Paperwork Reduction Act Statement: The information collected on
AUTHORIZATION CODE
this form is necessary to obtain authorization to transmit information
to the International Registry. The information is a condition for the
issuance of a unique authorization code. We estimate that it will take
approximately 30 minutes to complete the form. Please note that any
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. OMB 2120-0697.
FAA ENTRY POINT FILING FORM
INTERNATIONAL REGISTRY
PARTY:
PARTY:
(At least one party is required)
Name__________________________________________
Name____________________________________________
Address________________________________________
Address__________________________________________
_______________________________________________
_________________________________________________
Phone__________________________________________
Phone____________________________________________
Electronic Address_______________________________
Electronic Address_________________________________
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COLLATERAL:
(Required)
Aircraft Make/Model
Serial Number
U.S. Registration Number
Engine Manufacturer/Make
Model
Serial Number
Additional collateral listed on attachment
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TYPE OF INTEREST:
(At least one block must be checked)
Notice of Prospective International Interest, Prospective assignment, prospective sale
International Interest
Contract of Sale
Discharge or Release
Other (specify type)______________________________________________________________________________________
SUBMITTED BY: ________________________________________________________________________
(name, address, telephone number)
_________________________________________________________________________________________
Page 1 of ______
AC Form 8050-135 (02/06)