EFTA00085904¶
FORM APPROVED OMB No. 2120-0042¶
CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS ATTENTION! Read the following statement before signing this application. This portion MUST be completed.¶
A false or dishonest answer to any question in this application may be grounds for punishment by fine and/or imprisonment (U.S. Code, Title 18, Sec. 1001).¶
CERTIFICATION¶
I/WE CERTIFY:¶
(1) That the above aircraft is owned by the undersigned applicant, who is a citizen (including corporations) of the United States.¶
(For voting trust, give name of trustee: ___ ), or:¶
CHECK ONE AS APPROPRIATE;¶
a. A resident alien, with alien registration (Form 1-151 or Form 1-551) No.¶
b. A non-citizen corporation organized and doing business under the laws of (state) ___and said aircraft is based and primarily used in the United States. Records or flight hours are available for inspection at¶
(2) That the aircraft is not registered under the laws of any foreign country; and¶
(3) That legal evidence of ownership is attached or has been filed with the Federal Aviation Administration.¶
NOTE: If executed for co-ownership all applicants must sign. Use reverse side if necessary.¶
TYPE OR PRINT NAME BELOW SIGNATURE¶
| EACH PART OF THIS APPLICATION MUST BE SIGNED IN INK. | SIGNATURE | TITLE Vice President | DATE 8/2/10 |
| SIGNATURE | TITLE | DATE | |
| SIGNATURE | TITLE | DATE | |
| NOTE Pending receipt of the Certificate of Aircraft Registration, the aircraft may be operated for a period not in excess of 90 days, during which time the PINK copy of this application must be carried in the aircraft. | |||
AC Form 8050-1 (1/09) (NSN 0052-00-628-9007) Supersedes Previous Edition¶