8050-4 Certificate of Repossession

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 2120-0042. 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 mandatory per Public Law 103-272. 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, ASP-110.

OMB Control No. 2120-0042
11/30/2014

U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
Aircraft Registration Branch

PO Box 25504

Oklahoma City, Oklahoma 73125-0504

CERTIFICATE OF REPOSSESSION OF ENCUMBERED AIRCRAFT
The undersigned hereby certifies that they are the true and lawful holder of a note or other evidence of indebtedness
secured by a
on the following described aircraft:

(Type of Security Agreement)
Aircraft Manufacturer and Model
Aircraft serial number

FAA registration number

Said Security agreement on the above aircraft bears the
date of

and was executed by
to

and assigned
to

. This Security

agreement was recorded under Title 49, United States Code, Section 44107,
on the
and was entered in the Civil Aviation Registry as document
no.
On the

day of

,

day of

,
.

, the aforesaid

obligations and promises contained in the Security agreement.

,

breached the

The undersigned certifies that the secured party has

performed all obligations imposed on it by the security agreement and applicable local laws; that

in accordance with the

terms of said security
agreement, and pursuant to the pertinent laws of the
state of
described above and foreclosed on
the

day of

,the undersigned repossessed the
aircraft
,

, and that pursuant to local
law,

divested the said debtor, and any and all persons claiming by, through or under them, of any and all title they had or may
have had, and the secured party now owns the aforesaid aircraft, or the aircraft has been sold.

NOTE: If the agreement involved was not recorded with the

Aircraft
Registration Branch, the original or certified true copy
should accompany this certificate of repossession

NAME OF HOLDER OF SECURITY AGREEMENT

SIGNATURE (IN INK)

Title

ACKNOWLEDGMENT
instrument.)

(Not required for purposes of FAA recording; however, may be required by local law for validity of the

AC Form 8050-4 (2-00) Supercedes previous editions

CERTIFICATE OF REPOSSESSION INFORMATION

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 of 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.
This form is to be completed by the holder of an encumbrance andsubmitted with an application for aircraft registration and required
fee and/or a bill of sale as appropriate. This form meets the recording requirements of 49 USC Chap. 441 and the Federal Aviation
Regulations. In addition to meeting these requirements, the form, the repossession and foreclosure must comply with local law. This
form may be reproduced.
The following routine uses are made of the information gathered:
(1) To support investigative efforts of investigation and law enforcement agencies of Federal, state, and foreign governments.
(2) To serve as a repository of legal documents used by individuals and title search companies to determine the legal ownership
of an aircraft.
(3) To provide aircraft owners and operators information about potential mechanical defects or unsafe conditions of their aircraft in
the form of airworthiness directives.
(4) To provide supportive information in court cases concerning liability of individual in law suits.
(5) To serve as a data source for management infor mation for production of summary descriptive statistics and analytical studies
in support of agency functions for which the records are collected and maintained.
(6) To respond to general requests from the aviation community or the 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.
(7) To provide data for the automated aircraft registration master file.
(8) To provide documents for microfiche backup record.
(9) To provide data for development of the aircraft registration statistical system.
(10) To prepare an aircraft register in magnetic tape and publication form required by ICAO agreement containing i nformation on
aircraft owners by name, address, N -number, and type aircraft, used for internal FAA safety program purposes and also
available to the public (individuals, aviation organizations, direct mail advertisers, state and local governments, etc.) up
on
payment of user charges reimbursing the Federal Government for its costs.

AVAILABILITY OF RECORDS
The aircraft records maintained by the Civil Aviation Registry 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 company or attorney.
The records are filed by aircraf t N-number, but may and are quite frequently retrieved by name of the individual aircraft owners or
operators.

PREPARATION
This is not a mandatory form. Therefore, an equivalent form meeting local law and the recording requirements of the Federal Aviation
Regulations may be used. This form may be reproduced. See Section 47.11 of the Federal Aviation Regulations (14 CFR 47.11) for
guidance.
Except for signatures, all data should be typewritten or printed. Signatures must be in ink. If the agreement involved was not recorded
with the Civil Aviation Registry, the original or certified true copy should accompany this form.
When aircraft registration requirements are met by retention of the collateral by foreclosing party (sometimes referred to as strict
foreclosure), an Application for Aircraft Registration (AC Form 8050-1) in the name of the foreclosing party should accompany this form.
When aircraft registration requirements are met by sale of the collateral (sometimes referred to as statutory foreclo
sure), a Bill of Sale
and an Application For Aircraft Registration in the name of the buyer should accompany this form.
FEE: A $5 fee is required to issue a certificate of aircraft registration.