8050-88A Light-Sport Aircraft Manufacturer's Affidavit

OMB #2120-0690
Exp. 12/31/2011

PRIVACY ACT STATEMENT: Privacy Act of 1974 (PL 93-579) requires that users of this form be informed of
the authority which allows the solicitation of the information and whether disclosure of such information is
mandatory or voluntary; the principal purpose for which the information is intended to be used; the routine uses
which may be made of the information gathered; and the effects, if any, of not providing all or any part of the
requested information.
Title 49, United States Code requires the registration of each United States civil aircraft as a prerequisite to its
operation. An aircraft is eligible for registration only: (1) if it is not registered under the laws of any foreign
country; and (2) if it is owned by (a) a citizen of the United States; or (b) an individual citizen of a foreign country
who has lawfully been admitted for permanent residence in the United States; or (c) a corporation lawfully
organized and doing business under the laws of the United States or any State thereof so long as such aircraft is
based and primarily used in the United States; or (d) a governmental unit. Operation of an aircraft that is not
registered may subject the operator to a civil penalty.
This form identifies the aircraft to be registered, and provides the name and permanent address for mailing the
registration certificate. Incomplete submission will prevent or delay issuance of your registration certificate.
The following routine uses are made of the information gathered:
(1) To determine that aircraft are registered in accordance with provisions of the Title 49, United States
Code.
(2) To support the investigative efforts of Federal, State and foreign government law enforcement
agencies.
(3) To serve as a repository of legal documents used by individuals and title search companies to determine
the legal ownership of an aircraft.
(4) To provide aircraft owners and operators information about potential mechanical defects or unsafe
conditions of their aircraft in the form of airworthiness directives.
(5) To provide supporting information in court cases concerning liability of individuals in law suits.
(6) To serve as a data source for management information for production of summary descriptive statistics
and analytical studies in support of agency functions for which the records are collected and
maintained.
(7) To respond to general requests from the aviation community or public for statistical information under
the Freedom of Information Act or to locate specific individuals or specific aircraft for accident
investigation, violation, or other safety related requirements.
(8) To provide data for the automated aircraft registration master file.
(9) To provide documents for backup records.
(10) To provide data for development of the aircraft registration statistical system.
(11) To provide an aircraft register on magnetic tape and publication form required by the International Civil
Aviation Organization (ICAO) agreement containing information on aircraft registration number, type
of aircraft, and name and address of owners used for internal FAA safety program purposes.
(12) The aircraft records maintained by the Aircraft Registration Branch are public records and are open for
inspection in Room 122 of the Registry Building, Mike Monroney Aeronautical Center, 6425 S
Denning, Oklahoma City, Oklahoma. Individuals interested in such information may make a personal
search of the records or may avail themselves of the services of a title search company or law firm.
PLEASE REMOVE THIS PORTION BEFORE SUBMITTING TO FAA.

AC Form 8050-88A (02/08)

OMB #2120-0690
Exp. 12/31/2011

AFFIDAVIT OF OWNERSHIP
Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information
subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0690. Public
reporting for this collection of information is estimated to be approximately 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,
completing and reviewing the collection of information. All responses to this collection of information are required to obtain or retain a benefit by 14 CFR Part 47. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.

LIGHT-SPORT AIRCRAFT MANUFACTURER’S AFFIDAVIT
U. S. Identification
Manufacturer
Model
Serial Number
Class (airplane, gyroplane, weight-shift-control,
powered parachute, balloon, airship, glider)
Land or Sea Operation
Type of Engine installed (2 cycle, 4 cycle)
Engine Manufacturer
Engine Model

Serial Number

Number of Seats
DECLARATION
First option: I certify that the aircraft described above is a newly manufactured aircraft; that it will meet all applicable consensus
standards under 14 CFR 21.190; and the aircraft is not currently registered in another country. Dealer’s Aircraft Registration Certificate
No.
(if applicable).
Second option: I certify that the aircraft described above is a newly manufactured unassembled aircraft that meets all
applicable consensus standards under 14 CFR 21.191(i)(2); and the aircraft is not currently registered in another country. Dealer’s
Aircraft Registration Certificate No.
(if applicable).
Name of Manufacturer:

Signature of Manufacturer:

Title of Signer (If Appropriate)

Address:

City:

State:

Country:

Telephone:

Zip Code:

Notary Public (or a person authorized under local law to administer oaths):
State of
Subscribed and sworn to before me this
My Commission Expires:

(Signature of Notary Public)
(Seal required is applicable in your State)

AC Form 8050-88A (02/08)

County of
day of

,