Acquisition and Brokerage Form

Name:
Phone:
Address:
City:
State:
Zip:

Aircraft Information

Year:
Make:
Model:
N#:
Serial:
Location:
History:
Avionics Make:
TT:
IFR:
Annual Date: (mm/dd/yyyy)
COM I: COM II:
NAV I: NAV II: 
Engines:
TBO:
Left: hs. SMOH: SFRM: SFNEW:
  SHS: Prop: hs.   O/H Due:
Right: hs. SMOH: SFRM: SFNEW:
  SHS: Prop: hs.   O/H Due:
GS:
MB:
Audio:
I-COM:
Stereo:
ADF:
XPonder: /C:
DME:
Area NAV:
RMI:
Loran:
GPS:
Radar Alt:
MMAP:
Weather Radar: B/W: Color:
Stormscope:
Auto Pilot:
Coup:
Alt Hold:
Yaw:
Preslect:
Compass: Alert:
Flight Director:
Flight Phone:
Gross Weight: Empty: Useful:
Total Fuel: Lbs.
Damage:  (please detail if any)
Hail:
Corrosion:    

Options

De Ice Boots: Yes: No:
Prop: Heated: Alcohol:
Windshield: Heated: Alcohol:
C-P Inst.: Has: No:
Air: Has: No:
O2: Has: No:
Prop Sync:
VG:
TOT:
Strobe:
Cleveland:
Crew:
Cargo:
I-Cooler:

Exterior

By:
Age:
Grade:
Colors:  
 
Base:
Stripes:

Interior

By:
Age:
Grade:
Colors:  
 
Carpet:
Seat:
SP:
Layout:  
 
Club:
Table:
Seats:
Curtains:  
 
Bar:
Commode:
Glass:
Other:
Please use the space below for any other comments/additions/etc. that you want us to know.

1501 Bond Street - Little Rock, Arkansas 72202    PHONE: 501-375-3245 - FAX: 501-375-7274
Toll Free: 1-800-888-JETS