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Personal Information
Name:
Company Name:
Address:
City:
State:
Zip:
Home phone:
Office phone:
Mobile Phone:
E-mail address:
Contact me by:
Aircraft Information
Price of Aircraft:
Type of Aircraft:
Tail Number:
Intended Home Airport:
Current Location of Aircraft
City:
State:
Intended Use:
Personal Business Both
If aircraft is used for business, indicate type of business:

What locations outside of California will you be flying to?

Far Use:
Part 91 Part 135 Both
Type of Ownership:
Personal Corporate LLC
Aircraft Status
Are you...
Purchasing Leasing
Will you be leasing the aircraft out to others?
Yes No
Have you already purchased the aircraft?
Yes No
If yes, what was the sale date?

Location of Aircraft when title transferred:

If the location was outside California, when did it enter California?

Seller Information
Who is the Seller?
Individual Broker Dealer
Seller's name:
Seller's Location:

Additional comments: