Form Boe-260-A - Certificate And Affidavit For Exemption Of Certain Aircraft

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BOE-260-A (P1) REV. 07 (08-08)

CERTIFICATE AND AFFIDAVIT

FOR EXEMPTION OF CERTAIN AIRCRAFT

This claim must be filed by 5:00 p.m., February 15.

State of California, County of

AFFIDAVIT FOR EXEMPTION OF CERTAIN AIRCRAFT

Under the provisions of section 217.1, Revenue and Taxation

Code, certain aircraft which have been made available

for display in a publicly owned aerospace museum, or in

an aerospace museum regularly open to the public and

operated by a nonprofit organization qualified for exemption

under section 23701d of the Revenue and Taxation Code

for a minimum period of 90 days during the 12-month period

immediately preceding January 1 or for less than 90 days

immediately preceding January 1 but which will be made

available for 90 days during the 12-month period commencing

with the first day the property was made available, shall be

exempt from taxation.

NAME OF CLAIMANT

DAYTIME TELEPHONE NUMBER

ADDRESS OF CLAIMANT

(

)

LOCATION OF THE AIRCRAFT AS OF 12:01 A.M., JANUARY 1

NAME OF AEROSPACE MUSEUM TO WHICH THE PROPERTY WAS MADE AVAILABLE FOR DISPLAY

DIRECTOR’S OR OFFICER’S NAME

ADDRESS (Street, City, County, State)

NATURE OF THE AIRCRAFT FOR WHICH EXEMPTION IS CLAIMED [check the appropriate box(es); additional aircraft may be listed on a separate sheet, with nature and description of aircraft]

AIRCRAFT WHICH HAVE BEEN RESTORED OR MAINTAINED, WHETHER CURRENTLY CERTIFIED OR NOT FOR FLIGHT PURPOSES

AIRCRAFT DONATED IN PERPETUITY TO THE AEROSPACE MUSEUM

DESCRIBE THE AIRCRAFT IN SUFFICIENT DETAIL TO IDENTIFY (Make, Model, Year, and FAA or tail number)

DOES CLAIMANT HOLD THE AIRCRAFT CLAIMED HERE PRIMARILY FOR PURPOSES OF SALE?

YES

CERTIFICATION OF CLAIMANT

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing and all information hereon, including any

accompanying statements or documents, is true, correct and complete to the best of my knowledge and belief.

SIGNATURE OF PERSON MAKING CLAIM

TITLE

DATE

E-MAIL ADDRESS

CERTIFICATION OF MUSEUM DIRECTOR OR OFFICER

The aircraft described above was made available for display from _________________, 20______ to _________________, 20______.

(If additional aircraft are listed on an attachment, the director or officer must sign this certificate and each attachment.)

I certify (or declare) under penalty of perjury under the laws of the State of California that the information contained herein is true, correct, and

complete to the best of my knowledge and belief.

SIGNATURE OF DIRECTOR OR OFFICER

TITLE