Oregon Aircraft Dealer'S License Application - Oregon Department Of Aviation printable pdf download

Oregon Aircraft Dealer'S License Application - Oregon Department Of Aviation

OREGON AIRCRAFT DEALER’S LICENSE APPLICATION

Annual Fee - $250.00

Company Name:

________________________________________________________________________

Address: ________________________________________________________________

City, State, Zip: __________________________________________________________

Phone Number: __________________________________________________________

Name (Owner or Principle): _________________________________________________

Is your business registered in the state of Oregon? YES

(Circle One)

Will you be dealing with new aircraft, used or both? _____________________________

Have you ever been denied an Aircraft Dealers License? __________________________

Has your previous certificate ever been suspended or revoked? _____________________

Are you a registered pilot in the state of Oregon? ________ Cert #__________________

FOR APPLICANT’S SIGNATURE AND NOTARY

I, ____________________________, being duly sworn on oath dispose and says that the

information on this application is, to the best of my knowledge, the truth and that such

place of business is open during regular business hours to inspection by the Oregon

Department of Aviation, or it’s representative.

SIGNATURE OF APPLICANT:

Subscribed and sworn to before me this

__________________________________

_____day of ________________, 20_____

__________________________________

___________________________________

Printed Name

Date: _____________________________

Notary Public in the state of Oregon, residing

Approved: _________________________

___________________________________

Date of Assignment: _________________

Commission Expires: _________________

License # ___________________________

Oregon Aircraft Dealer'S License Application - Oregon Department Of Aviation