Application For Aircraft Dealers Certificate {10763}

State Form 10763 (R6 / 10-16) AE-8 Form Application for Aircraft Dealer's Certificate Indiana Department of Revenue Renewal New Certificate Section A: Dealer Information 1. Legal Name 3. Federal ID Number 5. Street Address 7. Telephone Number 9. Type of Organization: Sole Proprietor LLC 2. Business/Trade Name 4. Indiana Taxpayer Identification Number 6. City, State and ZIP Code 8. Email Address Partnership LLP Corporation Other ____________________________ Section B: Owner/Officer Information 10. Name Title Street Address City, State and ZIP Code Telephone Number Social Security Number 11. Name Title Street Address City, State and ZIP Code Telephone Number Social Security Number 12. Name Title Street Address City, State and ZIP Code Telephone Number Social Security Number Section C: Aircraft Inventory Information 13. Attach a List of All Aircraft Currently in Inventory (See Instructions) 14. Total Number of Aircraft Sales to Indiana Residents 15. Total Number of Aircraft Sales to Out of State Residents I hereby certify, under penalty of perjury, that the information contained in this application is true, correct, and complete to the best of my knowledge. _______________________________________ Signature Mailing/Contact Information: Indiana Department of Revenue Special Tax Division P.O. Box 644 Indianapolis, IN 46206-0644 (317) 615-2544 aircrafttax@dor.in.gov ___________________________________ Printed Name ________________________ Date American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Completing the Application for Aircraft Dealer's Certificate What is the AE-8? The AE-8 is used to apply for or renew an Aircraft Dealer's Certificate with the Indiana Department of Revenue. Who should submit the AE-8? A Dealer is a person who has an established place of business in Indiana, has been issued an Indiana Retail Merchant Number, and is engaged in the business of manufacturing, buying, selling, or exchanging new or used aircraft. Where do I send the completed AE-8? Indiana Department of Revenue Special Tax Division P.O. Box 644 Indianapolis, IN 46206-0644 When do I submit the AE-8? It is unlawful for any dealer to transact business inside this state unless an Aircraft Dealer's Certificate has been issued. Once issued, the certificate is valid for the remainder of the calendar year. It must be renewed annually by submitting the application no later than December 15. What are the payment options? The fee for an Aircraft Dealer's Certificate is $25. You can write a check and include it with the AE-8 or you can pay electronically by visiting www.payINgov.com/specialtax. Who do I contact if I have questions? You can reach us at (317) 615-2544 or aircrafttax@dor.in.gov. Section A: Dealer Information 1. Enter the legal name of the dealer. 2. Enter the DBA name if it differs from Line 1. 3. Enter the Federal Employer Identification Number (FEIN). 4. Enter the Indiana Taxpayer Identification Number, also known as the Indiana Registered Retail Merchant Number. 5. Enter the street address where the dealer is located. 6. Enter the city, state and ZIP code where the dealer is located. 7. Enter the telephone number. 8. Enter an email address, if applicable. 9. Check the appropriate box. American LegalNet, Inc. www.FormsWorkFlow.com Section B: Owner/Officer Information 10. Enter the name, title (if applicable), address and SSN for the owner and/or officer. 11. If the business is co-owned or has multiple officers, complete the information. 12. If the business is co-owned or has multiple officers, complete the information. Attach additional pages if necessary. Section C: Aircraft Inventory Information 13. All aircraft currently in inventory must be reported. The attachment must include: · FAA N Number · Make/Model · Serial Number · Year of Manufacture · Maximum Landing Weight · Class o A = Piston-driven o B = Piston-driven and Pressurized o C = Turbine-driven or other Powered o D = Homebuilt, Glider, Hot Air Balloon 14. Enter the total number of in state sales. 15. Enter the total number of out of state sales.