Form 96-0605 "Aircraft Dealer License Application" - Arizona

What Is Form 96-0605?

This is a legal form that was released by the Arizona Department of Transportation - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the Arizona Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 96-0605 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 96-0605 "Aircraft Dealer License Application" - Arizona

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Mail Drop 542M
AIRCRAFT DEALER LICENSE
Aircraft Registration Unit
PO Box 2100
APPLICATION
Phoenix AZ 85001-2100
602-712-8852 acreg@azdot.gov
azdot.gov
Clear
96-0605 R03/15
Applicant
Owned by
(Name of Company, Corporation or Business)
(Name of Individual, Corporation, etc.)
Physical Address of Dealership
City
State
Zip
Mailing Address (if different from Physical Address)
City
State
Zip
Phone Number
Fax Number
E-mail Address
Arizona Tax Privilege License #
Bonding Company and Bond #
Or Certificate of Deposit #
(attach copy)
Business Contact: The person named below is authorized to communicate with the Arizona Department of Transportation
(ADOT) Motor Vehicle Division (MVD) Aircraft Dealer Licensing Unit and perform the functions required to comply with
Aircraft Dealer duties described in ARS § 28-8383 (A.2) and (B.)
Business Contact Name (first, middle, last, suffix)
Title
Phone Number
Fax Number
E-mail Address
Note: ARS § 28-8383 requires an aircraft dealer licensed by the department to notify the department within ten (10) days
after the purchase or sale of an aircraft or after accepting an aircraft on consignment on a form provided by the department.
If the notification is not filed in a timely manner, the aircraft is subject to the license tax prescribed by section 28-8335.
Applicant Signature
Date
STATE OF ______________
COUNTY OF _____________
Subscribed and sworn before me this ______________day of _________________________________, 20_______,
(Seal)
__________________________________________
Notary Public
Note: Under Arizona Revised Statutes, a false statement made or sworn to in an affidavit shall constitute perjury, a
misdemeanor punishable upon conviction by a fine of not more than $150,000.00, imprisonment not to exceed 4 years, or
both.
Agency Use Only
Reviewed and Approved by:
Title
Date
The following portions of A.R.S.
41-1030 are provided for your reference:
§
B. An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition
that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of
authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a
rule is made pursuant to that general grant of authority that specifically authorized the requirement or
condition.
D. This section may be enforced in a private civil action and relief may be awarded against the state. The
court may award reasonable attorney fees, damages and all fees associated with the license application to
a party that prevails in action against the state for a violation of this section.
E.
A state employee may not intentionally or knowingly violate this section. A violation of this section is
cause for disciplinary action or dismissal pursuant to the agency’s adopted personnel policy.
F.
This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02
Mail Drop 542M
AIRCRAFT DEALER LICENSE
Aircraft Registration Unit
PO Box 2100
APPLICATION
Phoenix AZ 85001-2100
602-712-8852 acreg@azdot.gov
azdot.gov
Clear
96-0605 R03/15
Applicant
Owned by
(Name of Company, Corporation or Business)
(Name of Individual, Corporation, etc.)
Physical Address of Dealership
City
State
Zip
Mailing Address (if different from Physical Address)
City
State
Zip
Phone Number
Fax Number
E-mail Address
Arizona Tax Privilege License #
Bonding Company and Bond #
Or Certificate of Deposit #
(attach copy)
Business Contact: The person named below is authorized to communicate with the Arizona Department of Transportation
(ADOT) Motor Vehicle Division (MVD) Aircraft Dealer Licensing Unit and perform the functions required to comply with
Aircraft Dealer duties described in ARS § 28-8383 (A.2) and (B.)
Business Contact Name (first, middle, last, suffix)
Title
Phone Number
Fax Number
E-mail Address
Note: ARS § 28-8383 requires an aircraft dealer licensed by the department to notify the department within ten (10) days
after the purchase or sale of an aircraft or after accepting an aircraft on consignment on a form provided by the department.
If the notification is not filed in a timely manner, the aircraft is subject to the license tax prescribed by section 28-8335.
Applicant Signature
Date
STATE OF ______________
COUNTY OF _____________
Subscribed and sworn before me this ______________day of _________________________________, 20_______,
(Seal)
__________________________________________
Notary Public
Note: Under Arizona Revised Statutes, a false statement made or sworn to in an affidavit shall constitute perjury, a
misdemeanor punishable upon conviction by a fine of not more than $150,000.00, imprisonment not to exceed 4 years, or
both.
Agency Use Only
Reviewed and Approved by:
Title
Date
The following portions of A.R.S.
41-1030 are provided for your reference:
§
B. An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition
that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of
authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a
rule is made pursuant to that general grant of authority that specifically authorized the requirement or
condition.
D. This section may be enforced in a private civil action and relief may be awarded against the state. The
court may award reasonable attorney fees, damages and all fees associated with the license application to
a party that prevails in action against the state for a violation of this section.
E.
A state employee may not intentionally or knowingly violate this section. A violation of this section is
cause for disciplinary action or dismissal pursuant to the agency’s adopted personnel policy.
F.
This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02