Paperwork Reduction Act Statement: The information collected on this form is necessary to ensure applicant eligibility. The information is used to
determine that the applicant meets the necessary qualifications as owner of an amateur built aircraft. We estimate that it will take approximately 30 minutes
to complete the form. The information collection is required to obtain a benefit. The information collected becomes part of the aircraft registration system.
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 OMB control number. OMB 2120-0042.
Comments covering the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at 800 Independence Avenue SW,
Washington, DC 20591. ATTN: Information Collection Clearance Officer, ABA-20.
AFFIDAVIT OF OWNERSHIP FOR EXPERIMENTAL AIRCRAFT INCLUDING
AMATEUR-BUILT AIRCRAFT AND OTHER NON-TYPE CERTIFICATED AIRCRAFT
(does not include light-sport)
U. S. Identification
Name of Amateur built builder OR
Name of Non TC’d manufacturer
Model
Serial Number
Class (airplane, rotorcraft, glider, weight shift
control, powered-parachute, etc.)
Type of Engine Installed (reciprocating, turbopropeller,2 or 4 cycle, etc.)
Number of Engines Installed
Manufacturer, Model and Serial Number of each Engine Installed
Built for Land or Sea Operation
Number of Seats
MUST CHECK ONE
More than 50% of the above-described aircraft was built from miscellaneous parts and I am the owner. (This option is for
amateur-built aircraft.)
More than 50% of the above-described aircraft was built from a kit (prefabricated parts) and I am the owner. The bill of sale from
the kit manufacturer is attached. (This option is for amateur-built aircraft.)
I certify that the above-described aircraft is a newly manufactured non-type certificated aircraft and is not currently registered in
another country. (This option is for manufacturers only.)
I certify that the above-described aircraft is a previously manufactured (used) non-type certificated aircraft and is not currently
registered in another country.
(This option is for owners of previously manufactured aircraft only.)
Evidence of ownership from the aircraft manufacturer through any intervening owners is attached (chain of ownership).
Unable to obtain complete chain of ownership. Statement as to ownership history and whereabouts of aircraft is attached.
Name of Owner:
Signature of Owner:
Title of Signer (If Appropriate):
Address
City:
State:
Zip:
Telephone:
Notary Public:
State of:
County of:
Subscribed and sworn to before me this
day of
,
My Commission Expires:
(Signature of Notary Public)
AC FORM 8050-88 (01/07)