Form Ae-1 - Certificate Of Exemption For Aircraft Based Out Of State
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1Indiana Department of Revenue
Mail To: Indiana Department of Revenue
Form AE-1
Special Tax – Aeronautics
State Form 46815
Certifi cate of Exemption for
P.O. Box 644
(R4 / 4-13)
Indianapolis, IN 46206-0644
Aircraft Based Out of State
Telephone (317) 615-2544
Fax (317) 615-2691
Initially due within 30 days of purchase date.
Each calendar year thereafter, due on or before the last day of February.
Name of Aircraft Owner
Address
City
State
Zip Code
I hereby certify under the penalty of perjury that the aircraft described below is exempt from Indiana aircraft registration and
tax because the aircraft will be based immediately in the State of ___________________ to be licensed or registered for
use in that State, and will not at any time be based in the State of Indiana, as provided for in IC 6-6-6.5-9(a)(6). I hereby
authorize the Indiana Department of Revenue to forward a copy of this form to the Revenue Department of such State.
Aircraft Owner’s Signature ____________________________________
Date _____________________
Aircraft Owner’s Printed Name _________________________________
Base Location of Aircraft
Name of Airport
Airport Telephone Number
Address
City
State
Zip Code
Required Documents
(attach one from each section)
Section A
Section B
□
□
Hangar Lease Agreement
Paid Sales Tax Receipt
□
□
Hangar Rent Receipts (Minimum 11 months)
Current State Registration
□
Letter from Airport Manager
Aircraft Description
_________________________
__________________
______________________________________
FAA N Number
Aircraft Year of Mfg.
Serial Number
_________________________
__________________
______________________________________
Aircraft Make
Aircraft Model
Aircraft Purchase Date
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