South Dakota Annual Aircraft Registration Amount due (See table below for fee amount.) THIS FORM MUST BE COMPLETED AND SIGNED BY THE AIRCRAFT OWNER OR LESSEE Owner information Name Phone Address City State AK AL AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip County Aircraft description FAA reg. no. Serial no. Make Model Model no. Gross weight Year Engine manufacturer Engine horsepower Is this aircraft used as a spray plane? To get future registration forms by email, provide an email address Exemption Destroyed DateHow Unairworthy Reason Stored The aircraft is stored and will not be flown during this registration period. Sold Date Buyer Name Address Certification I declare and affirm under the penalties of perjury, that the foregoing is a true statement of facts. Date ________________________________________________ Signature __________________________________________________________ Fee Schedule for Annual Aircraft Registration Weight class (Maximum gross takeoff weight in pounds) Aircraft New-9 years Aircraft 10 years and older Payment type Check or money order enclosed Credit card Card type Card number Exp. date Name as appears on card Mail signed form and check, money order or payment info to: South Dakota Department of Transportation Office of Aeronautics-Licensing 700 E. Broadway Ave. Pierre, SD 57501 (605) 773-3574 DOT-161 01/16/2018