8050-88 Affidavit of Ownership for Amateur-Built and Other Non-T

OMB Control Number 2120-0042
Exp. 11/30/2014

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
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, ASP-110.

AFFIDAVIT OF OWNERSHIP FOR AMATEUR-BUILT AND OTHER
NON-TYPE CERTIFICATED AIRCRAFT
(does not include light-sport)
U. S. Identification
Name of Amateur / Non TC’d builder
Model

Serial Number

Class (airplane, rotorcraft, glider, weight shift
control, powered-parachute, etc.)
Type of Engine Installed (reciprocating, turboprop, 2 or 4 cycle, electric, etc.)
Manufacturer, Model and Serial Number of each Engine Installed
Number of Engines Installed
Built for Land or Sea Operation

Number of Seats

MUST CHECK ONE
More than 50% of the above-described aircraft was built from miscellaneous parts and I am the owner. (This option is for aircraft
eligible for amateur-built certification.)
More than 50% of the above-described aircraft was built from a kit (prefabricated parts) and I am the owner. The bill of sale from
the kit manufacturer is attached. (This option is for aircraft eligible for amateur-built certification.)
I certify that the above-described aircraft is a newly built non-type certificated aircraft and is not currently registered in another
country. (This option is for aircraft eligible for experimental certification other than amateur-built.)
I certify that the above-described aircraft is a previously built (used) non-type certificated aircraft and is not currently registered in
another country. (This option is for aircraft eligible for experimental certification other than amateur-built certification.)
Evidence of ownership from the aircraft builder through any intervening owners is attached (chain of ownership).
Unable to obtain complete chain of ownership. Statement as to ownership history and whereabouts of aircraft is attached.

Name of Owner:
Title of Signer
(If Appropriate):

Signature of Owner:
Address:
City:

State:

Zip:

Telephone:
Notary Public:
State of:

County of:

Subscribed and sworn to before me this
My Commission Expires:

(Signature of Notary Public)

AC Form 8050-88 (09/10) Supersedes Previous Editions

day of

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