50 for Dealer Certificate
8. EMERGENCY CONTACT
________________________________________________________________
9. RELATIONSHIP
________________________________________________________________
10. EMERGENCY PHONE
________________________________________________________________
I declare under the penalty of perjury that I own the aircraft herein described and that any sales tax due has been paid and that, to the best of my
knowledge and belief, all statements made herein are true and correct.
11. PRIMARY OWNER SIGNATURE ________________________________________________
DATE ____________________________
If the aircraft being registered is owned by more than one person, one of the co-owners is to sign as the primary on the application above, and the other
co-owners should counter sign below. This indicates consent to the issuance of the certificate in the name of the co-owner.
NAME _______________________________________________________
SIGNATURE ___________________________________________________
NAME _______________________________________________________
SIGNATURE ___________________________________________________
NAME _______________________________________________________
SIGNATURE ___________________________________________________
NAME _______________________________________________________
SIGNATURE ___________________________________________________
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