Form Ae-1 - Certificate Of Exemption From Registration/excise Tax On Aircraft Owned By An Indiana Resident And Based Out Of State - Department Of Revenue
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1Indiana Department of Revenue
Form
AE-1
Certificate of Exemption from Registration/Excise Tax
State Form 46815
on Aircraft Owned by an Indiana Resident
(R6 / 10-16)
and Based Out of State
Initially due within 31 days of purchase date.
Each year thereafter, due on or before December 31.
Section A: Owner Information
1. Owner Name
2. Telephone Number
3. Email Address
4. Street Address
5. City, State and ZIP Code
Section B: Aircraft Information
6. FAA N Number
7. Make
8. Model
9. Serial Number
10. Year of Manufacture
11. Purchase Date
12. Base Airport Name
13. Base Location Street Address
14. Base Location City, State and ZIP Code
Section C: Documentation for Exemption
15. Indicate the type of supporting documentation included:
☐
☐
Hangar Lease/Rental Agreement
Current Aircraft Registration
☐
☐
Hangar Lease/Rental Receipts
Other: _____________________________
I hereby certify, under penalty of perjury, that this aircraft is exempt from Indiana aircraft registration requirements and
excise tax because this aircraft is based out of state.
_____________________________
_______________________________
______________________
Printed Name of Owner
Signature of Owner
Date
Mailing/Contact Information:
Indiana Department of Revenue
Special Tax Division
P.O. Box 644
Indianapolis, IN 46206-0644
(317) 615-2544
aircrafttax@dor.in.gov
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