Form Approval OMB
No. 2120-0018 (9-07)
Exp. 5/31/2011
Export Certificate No.
Application for Export
Certificate of Airworthiness
U.S. Department of Transportation
Federal Aviation Administration
INSTRUCTIONS – This application is to be submitted to an authorized FAA representative (one copy) when the aircraft to be
exported is (are) presented for inspection. This application may be used, but is not required, for aircraft engines, propellers,
and articles. Use Part I for products and Part II for articles. For complete aircraft, execute items 1 through 11, as applicable.
For engines and propellers, omit item 5A. Part III is for FAA use only.
Part I – Application for Export Certificate of Airworthiness (Complete items 1-11)
1. Application is made for an export certificate of airworthiness to cover the product(s) described below which (are):
NEW
USED
2. Name and address of exporter
3. Name and address of foreign purchaser
4. Country of destination
5. Description of product(s)
Type
Make and Model
Identification
Serial Nos.
FAA T.C.
Operating time (Hours)
(a)
(b)
No.
(c)
or Spec. No.
(e)
(d)
Since
Total
Overhaul
A. AIRCRAFT
B. ENGINES
C. PROPELLERS
6. Does the product comply with all applicable Federal Aviation Regulations, Airworthiness Directives, and other FAA requirements?
YES
NO (Explain in “Remarks”)
7. Have applicable special requirements of the importing country been complied with?
YES
NO (Explain in “Remarks”)
8. Date title passed or is expected to pass to foreign purchaser:
9. For overseas shipment, preservation and packaging methods used to protect product(s) against corrosion and damage (List Spec. No. or
Title):
Effective duration of above methods:
10. Remarks
11. EXPORTER’S CERTIFICATION – The undersigned certifies that the above statements are true and that the product(s) described
herein is (are) airworthy and in a condition for safe operation except as may be noted under item 10 “Remarks” above.
Signature of applicant or authorized representative
Title
Date
FAA Form 8130-1 (04-2011) Supersedes Previous Edition
Electronic Format - PDF
NSN: 0052-00-024-9005
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