Evidence of Ownership Documents

OMB Control Number: 2120-0042
Expiration Date: 10/31/2025

AFFIDAVIT OF OWNERSHIP
PRA Public Burden Statement: A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall
a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork
Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for
this information collection is 2120-0042. Public reporting for this collection of information is estimated to be approximately 30
minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, completing and reviewing the collection of information. All responses to this collection of information are required to
show applicant eligibility and evidence of ownership to register an aircraft or hold an aircraft in trust in accordance with 14 CFR Part
47. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort
Worth, TX 76177-1524

LIGHT-SPORT AIRCRAFT MANUFACTURER’S AFFIDAVIT
U. S. Identification
Manufacturer
Model

Serial Number

Class (airplane, gyroplane, weight-shift-control,
powered parachute, balloon, airship, glider)
Land or Sea Operation
Type of Engine installed (2 cycle, 4 cycle)
Engine Manufacturer
Engine Model

Serial Number

Number of Seats
DECLARATION
First option: I certify that the aircraft described above is a newly manufactured aircraft; that it will meet all applicable
consensus standards under 14 CFR 21.190; and the aircraft is not currently registered in another country. Dealer’s
Aircraft Registration Certificate Number
(if applicable).
Second option: I certify that the aircraft described above is a newly manufactured unassembled aircraft that meets
all applicable consensus standards under 14 CFR 21.191(i)(2); and the aircraft is not currently registered in another
country. Dealer’s Aircraft Registration Certificate Number
(if applicable).
Name of Manufacturer:
Signature (In Ink or Digital) of Manufacturer:

Title of Signer (If Appropriate)

Address:
Number and Street

Apt. Number

P. O. Box

Rural Route

City

State (or foreign Province, State, Country)

Zip
Telephone Number

(

)

Email Address

Notary Public (or a person authorized under local law to administer oaths):
State of

County of

Foreign Country

Subscribed and sworn to before me this
My Commission Expires:

day of

(DD/MM/YYYY)

(Signature of Notary Public)
(Seal required if applicable in your State)
AC Form 8050-88A (09/24) Supersedes Previous Edition

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