Owner Details :  
Please enter the Owner Details by clicking on ‘Add’. You can enter multiple entries if there are multiple Owners.

Primary OwnerIndividual/CompanyFirst NameMiddle InitialLast NameSuffix 1Suffix 2CompanyCompany 2Address 1Address 2StateCity/TownZIPPhone NumberEmail Address
No records to display.
Primary Owner : *  Individual/Company : * 
First Name : *  Middle Initial :
Last Name : *  Suffix 1 :
Company : *  Suffix 2 :
Company 2 :
Address 1 : *  Address 2 :
State : *  City/Town : * 
ZIP : *  Phone Number : * 
Email Address:

Aircraft Details :
Based Location : *  Registration Year : * 
If Others then please enter name : *       
Aircraft Serial number : *  FAA Registration # (N-Number) : * 
Aircraft Type : *  Hours of Operation for Business Use (Per Year) : * 
Manufacturer : *  Hours of Operation for Other Reasons (Per Year) : * 
Model : *  Equipped to use Localizer NAVAID : * 
Year of Manufacture : * 
Manufacturers Maximum Certificated Takeoff Weight : *    lbs Equipped to use Glide Slope NAVAID : * 
Aircraft Color : *  Equipped with a GPS : * 
Date Purchased : * 
Equipped with Transponder : * 
Payment Details :
Annual Registration Fee (See Schedule of Fees) ($) : * 
Registration Fee Submitted ($) : 
If Registration Fee submitted is $0; Explain why :
Personal Check/Money Order Number : 
Personal Check/Money Order Date : 
 
Declaration :
Name : *  Date : * 
Schedule Of Fees :  
Maximum Certificated
Takeoff Weight
(Pounds)
Registration Fee
Aircraft Acquired
On or before June 30
Registration Fee
Aircraft Acquired
On or after July 1
10-2,000100.0050.00
22,001-3,500165.0082.50
33,501-12,500230.00115.00
4Over 12,501300.00150.00