Paperwork Reduction Act Statement: The information collected is used to register an aircraft or hold an aircraft in trust. The
information is required to register and prove ownership of an aircraft. We estimate that it will take .5 hour to complete. Us e 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 OBM control number. The OMB control number associated with this collection is
2120-0042. 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, ABA-20
OMB Control No. 2120-0042
8/31/2008
U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION
Aircraft Registration Branch
PO Box 25504
Oklahoma City, Oklahoma 73125-0504
CERTIFICATE OF REPOSSESSION OF ENCUMBERED AIRCRAFT
The undersigned hereby certifies that they are the true and lawful holder of a note or other evidence of indebtedness
secured by a
on the following described aircraft:
(Type of Security Agreement)
Aircraft Manufacturer and Model
Aircraft serial number
FAA registration number
Said Security agreement on the above aircraft bears the
and was executed by
date of
to
and assigned
. This Security
to
agreement was recorded under Title 49, United States Code, Section 44107,
day of
,
,
on the
and was entered in the Civil Aviation Registry as document
.
no.
On the
day of
,
, the aforesaid
breached the
obligations and promises contained in the Security agreement. The undersigned certifies that the secured party has
performed all obligations imposed on it by the security agreement and applicable local laws; that in accordance with the
terms of said security
agreement, and pursuant to the pertinent laws of the
,the undersigned repossessed the
state of
aircraft
described above and foreclosed on
day of
,
, and that pursuant to local
the
law,
divested the said debtor, and any and all persons claiming by, through or under them, of any and all title they had or may
have had, and the secured party now owns the aforesaid aircraft, or the aircraft has been sold.
If the agreement involved was not recorded with the
NAME OF HOLDER OF SECURITY AGREEMENT
NOTE:
Aircraft
Registration Branch, the original or certified true copy
should accompany this certificate of repossession
SIGNATURE (IN INK)
Title
ACKNOWLEDGMENT
(Not required for purposes of FAA recording; however, may be required by local law for validity of the
instrument.)
AC Form 8050-4 (2-00) Supercedes previous editions