PLANE TEXANS, INC. 5000 S. Collins, Ste. 111 Arlington, Texas, 76018 Ph: (817) 480-8866 Email: [email protected]

Aircraft Specifications Checklist

We prefer aircraft that are under 4,000 hours total airframe time (Others Considered) When you have completed this form, please mail or email it back to us.

Name Current Owner: ______

Address: ______

City ______State ______Zip ______

Ph: ______FAX: ______Mobile: ______

Aircraft Description: Mfgr: ______Model: ______Year: ______

Tail Num. ______Ser. Num. ______Complete Original Logs? ______

Annual Due (Mo.) ______IFR/Pitot Static Due (Mo.) ______

TTAF _____ Engs SMOH SE/LE _____ RE _____ Props SPOH SE/L _____ R______

Overhauled by:______Overhauled by:______

Avionics: (Fill in Mfg. and Model No. If equipment is not installed, leave blank)

Nav/Com1 ______GS? Y__ N__ Nav/Com2 ______GS? Y__ N__

Nav/Com3______GS? Y__ N__

ADF ______Aud/Mkb ______Xpndr ______Alt/Enc ______

DME ______LORAN ______GPS ______

A/P ______Intercom ______HSI: ______

Radar: ______Stormscope: ______

Fuel Tank Cap: Left ______Right ______Aux’s. ______

Corrosion Treatment/Year Applied: ______

Additional Equipment/Options: ______

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Exterior: Original? Y __ N __ Date last painted ______Color ______

Interior: Original? Y__ N __ Date last refurbished ______Color ______

Has any insurance company ever declined coverage on this aircraft? If yes, explain. ___

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Damage History(Including Hail, Corrosion) ______

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Known History of Aircraft: ______

Aircraft History: Number of owners since new ______

Hangered?: Y__ N__

Aircraft Home Base: ______

Maintained by: ______

Lien Holder/s and Pay Off Amount/s? (Please include name of loan officer and phone number) ______

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Additional Notes: ______

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