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Dealer License Application

South Dakota Department of Transportation
Office of Aeronautics

Amount due: $200 Dealer no. (DOT office use only)________________


Individual Partnership Corporation




Name & complete mailing address for each owner, director or principal officer of such aircraft dealer:
Is this license for a foreign corporation?

If yes, in what state is it incorporated?

Name and mailing address of registered agent and/or office in South Dakota:(if different than above)
Name and mailing address of agent and/or office in foreign state:
Dealer will sell new used both new and used aircraft

List below the makes of aircraft to be sold:

If selling new aircraft under a franchise, name and mailing address of manufacturer or distributor:
Were you previously an aircraft dealer in South Dakota?

If yes, provide the number of aircraft sold within 24 months before the date of this application. Include aircraft subject to normal registration, as well as those listed on your dealer’s license:





Dealer License Application
Page 1 of 2
DOT 163
Revised 1/5/2016



List below aircraft to be placed on Dealer Certificates. Please indicate if you require a Use Stamp on the aircraft. Six (6) Dealer Certificates will be issued to each dealer license, but will not be forwarded until the information for each certificate is received.

Each Use Stamp is $100.00. Please indicate which aircraft the stamps are for:
Number Make Model Serial No. Use
Stamp		 Manufacture
Date		 Acquisition
Date

Each additional certificate is $5.00:
Number Make Model Serial No. Use
Stamp		 Manufacture
Date		 Acquisition
Date

I declare and affirm under the penalties of perjury that the information above is accurate.

Signature

Date

Mail signed form and payment to:
S.D. Dept. of Transportation
Office of Air, Rail & Transit-Aeronautics
700 E. Broadway Ave.
Pierre, SD 57501

Amount due:

Check or money order enclosed
Credit card






Dealer License Application
Page 2 of 2
DOT 163
Revised 1/5/2016