Dealer'S Aircraft Registration Certificate Application Form
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2OMB Control No. 2120-0024
Exp. 06/30/2014
Paperwork Reduction Act Statement: The information collected is used to register aircraft. The information is required to determine eligibility of an applicant to receive a
Dealer’s Certificate and issue same to correct name and address. We estimate that it will take 30 minutes to complete. Use of this form is optional. Please note that an
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB
control number associated with this collection is 2120-0024. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to
the FAA at: 800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, AES-200.
DEALER’S AIRCRAFT REGISTRATION CERTIFICATE APPLICATION
U.S. Department
of Transportation
INSTRUCTIONS: Mail this application with check or money order, payable to FEDERAL AVIATION
Federal Aviation
ADMINISTRATION to Civil Aviation Registry, P.O. Box 25504, Oklahoma City, OK 73125
Administration
Telephone: 405-954-3116
1. NAME & MAILING ADDRESS OF APPLICANT
2. ADDRESS OF PRINCIPAL PLACE OF BUSINESS
(No., Street, City, and ZIP code.)
NOTE: PHYSICAL LOCATION/ADDRESS REQUIRED,
P.O. BOX IS UNACCEPTABLE
TELEPHONE: (Include Area Code)
3. BUSINESS THE APPLICANT IS SUBSTANTIALLY ENGAGED IN
4. OWNERSHIP
(Check one)
(Check one)
Individual
(1)
Manufacture of aircraft
Partnership
(2)
The distribution or sale of new aircraft under authority of a franchise, license, letter of authority,
Corporation
(3)
agreement, or other arrangement from the manufacturer or his authorized agent.
Co-Ownership
(4)
The distribution or sale of used aircraft through ordinary trade channels
Non-Citizen Corporation
granted exemption from
(8)
14 CFR 47.65
5. APPLICATION IS HEREBY MADE FOR DEALER’S AIRCRAFT REGISTRATION CERTIFICATE
NUMBER OF CERTIFICATES APPLIED FOR
AMOUNT OF CHECK OR MONEY ORDER ATTACHED
$
ATTENTION!
Read the following before signing this application
A false or dishonest answer to any question in this application may be grounds for punishment by fine, or imprisonment, or both. (18 U.S.C. 1001)
CERTIFICATION: I hereby certify that each person whose name appears hereon as an applicant: (check appropriate paragraph)
is a citizen of the United States as defined in Title 49 United States Code 40102(a)(15), has an established place of business located at the
address set forth in item 2 of this application; and that the applicant is substantially engaged in the manufacture of aircraft, the distribution or sale of
new aircraft, or the distribution or sale of used aircraft as set forth in item 3 of this application.
is a non-citizen corporation which has been granted Exemption number ___________ to the requirements of Title 14 C.F.R. 47.65 (U.S. citizenship),
has an established place of business located at the address set forth in item 2 of this application; and that the applicant is substantially engaged
in the manufacture of aircraft, the distribution or sale of new aircraft, or the distribution or sale of used aircraft as set forth in item 3 of this application.
DATE
TITLE (MUST AGREE WITH OWNERSHIP CHECKED IN ITEM 4)
SIGNATURE AND NAME TYPED OR PRINTED
GENERAL INFORMATION
The Federal Aviation Act provided for issuance of dealer’s aircraft registration certificates to be used as an alternative for the certificate of aircraft
registration. This form identifies the applicant as a person engaged in the business of manufacturing, distributing, or selling aircraft. The signature
certifies U.S. citizenship as required by the Act. Incomplete submission will prevent or delay issuance of dealer’s aircraft registration certificates.
1. A citizen of the United States means (a) an individual who is a
2. Before operating an aircraft he owns while using his dealer’s aircraft
citizen of the United States; or (b) a partnership each of whose
registration certificate, the holder of the certificate (other than a
partners is an individual who is a citizen of the United States; or (c) a
manufacturer) must send to the Civil Aviation Registry evidence
corporation or association organized under the laws of the United
satisfactory to the Administrator that he is the owner of the aircraft.
States or a State, the District of Columbia, or a Territory or possession
(Limitations may be found in Section 47.69 of the Federal Aviation
of the United States, of which the president and at least two-thirds of
Regulations.)
the board of directors and other managing officers are citizens of the
3. A Dealer’s Aircraft Registration Certificate expires one year after the
United States, and in which at least 75 percent of the voting interest is
date on which it was issued. All additional certificates expire on the date
owned or controlled by persons that are citizens of the United States.
of expiration of the original certificate.
Title 49 United States Code 40102(a)(15).
4. The fee for a Dealer’s Aircraft Registration Certificate is $10 and $2
for each additional Dealer’s Aircraft Registration Certificate issued to the
same dealer.
AC Form 8050-5 (05/12)
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