Ac Form 8050-41 printable pdf download

S. DEPARTMENT OF TRANSPORTATION

FORM APPROVED

FEDERAL AVIATION ADMINISTRATION

OMB NO. 2120-0042

THIS FORM SERVES TWO PURPOSES

PART I acknowledges the recording of a security conveyance covering the collateral shown.

PART II is a suggested form of release which may be used to release the collateral from

The terms of the conveyance.

PART I CONVEYANCE RECORDATION NOTICE

NAME (last name first) OF DEBTOR

NAME and ADDRESS OF SECURED PARTY/ASSIGNEE

NAME OF SECURED PARTY’S ASSIGNOR (if assigned)

Do Not Write In This Block

FOR FAA USE ONLY

FAA REGISTRATION NUMBER

AIRCRAFT SERIAL NUMBER

AIRCRAFT MFR. (BUILDER) and MODEL

ENGINE MFR. and MODEL

ENGINE SERIAL NUMBER(S)

PROPELLER MFR. And MODEL

PROPELLER SERIAL NUMBER(S)

THE SECURITY CONVEYANCE EXECUTED ON_________

COVERING THE ABOVE COLLATERAL WAS RECORDED BY THE CIVIL

AVIATION REGISTRY ON

_______________ AS CONVEYANCE NUMBER

_____________________.

THE UNDERSIGNED HEREBY CERTIFIED AND ACKNOWLEDGES THAT THEY ARE THE TRUE AND LAWFUL HOLDER OF THE NOTE OR

OTHER EVIDENCE OF INDEBTEDNESS SECURED BY THE CONVEYANCE REFERRED TO HEREIN ON THE ABOVE DESCRIBED

COLLATERAL AND THAT THE SAME COLLATERAL IS HEREBY RELEASED FROM THE TERMS OF THE CONVEYANCE. ANY TITLE

RETAINED IN THE COLLATERAL BY THE CONVEYANCE IS HEREBY SOLD, GRANTED TRANSFERRED, AND ASSIGNED TO THE PARTY

WHO EXECUTED THE CONVEYANCE, OR TO THE ASSIGNEE OF SAID PARTY IF THE CONVEYANCE SHALL HAVE BEEN ASSIGNED:

PROVIDED, THAT NO EXPRESS WARRANTY IS GIVEN NOR IMPLIED BY REASON OF EXECUTION OR DELIVERY OF THE RELEASE.

This form is only intended to be a suggested form of

DATE OF RELEASE: ______________________________________________________________

release, which meets the recording requirements of the

Federal Aviation Act of 1958, and the regulations issued

thereunder. In addition to these requirements, the form

used by the security holder should be drafted in

_______________________________________________________________

accordance with the pertinent provisions of local statutes

and other applicable federal statutes. This form may be

(Name of Secured Party/Assignee)

reproduced. There is no fee for recording a release. Send

to Aircraft Registration Branch, P.O. Box 25504, Oklahoma

SIGNATURE (In Ink)

City, Oklahoma 73125.

TITLE _________________________________

(A person signing for a corporation must be a corporate officer or hold a

managerial position and must show his title. A person signing for another

should see parts 47 and 49 of the Federal Aviation Regulations (14CFR)).

ACKNOWLEDGEMENT (If Required By Application Local Law):

AC Form 8050-41 (2/96) (NSN 0052-00-543-9001)

Ac Form 8050-41

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