NOTE: Items in bold MUST be entered

AIRCRAFT DATA

N-Number: Manufacturer: Select One American Champion Aviat Beechcraft/Raytheon Bellanca Cessna Cirrus Columbia Commander Diamond Grumman/Tiger Maule Mooney Piper Other (specify w/Model)
Model: Year of Manufacture: Select One 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Total Time, Airframe:
Time, Eng.#1: Since: Select One Since Major Overhaul Since Factory Overhaul Since Factory Remanufacture Since New Engine
Time, Eng.#2: since: Select One Since Major Overhaul Since Factory Overhaul Since Factory Remanufacture Since New Engine
Time Since Prop Overhaul, Eng. #1:
Time Since Prop Overhaul, Eng.#2:
Last Annual Inspection, Month: Select One January February March April May June July August September October November December Year:
Last Pitot-Static Inspection, Month: Select One January February March April May June July August September October November December Year:
Last Transponder Inspection, Month: Select One January February March April May June July August September October November December Year:
Aircraft Hangared Since, Year:

AIRCRAFT CONDITION

NOTE: For the following 4 fields, refer
to the Aircraft Grading Standards before answering

Damage History, per grading standards: Select One None Superficial Minor Moderate Major Extensive
Explain any damage history:
Airframe Condition: Select One 10-Excellent/New 9-Extra Fine 8-Very Good 7-Good 6-High Average 5-Average 4-Low Average 3-Below Average 2-Poor
Paint Condition: Select One 10-Excellent/New 9-Extra Fine 8-Very Good 7-Good 6-High Average 5-Average 4-Low Average 3-Below Average 2-Poor Year Redone:
Interior Condition: Select One 10-Excellent/New 9-Extra Fine 8-Very Good 7-Good 6-High Average 5-Average 4-Low Average 3-Below Average 2-Poor Year Redone:
Windshield/Windows Condition: Select One New/Excellent Very Good Good/Average Poor
Complete  engine, airframe, propeller logbooks since new?
 Yes No If "No," Explain:
Have all AD's been complied with? Yes No

OPTIONS

[Check all that apply]:
Leather seats   Engine Upgrade (Enter new horsepower:) Long Range Fuel  Wheel fairings/pants  STOL Kit  
Speed Brakes  Engine Heater  Prop deice   Windshield Deice   Boots   Air Conditioning  V/G's
List any other options:

BUILT-IN AVIONICS

GPS 1 Make:Model:
GPS 2 Make:Model:
NavCom 1 Make:Model:
NavCom 2 Make:Model:
Transpndr. Make:Model:
Audio Panel Make:Model:
Autopilot Make: Model:
Eng. Analyzr. Make:Model:
Weather Avoidance Equipment:
Built-In Intercom: Yes No

List any other avionics (Note: do not list portable GPS or intercom units, headsets, Loran, ADF, DME, 360-ch. comm radios, or any item which was not installed with a 337 Form...none of these add value to the aircraft...you'll be better off removing them and selling them on Ebay):
Are all of the above in working order? Yes No
    If "No," give details:
     and enter estimated cost to repair:

CONTACT INFORMATION

Your Name: 
Email Address:
Telephone: Best Time to Call
(Note: we will contact you first by email before calling.)

Airport Where Aircraft Is Located:
How long have you been trying to sell the aircraft?
Haven't/Just Started <3 mos.3-6 mos. >than 6 mos.
Web Site Describing The Aircraft, http://

Are you interested in selling your plane within 7-10 days (for 75-80% of its 120-day retail value?) Yes No

--Please allow 48 hours to receive your quote--