Free GT-500002 - Florida

Suggested Format for Affidavit for Exemption of Aircraft Sold for Removal from the State of Florida by a Nonresident Purchaser

GT-500002 N. 05/02

The following is a suggested format of an affidavit to be completed by the purchaser and furnished to the selling dealer. In order to satisfy the requirements for exemption, the affidavit must contain all of this information and be completed in full.

STATE OF _______________ COUNTY OF_______________________

*** READ CAREFULLY BEFORE SIGNING ***
Before me this day appeared the affiant named below, who being duly sworn, states that: 1. 2. 3. 4. 5. I have read Rule 12A-1.007(10), Florida Administrative Code, and § 212.05, Florida Statutes; and I am not a resident of the State of Florida and did not make my permanent place of abode in Florida at the time of taking delivery of the aircraft described below; and I am not engaged in Florida in any employment, trade, business, or profession for which the described aircraft will be used in Florida; and I do not represent a corporation which has any officer or director who is a resident of Florida, or makes his or her permanent place of abode in Florida; and I do not represent an artificial entity other than a corporation which has any individual vested with authority to participate in the management, direction, or control of the affairs of the entity who is a resident of Florida or makes his or her permanent place of abode in Florida; and I agree to furnish the Florida Department of Revenue (within 30 days of the date of departure) written proof that this aircraft was licensed, titled, or registered outside Florida; and I agree to furnish the Florida Department of Revenue (within 10 days of the date of departure) invoices for fuel, tie-down or hangar charges, repairs, or other similar documentation issued by an out-of-state vendor or supplier which identifies this aircraft and its timely removal (including the FAA registration number). PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION: Name of purchaser __________________________________________________________ SSN _________________ If purchaser is a corporation or partnership, list officers or partners ___________________________________________ _________________________________________________________________________ T.I.N. ________________ Purchaser's permanent address (Street) _______________________________________________________________ (City) ________________________________________ (State/Country) ________________ (ZIP) ________________ Purchaser's daytime telephone number ( _____ ) ____________ D.O.B. _____________________________________ Purchaser's driver's license number and state of issuance __________________________________________________ Purchaser's passport or visa number __________________________________________________________________

6. 7.

Name of selling dealer or broker ______________________________________________________________________ Address of selling dealer (Street) _____________________________________________________________________ (City) ________________________________________ (State/Country) ________________ (ZIP) ________________ Selling dealer or broker's Florida certificate of registration number ___________________________________________ Selling dealer or broker's telephone number ( _____ ) ____________________ Date of sale (Month) _____________ (Day) ________ (Year) _______________

(continued on reverse side)

Description of Aircraft Make __________________________________________ Serial number ___________________________________ (Check one) New Used Trade-in $ ______________________ Net purchase price $ ________________________ Model _______________________ Year ___________

FAA registration number __________________________

Purchase price $ _________________________

Primary location of aircraft while in Florida ______________________________________________________________ I claim exemption from Florida sales and use tax on the purchase price of the aircraft described herein under s. 212.05(1)(a)2, Florida Statutes, for the following reason (check one):



The aircraft will be removed from Florida within 10 days of the date of purchase. The aircraft requires repairs, additions, or alterations and it will immediately be taken to a repair facility and will be removed from Florida within 20 days (excluding tolled days) after completion of the work.

Under penalty of perjury, I declare that I have read the foregoing and the facts alleged are true to the best of my knowledge and belief. I understand that if I fail to comply with the requirements of this affidavit, I will be liable for payment of the tax and a mandatory penalty equal to the tax.

______________________________________________ Signature of affiant/purchaser

Sworn to (or affirmed) and subscribed before me this day of ____________ , ________ .

_____________________________________________ Signature of Notary

_____________________________________________ Print, type, or stamp name of Notary

Personally known Produced identification
Type of Identification: _________________________

Distribution of Documents The original affidavit and a copy of the sales invoice, bill of sale, or closing document must be sent to the Florida Department of Revenue, Aircraft Enforcement Unit, P.O. Box 6417, Tallahassee FL 32314-6417 within five (5) days of the date of sale. A copy of the affidavit must be retained by the selling dealer and made a part of the dealer's records. The selling dealer or broker should provide the purchaser with a copy. Notice To Dealers Affidavits not filed within five (5) days of the date of sale may not be accepted by the Department of Revenue and the selling dealer or broker may be billed for tax, penalty, and interest due.