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efta-efta00315760DOJ Data Set 9Other

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DOJ Data Set 9
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efta-efta00315760
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
PRINT PAGE 1 PRIVACY ACT STATEMENT OMB Control Number 2l22.0729 Expires 05131120m Paperwork Reduction Act Statement: The information collected on this form is necessary to maintaii aicraft registration. We estimate that it will take approximately 30 mimes to complete the form. Please note that an agency may not conduct or sponsor. and a person is not required to respond to. a colection of rformation unless it displays a valid OMB control number. Form Approved, OMB No. 2120.0729 'Comments concerning the accuracy of his burden and suggestions for reducing the burden should be drected to the FAA at: 800 Independence Avenue SW. Washington. DC 20591. ATTN: Information Collection Clearance Officer. AES-200.* DEPARTMENT OF TRANSPORTATION- FEDERAL AVIATION ADMINISTRATION AIRCRAFT REGISTRATION RENEWAL APPLICATION FAILURE TO RENEW REGISTRATION WILL RESULT IN CANCELLATION OF REGISTRATION AND REGISTRATION NUMBER ASSIGNMENT (See 14 C.F.R. §§ 47.15(0. 47.40 and 47.41) AIRCRAFT REGISTRATION NUMBER N SERIAL NUMBER MANUFACTURER MODEL DATE OF ISSUANCE DATE OF EXPIRATION TYPE OF REGISTRATION ENTER REGISTERED OWNERS) & ADDRESS FROM FAA FILE (Owner 1) Review Aircraft at: http://renistry.faa.qoviaircraftinauiry. HELPFUL INFORMATION for this aircraft Registration File Information (Owner 2) Assistance may at our web page: by e-mail al: by telephone When mailing payable to the Signature and - Individual Partnership - Corporation - Limited Liabikty - Co-owner - Government Note: All signatures To correct entries: remaining space, rejected if any be obtained htbrfireaistry.faa.00virenewreoistration, Note: Enter any additional owner names on page Iwo. (Address) faa.aircralt.reuistry@laa.00v. or 954 - 3116 made Types: partner" as title. showing lull title. officer identified in the showing lull title. "co.ownet as title. show their full title. media. Make correct entry in form will be obscured. (Address) at: (866) 762 - 9434 (toll free). or (405) fees, please use a check or money order Federal Aviation Administration. Title Requirements for Common Registration owner must sign. title would be "owner'. general partner signs showing 'general corporate officer or manager signs, Co authorized member. manager. or LLC organization document signs. each co-owner must sign: showing authorized person must sign and must be in ink, or other permanent Draw a single line through error. form An City State Zip Country Physical Address: Required when mailing address is a P.O. Box or mail drop. (Address) (Address) City State Zip Country TO RENEW REGISTRATION: BUTS aircraft SELECT the appropriate statement ENTER any registration Information. change in address in the $5 renewal fee to the: City OK 73125-0504, or City OK 73169.6937 FROM THE FM FILES CORRECT. OWNERSHIP CFR §47.3. AIRCRAFT IS FOREIGN COUNTRY. AS SHOWN BELOW. FOR THE OWNER(S) OF MEETS THE CITIZENSHIP IS NOT REGISTERED spaces below. SIGN. DATE. & SEND form with the Oklahoma ARE OF 14 OF ANY ABOVE FAA Aircraft Registry. PO Box 25504, Oklahoma by courier to: 6425 S Denning Room 118, or complete the on-line. application entry is covered by correction tape or similarly K I (WE) CERTIFY, THE NAME(S) AND ADDRESSES TO CANCEL CHECK all applicable any 25504, S Denning THE (Show THE REGISTRATION FOR THIS AIRCRAFT: blocks below. COMPLETE. SIGN, DATE & MAIL this FOR THE OWNER(S) OF THIS AIRCRAFT MEETS CITIZENSHIP REQUIREMENTS NOT REGISTERED UNDER THE LAWS form with PO Box 6425 fees to the: FM Aircraft Registry. Oklahoma City, OK. 73125.0504, or by courier to: Rm. 118. Oklahoma City OK 73169-6937 OF REGISTRATION IS REQUESTED. AIRCRAFT WAS SOLD TO: purchaser's name and address.) K UPDATE THE MAILING ( PHYSICAL ADDRESS I (WE) CERTIFY THE: NAME(S) SHOWN THIS AIRCRAFT IS CORRECT, OWNERSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT UNDER THE LAWS OF ANY FOREIGN COUNTRY. NEW MAILING ADDRESS In CANCELLATION K THE AIRCRAFT IS DESTROYED OR SCRAPPED. K THE AIRCRAFT WAS EXPORTED TO: NEW PHYSICAL ADDRESS: complete if physical address has changed, or the new mailing address Is a PO Box or Mail Drop. K OTHER. K PLEASE AND Specify RESERVE N-NUMBER IN THE OWNER'S NAME ADDRESS. The $10 reservation lee is enclosed. SIGNATURE OF OWNER I (required field) PRINTED NAME OF SIGNER (required field) TITLE (required field) DATE SIGNATURE OF OWNER 2 PRINTED NAME OF SIGNER TITLE DATE Use page 2 for additional signatures. AC Form 8050-IB (04112) EFTA00315760 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 dick the 'Reset' button to clear the data fields (from page 2 only) to add more names. Repeat action as needed. PRINT PAGE 2 RESET NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE AC Form 8050-I B (04/12) REF N-NUM: EFTA00315761

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