IF YOU CHECKED CHARTER/TAXI, DO YOU USE THE AIRCRAFT IN COMMON CARRIAGE MORE THAN 50% OF THE TIME?
SECTION I: MUST BE COMPLETED ANNUALLY
BOE-577 (P1) REV. 03 (08-10)
AIRCRAFT PROPERTY STATEMENT
Declaration of costs and other related property
information as of 12:01 a.m., January 1, 20___
NAME AND MAILING ADDRESS
(Make necessary corrections to the printed name and mailing address)
AIRCRAFT LOCATION (AIRPORT, HANGAR OR TIE-DOWN NUMBER)
1. FAA REGISTRATION NUMBER
N
FIXED BASE OPERATOR NAME
2. AIRCRAFT CONDITION:
WHEN PURCHASED
CURRENT
INTERIOR
EXTERIOR
NEW
NEW
NEW
NEW
AVERAGE
AVERAGE
AVERAGE
AVERAGE
POOR
POOR
POOR
POOR
DAYTIME PHONE NUMBER
( )
AVIONICS SUMMARY: REPORT ONLY ADDED OR REPLACED AVIONICS. DO NOT REPORT ORIGINAL STANDARD FACTORY AVIONICS.
FOR CONDITION, PLEASE ENTER (N) NEW, (A) AVERAGE, (P) POOR.
THIS DOCUMENT IS NOT SUBJECT TO PUBLIC INSPECTION
THE DECLARATION BY ASSESSEE ON PAGE 2 MUST BE COMPLETED AND SIGNED
FOR ASSESSOR’S USE ONLY
FILE RETURN BY: _____________________
PLEASE NOTE: This form must be led timely with the Assessor’s
ofce, regardless of the status of the Historical Aircraft Exemption
Claim. Penalties will apply if not led.
MANUFACTURER MODEL YEAR BUILT
SERIAL NUMBER PURCHASE DATE PURCHASE PRICE DATE MOVED TO THIS COUNTY
$
FOR AIRCRAFT PREVIOUSLY REGISTERED OR ASSESSED IN ANOTHER CALIFORNIA COUNTY, INDICATE COUNTY NAME AND ASSESSMENT YEARS
3. TYPE OF USAGE:
PERSONAL/PLEASURE
YES NO
FLIGHT TRAINING
RENTAL CHARTER/TAXI FRACTIONAL OWNERSHIP PROGRAM
BUSINESS
LAST MAJOR AIRFRAME OVERHAUL DATE: COST:
DAMAGE HISTORY
IF YES, SEE INSTRUCTIONS AND ATTACH STATEMENT.
YES NO
EQUIPMENT LEASED, EXCHANGED, ADDED OR RETIRED
IF YES, SEE INSTRUCTIONS AND ATTACH SCHEDULE.
YES NO
$
GOOD
GOOD
GOOD
GOOD
SHOW/MUSEUM
NOTE: COMMON CARRIAGE DOES NOT INCLUDE FERRY FLIGHTS OR PART 91 OWNER FLIGHTS.
UNIT
ACQUISITION
DATE
COST
NEW
CONDITION
ASSESSOR
USE ONLY
UNIT
ACQUISITION
DATE
COST
NEW
CONDITION
ASSESSOR
USE ONLY
RVSM
REDUCED VERTICAL SEPARATION MINIMUM
MONITOR
RADAR ALTIMETER
TAWS
TERRAIN AWARENESS WARNING SYSTEM
ENCODER
EFIS
ELECTRONIC FLIGHT INSTRUMENT SYSTEM
RMI
RADIO MAGNETIC INDICATOR
TCAS
TRAFFIC ALERT COLLISION AVOIDANCE SYSTEM
VLF
VERY LOW FREQUENCY
NAVCOM #1 PHONE
NAVCOM #2 RADAR
TRANSPONDER
A____ C____
LORAN
GLIDESLOPE ADF
AUTOMATIC DIRECTION FINDER
LOCALIZER DME
DISTANCE MEASURING EQUIPMENT
COMPASS SYSTEM/HSI
HORIZONTAL SITUATION INDICATOR
AIR CONDITIONING
AUTOPILOT
NUMBER OF AXES ____
BOOTS
FLIGHT DIRECTOR HF TRANSCEIVERS
HIGH FREQUENCY
GPS IFR
GLOBAL POSITIONING SYSTEM, INSTRUMENT
FLIGHT RULES
OTHER NON-FACTORY
AVIONICS
Dan Goodwin, MAI
Assessor of Ventura County
800 S. Victoria Avenue
Ventura, CA 93009-1270
http://assessor.countyofventura.org
11
AIRCRAFT PROPERTY STATEMENT
DECLARATION OF COSTS AND OTHER RELATED PROPERTY INFORMATION AS OF 12:01 A.M.,
JANU ARY 1, 2020
EASE NOTE: This form must be filed timely with th
PL e Assessor’s office, regardless of the status of any Historical Aircraft Exemption Claim. Penalties will apply if not filed.
FILE RETURN BY
APRIL 1, 2020
NAME:
MAILING
ADDRESS:
BOB DUTTON
ASSESSOR–RECORDER–COUNTY CLERK
COUNTY OF SAN BERNARDINO
222 W Hospitality Lane, 4th Floor
San Bernardino, CA 92415-0311
MAKE NECESSARY CORRECTIONS TO THE PRINTED NAME AND MAILING ADDRESS
BOE 577 (P1) REV. 07 (05-18)
FORM
577
(909) 382-3220 www.sbcounty.gov/arc
4.
ENGINE(S) SINGLE LEFT RIGHT
MAKE
MODEL
YEAR OF MANUFACTURE
HORSEPOWER
HOURS SINCE NEW
HOURS SINCE MAJOR OVERHAUL
TIME BETWEEN OVERHAULS (TBO)
CHECK REASON AIRCRAFT IS OR WAS IN THIS COUNTY:
AIRPORT/FBO WHERE NORMALLY KEPT
CITY
SIGNATURE OF ASSESSEE OR AUTHORIZED AGENT* DATE
NAME OF ASSESSEE OR AUTHORIZED AGENT* (typed or printed) TITLE
NAME OF LEGAL ENTITY (other than DBA) (typed or printed) FEDERAL EMPLOYER ID NUMBER
PREPARER’S NAME AND ADDRESS (typed or printed) TELEPHONE NUMBER TITLE
ENGINE MAIN ROTOR
BLADES
MAIN ROTOR
HEAD ASSEMBLY
MAST MAST
TRANSMISSION
TAIL ROTOR
DRIVESHAFT
TAIL ROTOR
GEARBOX
TAIL ROTOR HUB
ASSEMBLY
TAIL ROTOR
BLADES
SERVOS MISCELLANEOUS
FOR HELICOPTERS - HOURS SINCE MAJOR OVERHAUL:
SECTION II: COMPLETE IF FIRST TIME FILING OR IF ANY CHANGES WITHIN THE LAST CALENDAR YEAR
NAME AND ADDRESS OF OWNER IF DIFFERENT FROM FAA REGISTERED OWNER
NAME
ADDRESS
CITY
STATE ZIP CODE
COUNTY
IF SOLD OR DONATED:
NEW OWNER NAME ADDRESS
CITY STATE ZIP CODE COUNTY
DATE OF SALE
SALE PRICE
DECLARATION BY ASSESSEE
Note: The following declaration must be completed and signed. If you do not do so, it may result in penalties.
I certify (or declare) under penalty of perjury under the laws of the State of California that I have examined this property
statement, including accompanying schedules, statements or other attachments, and to the best of my knowledge and belief it
is true, correct, and complete and includes all property required to be reported which is owned, claimed,
possessed, controlled, or managed by the person named as the assessee in this statement at 12:01 a.m. on January 1, 2020.
t
OWNERSHIP TYPE (R)
Proprietorship
Partnership
Corporation
Other
( )
THIS STATEMENT IS SUBJECT TO AUDIT
MOVED
NEW LOCATION (IF MOVED)
IF:
DATE
EXPLANATION
COUNTY
JUNKED
PARTED DESTROYED ABANDONED
AIRCRAFT NOT HABITUALLY BASED IN THIS COUNTY
STATE ZIP CODE
COUNTY
HANGAR/TIE-DOWN NO.
REPAIRS
IN TRANSIT TO:
OTHER:
ATTACH STATEMENT REGARDING ANY ADDITIONAL INFORMATION YOU FEEL WOULD ASSIST US IN VALUING YOUR AIRCRAFT.
IF OWNERSHIP TYPE IS LLC, PLEASE ATTACH A LIST OF MEMBERS NAMES.
E-MAIL ADDRESS
* AGENT: SEE INSTRUCTIONS FOR DECLARATION
BY ASSESSEE.
FOR SALE
ENGINE MAINTENANCE SERVICE PROGRAM:
YES NO
NAME OF PROGRAM:
TOTAL AIRFRAME HOURS:
ENROLLMENT DATE:
FOR HOMEBUILT, KIT, OR EXPERIMENTAL AIRCRAFT, ENTER EXACT DATE OF FIRST FLIGHT:
PLEASE ENTER INFORMATION AS OF JANUARY 1 OF THIS YEAR.
HOURS SINCE MIDLIFE
DATE OF MAJOR OVERHAUL
DATE OF LANDING GEAR OVERHAUL
IF AIRCRAFT WAS SOLD, ATTACH A COMPLETE COPY OF THE SALES CONTRACT
BOE-577 (P2) REV. 07 (05-18)
SECTION 1: (continued)
$
5.
6.
BOE-577 (P3) REV. 07 (05-18)
OFFICIAL REQUEST
Pursuant to California Revenue and Taxation Code section 5362, the Assessor of the county in which an aircraft is habitually situated shall assess the
aircraft at its market value. The Assessor’s records indicate that you are the owner of the aircraft identied on page 1 of this form. In accordance with
section 5365, you are required to complete this form according to the instructions. Pursuant to section 5367, failure to return this form by the specied due
date will require the Assessor to add a 10% penalty to the market value of your aircraft.
This statement is not a public document. In accordance with Revenue and Taxation Code section 451, the information contained herein will be held secret
by the Assessor. It can only be disclosed to the district attorney, grand jury, and other agencies specied in section 408. Attached schedules are considered
to be part of the statement.
GENERAL INSTRUCTIONS
ALL INFORMATION PROVIDED SHOULD BE AS OF JANUARY 1.
SECTION I.
This section must be completed annually. Specic information is required to correctly determine the value of the aircraft
STATEMENT OF CONDITION: Using the information below, check the box that reects the condition of your aircraft as of January 1:
New: An aircraft that is new or is maintained in new condition.
Good: Paint and airframe are in near new condition. Minor scratches. Windows clear with no crazing or discoloration. Interior is in near new condition.
Simple cleaning removes any smell, dirt or matting.
Average: Paint is generally sound and attractive. Slight oxidation can be easily polished out leaving paint shiny. Small scratches, chips or dents can be
found especially in high use areas. Windows have milky edges, some crazing or light scratches. The interior use shows minor fraying, stains, or cracking.
Cleaning and shampooing will make the interior look attractive. Aircraft certicate is current, 6 months annual, ½ TBO (Time Between Overhauls), ADs (Air
Worthiness Directives) complied.
Poor: Paint is badly oxidized, peeled and blemished. Most leading edges and upper surfaces are chipped, crazed, dented, and oxidized. All windows
crazed and scratched. After touch-up and polishing, aircraft still looks unsightly. Needs new paint. Interior shows high use, scratches, tear, snags, frayed
fabric, exposed foam, peeling laminates, and loose panels. Interior looks and smells dirty after cleaning and needs replacement. Aircraft has not own, is
out of annual, engine is run out and will not pass inspection, ADs not complied.
AVIONICS SUMMARY: Indicate the date of acquisition and the condition of existing avionics equipment. List any additional avionics and their cost under
“Non-factory avionics added in last calendar year.” For condition, please enter N for new, A for average, and P for poor.
DAMAGE HISTORY: To report damage history, attach a statement indicating the type of damage, date of damage, copy of report made to FAA, and
maintenance log and repairs made.
EQUIPMENT LEASED, EXCHANGED, ADDED OR RETIRED:
Leased: If you lease equipment in connection with this aircraft’s operation, attach a schedule listing the name and address of the owner, description of
the leased property, cost if purchased, and annual rent.
Exchanged: Attach a schedule listing any exchange of equipment since purchase.
Additions or Retirements: From date of acquisition of aircraft to last day in December of last year if you have added or retired equipment, attach a
schedule listing the description of the equipment, date added or retired, and the cost of equipment added or retired.
FRACTIONAL OWNERSHIP: If the aircraft is enrolled in a Fractional Ownership Program, forms BOE-570-FO (-1, -2) must be led.
SECTION II.
This section must be completed if ling for the rst time or if there have been any changes within the last calendar year.
ADDITIONAL INFORMATION: Attach a statement regarding any additional information you feel would assist the Assessor in valuing your aircraft.
DECLARATION BY ASSESSEE
The law requires that this property statement, regardless of where it is executed, shall be declared to be true under penalty of perjury under the laws of the
State of California. The declaration must be signed by the assessee, a duly appointed duciary, or a person authorized to sign on behalf of the assessee.
In the case of a corporation, the declaration must be signed by an ofcer or by an employee or agent who has been designated in writing by the board of
directors, by name or by title, to sign the declaration on behalf of the corporation. In the case of a partnership, the declaration must be signed by a partner
or an authorized employee or agent. In the case of a Limited Liability Company (LLC), the declaration must be signed by an LLC manager, or by a member
where there is no manager, or by an employee or agent designated by the LLC manager or by the members to sign on behalf of the LLC.
When signed by an employee or agent, other than a member of the bar, a certied public accountant, a public accountant, an enrolled agent or a duly
appointed duciary, the assessee’s written authorization of the employee or agent to sign the declaration on behalf of the assessee must be led with the
Assessor. The Assessor may at any time require a person who signs a property statement and who is required to have written authorization to provide
proof of authorization.
A property statement that is not signed and executed in accordance with the foregoing instructions is not validly led. The penalty imposed by section 463
of the Revenue and Taxation Code for failure to le is applicable to unsigned property statements.
EXEMPTIONS
Armed Forces Members. If you are not a resident of the State of California, but are in this state solely by the reason of compliance with military orders, you
may declare tax situs elsewhere by ling Form BOE-261-D, Servicemembers Civil Relief Act Declaration. Obtain the declaration form from the Assessor
or from your unit Legal Ofcer.
Aircraft of Historical Signicance. If you are an individual owner who does not hold the aircraft primarily for purposes of sale, does not use the aircraft
for commercial purposes or general transportation, the aircraft is 35 years or older and is displayed to the public at least 12 days per year, obtain Form
BOE-260-B from the Assessor. The exemption claim must be led on or before February 15 for a full exemption and by August 1 for a partial exemption.