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WEIGHT AND BALANCE CLEARANCE FORM F TACTICAL (USE REVERSE FOR TRANSPORT MISSIONS) DATE AIRPLANE TYPE FROM HOME STATION MISSION/TRIP/FLIGHT/NO. SERIAL NO. TO PILOT REMARKS [[4 Columns]] REF | ITEM | WEIGHT | 1 INDEX OR MOM/ 1 | BASIC AIRPLANE (From Chart C) | - | - 2 | OIL ( Gal.) | - | - 3 | DISTRIBUTION OF LOAD [[/4 columns]] [[7 columns]] COMPT. | CREW NO. | CREW WEIGHT | BAGGAGE | CARGO AND MISC. || WEIGHT | 1 INDEX OR MOM/ [[/7 columns]] COMPUTER PLATE NO. (If used) Pertinent instructions to the pilot for shifting load and crew during takeoff and landing should be noted above. CORRECTIONS (Ref. 11) [[4 columns]] COMPT | ITEM | CHANGES (+ or –) WEIGHT | CHANGES (+ or –) 1 INDEX OR MOM/ [[/4 columns]] TOTAL WEIGHT REMOVED | - | - TOTAL WEIGHT ADDED | + | + NET DIFFERENCE (Ref. 11) LIMITATIONS 2 GROSS WT. TAKEOFF (lb.) | 2 GROSS WT. LANDING (lb.) 3 PERMISSIBLE C. G. TAKEOFF | FROM | TO (% M. A. C. or IN.) 4 PERMISSIBLE C. G. LANDING | FROM | TO (% M. A. C. or IN.) 1 Enter constant used. 2 Enter values from current applicable T. O. 3 Applicable to gross weight (Ref. 12). 4 Applicable to gross weight (Ref. 15). [[3 columns]] [[ITEM]] | WEIGHT | 1 INDEX OR MOM/ 4 OPERATING WEIGHT | - | - [[/3 columns]] [[6 columns]] 5 AMMUNITION | COMPT. | ROUNDS | CALIBER || WEIGHT | 1 INDEX OR MOM/ [[/6 columns]] [[4 columns]] 6 BOMBS, ROCKETS, ETC. | FORWARD || WEIGHT | 1 INDEX OR MOM/ - | AFT || - | - - | EXTERNAL || - | - - | ROCKETS || - | - 7 FUEL | BUILT IN ( Gal.) || - | - - | BOMB BAY ( Gal.) || - | - - | EXTERNAL ( Gal.) || - | - 8 | WATER INJ. FLUID ( Gal.) || - | - 9 | JATO OR RATO || - | - 10 | TAKEOFF CONDITION (Uncorrected) || - | - 11 | CORRECTIONS (If required) || - | - 12 | TAKEOFF CONDITION (Corrected) || - | - 13 | TAKEOFF C. G. IN % M. A. C. OR IN. || - | - 14 LESS EXPENDABLES | JATO OR RATO || - | - - | BOMBS || - | - - | AMMUNITION || - | - - | FUEL || - | - 15 | ESTIMATED LANDING CONDITION || - | - 16 | ESTIMATED LANDNG C. G. IN % M. A. C. OR IN. || - | - COMPUTED BY (Signature) WEIGHT AND BALANCE AUTHORITY (Signature) PILOT (Signature) DD FORM 365F 1 SEPT 54
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