EFTA00313213.pdf

PRINT PAGE 1 PRIVACY ACT STATEMENT OMB Control Number 212O-One Expire; 053 I/2014 Paperwork Reduction Act Statement: The Non &n celeded on this form is necessary to maintain aircraft registration. We estimate Malawi take approximately 30 minutes to complete the roan. Please role Mal an agency may not conduct a sponsor, end a person is not required to reSliondlo. 407007k0r, d informal-on unless it 504:4eYs a valid OMB contra number. Form Approved, COB No. 2120-0729 'Comments concerning the accuracy of this burden and suggestions or reducag the burden should be directed to the FM at: 803 Independence Avenue SW, Wastinglon, DC 20591. ATTN: Information Collection Clearance Officer. AES'200.' FAILURE TO RENEW REGISTRATION WILL DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION RESULT IN CANCELLATION OF REGISTRATION AIRCRAFT REGISTRATION RENEWAL APPLICATION AND REGISTRATION NUMBER ASSIGNMENT (S•• /4 C.F.R. §§ 47.150), 47.40 and 47.41) AIRCRAFT REGISTRATION NUMBER SERIAL NUMBER N 909JE 151 MANUFACTURER MODEL Gulfstream Aerospace GII50 DATE OF ISSUANCE DATE OF EXPIRATION TYPE OF REGISTRATION 03/15/1994 11/30/2013 Corporation ENTER REGISTERED OINNER(S)& ADDRESS FROM FAA FILE HELPFUL INFORMATION (owner I) Hyperion Air, Inc. Review Aircraft Registration File Information for this aircraft et: JItto://rectistry.taa.gov/aircrattinouiry. (Owner 2) Note: Enter any additional owner names on page two. Assistance may be obtained at our web page: hltolkeaistry faa oevirentwreoistration, (Address) 103 Foulk Road by e-mad at: faa.aircraft realstryaleaeov, or (Address) Suite 202 by telephone al: (866) 762 - 9434 (Id free). or (405)954 - 3116 City Wit:7141010h State DE Zip 19803-3742 When mailing fees, please use a check a money order mace Country United States payable to the Federal Aviation Administration. Physical Address: Required when mailing address is a P.O. Box or mall drop. Signature and Title Requirements for Common Registration Types: • Individual owner must sign, bile would be 'owner. (Address) Partnership general partner signs Showing 'general partner as title. (Address) - Corporation axpccate officer or manager signs. showing full tile. City State Zip • Lknited Liab Hy Co authorized member, manager, or officer identified in the LLC organization document signs. shoWng hill title. Country - Co-owner each co-owner must sign; showing 'co-cromer as title. • Government authorized person must sign end show MeV Ns title. TO RENEW REGISTRATION: REVIEW aircraft registration information, Nets: All signatures must be In Ink, or other permanent media. SELECT the appropriate statement. ENTER any change in address in the spaces below SIGN. DATE, & SEND form with the S5 renewal fee to the: To correct entries: Draw a single line through error. Make correct entry in FM Aircraft Registry, PO Box 25504, Oklahoma City OK 73125-0504, or remaining space, Or complete the form on4ine. An application form will be by courier to: 6425 S Denning Room 118, Oklahoma City OK 73169-6937 rejected if any entry is covered by correction tape a similarly obscured. a I (WE) CERTIFY, THE NAME(S) AND ADDRESSES FROM THE FM FILES FOR THE OWNER(S) OF THIS AIRCRAFT ARE CORRECT, OWNERSHIP TO CANCEL THE REGISTRATION FOR THIS AIRCRAFT: MEETS CITIZENSHIP REQUIREMENTS OF 14 CFR §47.3, AIRCRAFT IS 015Q5 all apple:Ws Mocks below. COMPI ETE, MN, DATE 8 this NOT REGISTERED UNDER THE LAWS OF ANY FOREIGN COUNTRY. form with any fees to the: FM Aircraft Registry, PO Box 25504, Oklahoma City, OK, 73125-0504. or by courier to: O UPDATE THE MAILING I PHYSICAL ADDRESS AS SHOWN BELOW. 6425 S Denning Rrn. 118, Oklahoma City OK 73169-8937 I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF THIS AIRCRAFT IS CORRECT, OWNERSHIP MEETS THE CITIZENSHIP O CANCELLATION OF REGISTRATION IS REQUESTED. REQUIREMENTS OF 14 CFR 547.3, AIRCRAFT IS NOT REGISTERED O THE AIRCRAFT WAS SOLD TO: UNDER THE LAWS OF ANY FOREIGN COUNTRY. (Show purchasers name arid address.) NEW MAILING ADDRESS ❑ THE AIRCRAFT IS DESTROYED OR SCRAPPED. NEW PHYSICAL ADDRESS: complete if physical address has changed, or ❑ THE AIRCRAFT WAS EXPORTED TO: the new mailing address is a PO Box or Mai Drop. Ei OTHER, Specify ❑ PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME AND ADDRESS. The $10 reservation fee is enclosed. SIGNATURE OF OWNER I , y r u 0) (required PRINTED NAME OF SIGNER Owsese Sold) TIRE (upwind WI DATE /2 A.( 0-...A. Nil/ Darren K. Indvke lace President 07/23/2013 S TURF OF OWNER 2 PRINTED NAME OF SIGNER TTTLE DATE Use page 2 for additional signatures. AC Form 8050-18 (04/12) EFTA00313213 Note: Twelve (12) owner names may be entered on this page. If you require more, enter the first 12 names and then print this page by pressing the 'Print Page 2' button below. Next click the 'Reset' button to clear the data fields (from page 2 only) to add more names. Repeat action as needed. PRINT PAGE 2 RESET NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TIRE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE rPRINTED NAME OF SIGNER TITLE NAME OF OWNER J DATE SIGNATURE PRINTED NAME OF SIGNER TITLE NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE I NAME OF OWNER DATE SIGNATURE PRINTED NAME OF SIGNER TITLE AC Form 8050-18 (04/12) REF N-NUM: 909JE EFTA00313214