
Owner Name_________________________________________________
Address __________________________________________________
City _________________State____Zip_______Country_______________
Email________________________________________________________
Website URL with photos _____________________________________
Phone____________________Fax_________________________________
Airport where Airplane can be seen and ICAO Identifier_____________________
Website URL ____________________________________________________
Person to Contact ____________________________Phone_____________
Aircraft Specifications:
Date of Last Annual _________________ Hours Since Last Annual __________
Name of Mechanic __________________ Phone__________________________
Date Transponder Certified _______Date Altimeter Certified_______________
Aircraft Total Time Since New ________ SMOH on Single Engine ___________
Website Address ___________________________________________________
Photos Available _____ Yes ____No (Please Send or Scan Photos)
Will you Demonstrate for Expenses __________Yes __________No
Will you Deliver for Expenses ______Yes _____No
How Long have you owned this airplane?__________Hangared ____Yes____No
Why Selling___________________________________________________
Aircraft Condition
Paint
Date Last Painted __________ Condition _______on a scale of10
Painted By _________________Type Paint ______________________
Alumagrip _______yes _____no Polyurethane _______yes ____no
Describe Color Scheme ______________________________________
Any Damage History ___________Yes ________No
Please Describe Damage _____________________________________________
Engine(s)
Interior
Date of Interior __________ Condition _______on a scale of10
Leather _____Yes ____No Vinyl _____Yes______No
Color ___________________________________________________
Equipment List
Fuel Cells
Instruments
HSI _____Yes _____No_____________Make ____________Model
DG _____Yes__ ____No ____________ Make ____________Model
Artificial Horizon ______Yes ______No
Outside Air Temperature ______Yes _____No
Date Altimeter Certified ______________________
Radios
ADF#1 ____________Make __________Model ______Year ____
ADF#2 ____________Make __________Model ______Year ____
GPS#1 ____________Make __________Model ______Year ____
GPS#2 ____________Make __________Model ______Year ____
RMI#1 ____________Make __________Model ______Year ____
RMI#2 ____________Make __________Model ______Year ____
RADIO Altimeter _______Make __________Model ______Year ____
Transponder #1 ________Make __________Model ______Year ____
Date Transponder Certified ___________________
Transponder #2 _________Make __________Model ______Year ____
Date Transponder Certified ___________________
Oxygen
Comments, Special Equipment, etc.
Authorization to Sell
In consideration of sales and marketing efforts on the above airplane, I agree to pay to Fred H. Quarles, a commission of 5% of the gross sales price of this airplane for services rendered in finding a suitable purchaser, upon closing of this sale to a purchaser he locates for me. This commission will be due and payable upon closing and will constitute a lien on the aircraft until paid. I further represent that the above information is true and correct to the best of my knowledge and belief. This is a NON-EXCLUSIVE LISTING AGREEMENT WHICH expires 180 days from date. If a person he has introduced to me within the period of the listing agreement purchases the airplane within a period of two years I agree that he was the procuring source of the purchaser and I agree to pay the fee at closing.
___________________Owner ______________________Date
Acknowledgement
Acknowledged, subscribed and sworn to before me a Notary
Public this the _________day of __________, 19_______
_________________________My Comission Expires ____________
Notary Public Seal
If you have questions you may E-Mail me at atpcfii @gmx.com
