Weight and Balance Form

Aircraft Name ___________________________ Serial # _________ Registration # __________

Owner’s Name _________________________________

Address _________________________________ City _______________ State ____ Zip ______

Datum location _______________________ Leveling means _____________________________

EMPTY WEIGHT CALCULATIONS

Empty weight ______________ Total Moment _____________

EMPTY WEIGHT C.G. LOCATION: ______________ inches.

Total moment

Empty weight c.g. = Empty weight = = inches

EQUIPMENT LIST INSTALLED AT TIME OF WEIGHING:

FORWARD AND REARWARD C.G. EXTREMES

Most Forward C.G. loading Most Rearward C.G. loading

Forward C.G. ___________ inches Rearward C.G. _____________ inches

Total Moment Total Moment

CG_f= Total Weight CG_r= Total Weight

C.G. Limits: Forward limit is ______ inches ______% Rearward limit is ________inches ________%

Maximum Loading:

Maximum allowable weight is: _____________________ lbs.

Cockpit Placards: Required only if weight limitations are necessary.

Aircraft Weighed By: _______________________

Date of weighing: _________ 20____