State Form 7695 - Application For Aircraft Registration Or Exemption
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4Indiana Department of Revenue
State Form 7695
(R5 / 9-10)
APPLICATION FOR AIRCRAFT REGISTRATION OR EXEMPTION
• Must be filed within 31 days after the purchase of an aircraft, regardless of the aircraft’s condition.
• ST108AC form must be submitted with Application if purchased from an Indiana Dealer.
• Application will not be accepted without a signature.
• For assistance call (317) 615-2544
• Mail application, required documentation & check to: INDIANA DEPARTMENT OF REVENUE
Special Tax – Aeronautics
P.O. Box 644
Indianapolis, IN 46206-0644
CONFIDENTIAL - Subject to penalty for unauthorized disclosure of information.
YOUR SOCIAL SECURITY NUMBER OR FEDERAL ID# IS MANDATORY (I.C. 4-1-8-1)
SECTION A - AIRCRAFT
SECTION B - OWNERSHIP
1. FAA Number
1. Type of ownership (check only one box)
N
Individual
Corporation
Co-owned
2. Make
Other
Government
Dealer Number
3. Model
All correspondence, billings and receipts will be sent to the First
Owner listed below.
4. Serial Number
5. Gross (landing) Weight
2. Name of Owner /Lessee (First, Middle initial, Last)
6. Year of Manufacture
Street Address of Owner/Lessee
7. Aircraft type (check only one box)
City
State
Zip Code
1. Piston Driven
2. Piston Driven & Pressurized
3. Turbine Driven
4. Homebuilt
Daytime Telephone Number
Social Security or Federal ID#
5. Glider
6. Hot Air Balloon
8. County (of Airport)
Indiana Taxpayer ID#
9. Base Airport Name
3. Name of Co-Owner/Lessor (First, Middle initial, Last)
10. Township of Airport
Street Address of Co-Owner/Lessor
11. Date of Aircraft Purchase (Month, Day, Year)
City
State
Zip Code
12. Date Moved to Indiana (Month, Day, Year)
Social Security or Federal ID#
Indiana Taxpayer ID#
13. Date FAA Airworthiness Certificate Issued on Homebuilt
Daytime Telephone Number
(
)
SECTION C - SALES/USE TAX INFORMATION
1. Was aircraft purchased from a registered Indiana Aircraft Dealer?
Yes
No
(If yes, ST108AC form must be submitted with this application)
2. Aircraft was purchased by registered retail merchant for the following exempt use:
Enter Retail Merchants Number
Registered Indiana Dealer purchase for resale
Rental or Lease to others per IC 6-2.5-5-8
Public Transportation operating under FAA Part __________ (Must submit copy of FAA Certificate for Public Transportation)
3. Aircraft was transferred for no money consideration from: (Check One)
Spouse
Parent
Child
4. Homebuilt aircraft from raw material
Indiana sales/use tax was paid on each part as purchased. All receipts are available upon request.
Any kit, parts or material purchased to build aircraft but Indiana sales/use tax was not paid, the Indiana sales/use tax is due. The
accumulative total of all untaxed purchases must be entered in the purchase price area below and receipts submitted on request.
5. Aircraft Purchased From: (Name, Address, City, State, Zip Code)
6. Description of Aircraft Trade-In
Aircraft Make
Aircraft Model
Serial Number
FAA Number
N
7. Aircraft Trade-In Sold To: (Name, Address, City, State, Zip Code)
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