Core Return Form All Cores are due 20 days from date of invoice. This form must be filled out in full to ensure credit and returned with the core. *View for more information on our terms: Customer Terms and Conditions Please complete this form in its entirety and return with core to the following address: Aviation Parts Executive, Inc. – Attn: Core Returns, 1170 NW 51st Street, Fort Lauderdale, FL 33309, USA 1. Customer Information* Company Name Contact Name Contact E-Mail Contact Phone # Customer PO# Aviation Parts Sales Order # 2. Core Return Information* Part # Removed Owner Serial # Removed Aircraft Model/Type Original Install Date of Above Unit Aircraft Make Time & Cycle since New Aircraft Registration/Tail # Time & Cycle since Installs Aircraft Serial # Aircraft Hours Aircraft Landing Reason for Removal 3. Alternative Part Return (If Applicable) Replacement Part Number Part Serial Number Date Installed 4. Engine Information (If Applicable) Engine Model Engine Serial Number Engine TSN TSO CSN CSO Abbreviations: TSN – Time Since New | CSO – Cycle Since Overhaul | TSO – Time Since Overhaul | CSN – Cycle Since New Were part(s) or material(s) obtained from any US Government or Military Source? YesNo 5. Submit Core Return Acknowledgment* By signing this form, you acknowledge that the above-referenced part(s) or material(s) were not subjected to severe stress, excessive heat, or any accident, including major engine failure, fire, or similar incidents. The customer is responsible for all fees assessed by the manufacturer for substandard or non-like cores. All cores must be returned within 20 days of the original ship date. Any unit being returned for core credit must be in the same condition as removed from the engine and/or aircraft. It must include a completed identification tag, be complete, and must not be disassembled. Units that are rusty, corroded, or deemed unrepairable for any reason will be classified as scrap and will have no core value. A percentage of the core value will be deducted for any missing or damaged parts. However, at no time will the total deductions exceed the core value of the unit. [acceptance* acknowledgment] I have read and agree to the Core Return Acknowledgment Any field left incomplete may be subject to additional billing. Signature* Clear Date Print Name Title