AIRCRAFT SCHEDULE E
TAX YEAR
IF ASSISTANCE NEEDED CALL
ACCOUNT NUMBER
THIS SCHEDULE IS CONSIDERED CONFIDENTIAL
OWNERS PHONE NUMBER (LIST)
INFORMATION AND NOT OPEN FOR PUBLIC INSPECTION.
DUE DATE
RETURN COMPLETED FORM TO ADDRESS LISTED BELOW
COUNTY NAME AND RETURN ADDRESS
TAXPAYER NAME AND ADDRESS
TAX SITUS (WHERE YOU LIVE) CHECK ONE [ ] UNINCORPORATED AREA
[ ] CITY OF ( LIST )
AIRCRAFT # 1
AIRPORT WHERE AIRCRAFT PRIMARY HOME BASED - CITY
COUNTY
STATE
REGISTRATION “N” #:
AVIONICS AND EXTRA EQUIPMENT
MFG. NAME: (MAKE)
MODEL NAME OR #:
YEAR BUILT:
SERIAL NUMBER:
DATE PURCHASED
PURCHASED: NEW [
]
USED [
]
COST:
HOURS BETWEEN OVERHAULS (TBO):
HOURS SINCE LAST OVERHAUL:
NOTE: Please submit a copy of your log book to substantiate T.B.O.
LAST OVERHAUL: MAJOR [
]
TOP [
]
and airframe hours.
TOTAL HOURS ON AIRFRAME AS OF JAN. 1:
AIRCRAFT # 2
AIRPORT WHERE AIRCRAFT PRIMARY HOME BASED - CITY
COUNTY
STATE
REGISTRATION “N” #:
AVIONICS AND EXTRA EQUIPMENT
MFG. NAME: (MAKE)
MODEL NAME OR #:
YEAR BUILT:
SERIAL NUMBER:
DATE PURCHASED
PURCHASED: NEW [
]
USED [
]
COST:
HOURS BETWEEN OVERHAULS (TBO):
HOURS SINCE LAST OVERHAUL:
LAST OVERHAUL: MAJOR [
]
TOP [
]
NOTE: Please submit a copy of your log book to substantiate T.B.O.
TOTAL HOURS ON AIRFRAME AS OF JAN. 1:
and airframe hours.
Is there anything functionally wrong with your aircraft? Yes [ ] No[ ].
NAME OF PURCHASER: ________________________________
If yes, please provide the Board of Assessors with information in order
ADDRESS: ___________________________________________
for them to make a proper assessment. (List Below)
CITY, STATE, ZIP: ______________________________________
DATE SOLD: ______________ SALE PRICE: _______________
If you sold or traded your aircraft and did not own on January 1,
DESCRIPTION ________________________________________
this year, this section should be completed in order for the items
to be removed from your account.
NAME: _______________________________________________
If purchased used this year, list the name and address of
ADDRESS: ___________________________________________
the previous owner.
CITY, STATE, ZIP: ______________________________________
List anything functionally wrong with your aircraft:
LIST ADDITIONAL AIRCRAFT AND AVIONICS ON THE BACK OF THIS FORM. ATTACH ADDITIONAL SHEETS IF NEEDED.
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