Form Dr-42a - Ownership Declaration And Sales And Use Tax Report On Aircraft

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DR-42A
R. 08/00
Ownership Declaration and Sales and Use Tax Report on Aircraft
Purchaser’s Name: ______________________________________________________________
Address: ______________________________________________________________________
City, State, ZIP: ________________________________________________________________
Telephone Number: _____________________________________________________________
Florida Sales Tax Number (Registered Dealers Only): __________________________________
STATEMENT OF PURCHASER
The aircraft purchased is a __________, __________, __________, bears serial number___________________ and FAA registration
(year)
(make)
(model
number_______________________. Total amount paid for this aircraft was $_________________ and a lien in the amount of
$____________________ is held by: _____________________________________________________________________________ .
The aircraft described herein was purchased from ___________________________________________________________________
(name of seller)
__________________________________________________________________________________________________________
(address)
(city)
(state)
(zip)
on ___/___/___. Delivery of this aircraft was taken at ________________________________________________________________ .
(date)
(city)
(state)
(zip)
Total purchase price ...................................................
$ _____________________________
Less: trade-in ............................................................
( ______________________________ )
Net purchase price .....................................................
______________________________
Florida sales tax due at 6% ........................................
______________________________
Florida discretionary surtax ........................................
______________________________
Penalty .......................................................................
______________________________
Interest .......................................................................
______________________________
Sub-total .....................................................................
$ _____________________________
Less credit for tax paid in another state* ...............
( ______________________________ )
TOTAL DUE
$ _____________________________
*You must include a copy of the Bill of Sale which shows the correct purchase price (not the F.A.A. Bill of Sale) even if no tax is due.
Please make your check payable to the Florida Department of Revenue.
The plane is presently located at ________________________________________________________________________________
(FBO)
(city)
(state)
(zip)
and its permanent FBO/tie-down location is _______________________________________________________________________
(city)
(state)
(zip)
The aircraft was bought for the following purpose(s) _________________________________________________________________ .
This purchaser also owns ______ other aircraft and they have the following FAA registration numbers: _________________________
STATE OF FLORIDA, COUNTY OF ______________________________________________________________________________
Sworn to (or affirmed) and subscribed before me this _____________ day of __________, A.D., _________.
(Day of Month)
(Month)
(Year)
______________________________________________
_______________________________________________
(Signature of Purchaser/Affiant)
(Signature of Notary)
Personally Known _______________________
_____________________________________________
Or Produced Identification _______________________
Type of Identification Produced _______________________
Print, Type or Stamp Name of Notary
THIS DOCUMENT MUST BE RETURNED TO THE DEPARTMENT OF REVENUE WITHIN 15 DAYS FROM THE RECEIPT OF THIS NOTICE OR THE DATE OF PURCHASE.
PLEASE MAIL TO: DEPARTMENT OF REVENUE, COMPLIANCE ENFORCEMENT, PO BOX 6417, TALLAHASSEE, FL 32314-6417.

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