Form St-10-A - Aircraft Dealer Sales And Use Tax Exemption Report
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2ST-10-A
STATE OF NEW JERSEY
DEPARTMENT OF THE TREASURY
(11-99)
DIVISION OF TAXATION
AIRCRAFT DEALER SALES AND USE TAX EXEMPTION REPORT
(See Reverse Side for Instructions)
Aircraft Dealer ______________________________________________________________________________________________________________
Address____________________________________________________________________________________________________________________
Telephone Number ______________________________________________________ Taxpayer ID Number __________________________________
I PURCHASE INFORMATION
Purchaser _______________________________________________________ Date of Purchase ___________________________
New Jersey Address_______________________________________________ Tel. Number (_______)______________________
Out-of-State Address ______________________________________________ Tel. Number (_______)______________________
Driver’s License, State & No__________________________________________________________________________________
Auto Registration, State & No .________________________________________________________________________________
If a corporation, state and date of incorporation ___________________________________________________________________
¨ Yes
¨ No
If a foreign corporation, is it authorized to do business in New Jersey? . . . . . . . . .
If yes, date ___________________________________
II AIRCRAFT IDENTIFICATION DATA
Make of Aircraft______________________________________ Model __________________________
Year________________
Full Serial number ____________________________________ FAA Reg. No. N- _______________________________________
Gross Wt. _____________________ Engine Rating: Horse Power __________________ Lbs. Thrust (Jets) __________________
III COMPUTATION OF PRICE
(a) Enter Full Purchase Price . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_________________________________
(b) Enter Trade-In Allowance or Discount, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_________________________________
(c) Adjusted Purchase Price (Item A Less Item B) . . . . . . . . . . . . . . . . . . . . . . . . . . . $_________________________________
(d) Trade-in Data:
Make of Aircraft
Model
Year
State of Registration and No.
Full Serial Number
Gross Wt.
Engine Rating:
FAA Registration No.
Horse Power:
Lbs. Thrust:
IV EXEMPTION CERTIFICATION
The purchaser certifies he/she is a nonresident of New Jersey, has no permanent place of abode in New Jersey, is not engaged in carrying on in New
Jersey any employment, trade, business or profession in which the aircraft will be used in New Jersey. The purchaser will not base or otherwise place
the aircraft for use in New Jersey on other than a transient basis or for repairs at any time within 12 months form the date of purchase.
Sign Here _________________________________________________________________________________________________________________
(Dealer)
(Date)
V SUBSCRIPTION
We certify that we have examined the above form after its completion and the information given is true and correct to the best of our knowledge
and belief.
Sign Here ___________________________________________________
Sign Here _________________________________________________
(Dealer)
(Date)
(Purchaser)
(Date)
THIS FORM MAY BE REPRODUCED WITHOUT PRIOR AUTHORITY IF PRINTED IN ITS ENTIRETY
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