DO NOT submit this application to the NC Department of Revenue. Submit to the county assessor where the property is located.
Antique Airplane Value Exclusion Application
County of ____________________________, NC Application for Tax Year ______________
Pursuant to N.C.G.S. §105-277.12, antique airplanes are designated a special class of property under Article V,
Sec. 2(2) of the North Carolina Constitution and are eligible for assessment at a reduced tax valuation. If
qualified, they shall be assessed at the lower of their true value or five thousand dollars ($5,000.00).
To determine qualification, the owner must file an affirmation that all four conditions of the statute have been
met. This form shall be remitted to the assessor of the county in which the property is located during
the annual listing period, January 2-31. A copy of the Federal Aviation Administration (FAA) Registration
must be included. Appeals must be filed within 30 days after the date of the initial notice of value, or tax billing if
a separate notice is not mailed. The assessor reserves the right to deny the qualification of any airplane
deemed not to qualify.
Owner Information
Name of Titled Owner
__________________________________________________________________________________________
Address
__________________________________________________________________________________________
Home Phone Mobile Phone Email
______________________ ______________________ __________________________________________
Description of Property
Year Make Model
__________ __________________________________ __________________________________________
Serial Number FAA Registry N-Number
_________________________________ ____________________________
Please answer the following questions:
1. Is your airplane a model year 1954 or older and registered with the FAA? Yes No
2. Is your airplane maintained primarily for use in exhibitions, club activities, air shows, and other public
interest functions? Yes No
3. Is your airplane used only occasionally for other purposes? Yes No
4. Is your airplane used for the production of income or in connection with a business? Yes No
Affirmation of Applicant: Under penalties prescribed by law, I hereby certify that the above information is true
and correct to the best of my knowledge.
______________________________ ______________________________ __________________
Signature Printed Name Date
Form AV-10A
Web 2-20
