Application For An Alabama Aviation License - Alabama Department Of Revenue Page 2

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SUBT: AVLA
8/11
PAGE 2
Answer the following questions. If space is insufficient, attach a listing of the information requested.
All attachments are made part of the application.
Failure to provide all information will result in a delay of processing your application.
1.
Estimated quantity of aviation fuels to be distributed, sold, used or withdrawn from storage each month.
Aviation Gasoline Gallons _________________________ , Jet & Turbine Fuel Gallons _________________________
2.
List locations and capacities of all current storage facilities in Alabama.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
3.
What is your planned storage capacity during the next 12 months in Alabama? ________________ gallons
4.
a. In which counties (or cities) in Alabama will your facilities be located?
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
b. Do you own and operate retail outlets?
Yes
No If yes, what are the locations (street addresses) and tank capacities at each outlet?
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
5.
Are you currently licensed in any other state(s)?
Yes
No If yes, indicate state(s) and respective license number(s).
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
6.
Is any officer(s), partner(s) or owner(s) of this company an officer, partner or owner of any other organization(s) engaged in
a similar business as to selling, hauling, storing or delivering aviation fuels in Alabama?
Yes
No If yes, indicate each entity and person.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
7.
List three business references with complete names, addresses and phone numbers.
1.
2.
3.
(
)
(
)
(
)
8.
Are you registered with the Alabama Secretary of State?
Yes
No
9.
Are you purchasing/merging with any organization(s) or person(s) that is/was licensed with the Alabama Department
of Revenue?
Yes
No If yes, indicate the organization(s) or person(s).
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
10.
Have you filed tax returns and paid all taxes due the State of Alabama?
Yes
No
11.
Attach a brief statement concerning the type of operations you will be conducting in this state.
Note: There is an inspection fee on jet fuel that is administered by the Department of Agriculture & Industries. For more infor-
mation call (334) 240-7127.

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