"Aircraft Registration Application Form"
Commonwealth of Massachusetts Aeronautics Commission & Registry of Motor Vehicles Aircraft Registration Application Form Yr: ____ Name(s) Company Name Addresses of Aircraft Owner(s) City, State, Zip Code The deadline for receipt by the RMV of aircraft registration renewal application forms is December 31. Failure to register an aircraft as specified is a violation of 702 CMR 3.03 and may result in a late fee, as follows, in addition to the standard fee. Failure to register by: 02/28 = additional $25; 03/31 = additional $50; 04/30 = additional $75. Include any late fee payment with the aircraft registration payment. Description: Information: 1. Federal Registration Number (N-Number) 2. Aircraft Serial Number 3. Aircraft Manufacturer 4. Aircraft Model Number 5. Aircraft Type (see legend) 6. Aircraft Color 7. Manufacturers Maximum Certificated Takeoff Weight (LBS) 8. Year Manufactured 9. Date Acquired 10. Base Airport 11. Type of Registration (new or renewal) 12. Registration Fee Due (refer to Schedule of Fees on instruction form) 13. Indicate Registration Fee Submitted herewith (if $0, explain why; see Item 2. on reverse side ______________________________________________) 14. Personal Check or Money Order Number 15. Personal Check or Money Order Date 16. Estimated Hours of Aircraft Operation for Business 17. Estimated Hours of Aircraft Operation for Other Reasons 18. Is your aircraft equipped to use a Localizer Navaid? (Yes/No) 19. Is your aircraft equipped to use a Glide Slope Navaid? (Yes/No) 20. Is your aircraft equipped with a Loran? (Yes/No) 21. Is your aircraft equipped with GPS? (Yes/No) 22. Is your aircraft equipped with a Mode C Transponder? (Yes/No) 23. I/we certify that the above information is true and accurate to the best of my/our knowledge. Signed: ___________________________________________________________________________ T21833-1209 Commonwealth of Massachusetts – Registry of Motor Vehicles Aircraft Registration Program - Instruction Form Aircraft to be Registered 1. All airworthy aircraft based in Massachusetts or temporarily located in Massachusets for sixty (60) or more cumulative days during a year must be registered with the Massachusetts Registry of Motor Vehicles (RMV) by completing and submitting a registration form and paying the applicable annual registration fee to the RMV. 2. This requirement does not apply to: a. Aircraft owned by, and used exclusively in the service of any government, including the government of the United States or of any state thereof, or political subdivision thereof, which is not engaged in carrying persons or property for hire; b. Aircraft registered under the laws of a foreign country; c. Aircraft based in another state and located in Massachusetts less than sixty (60) cumulative days/year; or d. Aircraft engaged principally in federally certificated scheduled airline operation. 3. The owner of an unworthy aircraft shall notify the airport manager where the aircraft is based stating the date the aircraft became unairworthy, the reason for the unairworthy condition and expected date of reinstatement to an airworthy condition. Owner shall notify the airport manager and the RMV when the aircraft becomes airworthy. 4. Registration and payment of the Registration Fee is in lieu of state personal property taxes on the aircraft. 5. The deadline for receipt by the RMV of aircraft registration renewal application forms is December 31. Failure to register an aircraft as specified is a violation of 702 CMR 3.03 and may result in a late fee, as follows, in addition to the standard fee. Failure to register by: 02/28 = additional $25; 03/31 = additional $50; 04/30 = additional $75. Include any late fee payment with the aircraft registration payment. Instructions 1. Please print or type everything other than your signature when you complete this Registration Form. 2. Please fill out all of the applicable items on the reverse side of this Registration Form. An incomplete registration form will be returned. 3. If you are renewing your registration for this aircraft, the information from last year's registration is included on the reverse side of this Form. Please check that information for accuracy and type or print any corrections. 4. The gross weight of your aircraft in pounds determines your Registration Fee (see Schedule of Fees below). 5. Payment of the Registration Fee must be by check or money order made payable to MassDOT. DO NOT SEND CASH! 6. Please return the completed Registration Form and your check for the Registration Fee to: Massachusetts Registry of Motor Vehicles, Attn: Aircraft Registration, 611 Main Street, Worcester, MA 01608. 7. Applications may be downloaded at www.mass.gov/rmv or can be obtained by calling the RMV at 508-753-2805. Aircraft Type Legend Piston Turboprop Jet Glider Single Engine Fixed Wing SEP SET SEJ Multi-engine Fixed Wing MEP MET MEJ Single Engine Helicopter SHP SHT Multi-engine Helicopter MHP MHT Powered or unpowered GLD Schedule of Fees Maximum Certificated Registration Fee Registration Fee Takeoff Weight Aircraft Acquired Aircraft Acquired (Pounds) On or before June 30 On or after July 1 0 - 2,000 $100.00 $50.00 2,001 - 3,500 $165.00 $82.50 3,501 - 12,500 $230.00 $115.00 Over 12,500 $300.00 $150.00