aircraft registration renewal application - Federal Aviation Administration

aircraft registration renewal application - Federal Aviation Administration

OMB Control Number 2120-0729 Expires 10/31/15 PRIVACY ACT STATEMENT PRINT PAGE 1 Paperwork Reduction Act Statement: The information collected on th...

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OMB Control Number 2120-0729 Expires 10/31/15

PRIVACY ACT STATEMENT

PRINT PAGE 1

Paperwork Reduction Act Statement: The information collected on this form is necessary to maintain aircraft registration. We estimate that it will take approximately 30 minutes to complete the form. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. Form Approved, OMB No. 2120-0729 “Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Avenue SW, Washington, DC 20591. ATTN: Information Collection Clearance Officer, AES-200.” FAILURE TO RENEW REGISTRATION WILL RESULT IN CANCELLATION OF REGISTRATION AND REGISTRATION NUMBER ASSIGNMENT (See 14 C.F.R. §§ 47.15(i), 47.40 and 47.41)

DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION

AIRCRAFT REGISTRATION RENEWAL APPLICATION AIRCRAFT REGISTRATION NUMBER

SERIAL NUMBER

N MANUFACTURER

MODEL

DATE OF ISSUANCE

DATE OF EXPIRATION

TYPE OF REGISTRATION HELPFUL INFORMATION

ENTER REGISTERED OWNER(S) & ADDRESS FROM FAA FILE

Review Aircraft Registration File Information for this aircraft at: http://registry.faa.gov/aircraftinquiry.

(Owner 1) (Owner 2) Note: Enter any additional owner names on page two.

Assistance may be obtained at our web page: http://registry.faa.gov/renewregistration, by e-mail at: [email protected], or by telephone at:: (866) 762 - 9434 (toll free), or (405) 954 - 3116

(Address) (Address) City

State

Zip

Country

When mailing fees, please use a check or money order made payable to the Federal Aviation Administration.

Physical Address: Required when mailing address is a P.O. Box or mail drop.

Signature and Title Requirements for Common Registration Types:

(Address)

- Individual - Partnership

(Address) City

State

Zip

Country

TO RENEW REGISTRATION: REVIEW aircraft registration information, SELECT the appropriate statement, ENTER any change in address in the spaces below, SIGN, DATE, & SEND form with the $5 renewal fee to the:

FAA Aircraft Registry, PO Box 25504, Oklahoma City OK 73125-0504, or by courier to: 6425 S Denning Rm 118, Oklahoma City OK 73169-6937 I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FAA FILES FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. UPDATE THE MAILING / PHYSICAL ADDRESS AS SHOWN BELOW. I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF THIS AIRCRAFT IS CORRECT, OWNERSHIP MEETS THE CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY.

owner must sign, title would be “owner”. general partner signs showing “general partner” as title. - Corporation corporate officer or manager signs, showing full title. - Limited Liability Co authorized member, manager, or officer identified in the LLC organization document signs, showing full title. - Co-owner each co-owner must sign; showing “co-owner” as title. - Government authorized person must sign and show their full title. Note: All signatures must be in ink, or other permanent media.

To correct entries: Draw a single line through error. Make correct entry in remaining space, or complete the form on-line. An application form will be rejected if any entry is covered by correction tape or similarly obscured.

TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT: CHECK All applicable block(s) below, COMPLETE, SIGN, DATE & MAIL

this form with any fees to the: FAA Aircraft Registry, PO Box 25504, Oklahoma City, OK, 73125-0504, or by courier to: 6425 S Denning Rm. 118, Oklahoma City OK 73169-6937 CANCELLATION OF REGISTRATION IS REQUESTED. THE AIRCRAFT WAS SOLD TO: (Show purchaser’s name and address.)

NEW MAILING ADDRESS

THE AIRCRAFT IS DESTROYED OR SCRAPPED. NEW PHYSICAL ADDRESS: complete if physical address has changed, or the new mailing address is a PO Box or Mail Drop.

THE AIRCRAFT WAS EXPORTED TO:

OTHER, Specify PLEASE RESERVE N-NUMBER IN THE OWNER’S NAME AND ADDRESS. The $10 reservation fee is enclosed. SIGNATURE OF OWNER 1

(required field)

SIGNATURE OF OWNER 2

Use page 2 for additional signatures.

AC Form 8050-1B (04/12)

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

(required field)

TITLE

TITLE

(required field)

DATE

DATE

OMB Control Number 2120-0729 Expires 10/31/15

Note: Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print this page by pressing the ‘Print Page 2’ button below. Next click the ‘Reset’ button to clear the data fields (from page 2 only) to add more names. Repeat action as needed. PRINT PAGE 2 NAME OF OWNER SIGNATURE

DATE PRINTED NAME OF SIGNER

NAME OF OWNER SIGNATURE

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

PRINTED NAME OF SIGNER

AC Form 8050-1B (04/12)

TITLE DATE

PRINTED NAME OF SIGNER

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

TITLE DATE

NAME OF OWNER SIGNATURE

RESET

TITLE DATE

PRINTED NAME OF SIGNER

TITLE

REF N-NUM: