182T. When mailing fees, please use a check or money order made Country

Transcription

1 r I PRINT PAGE 1 ~ PRIVACY ACT STATEMENT OMB Control Number Expires 5/31/214 Paperwork Reduction Act Statement: The information collected on this form is necessary to maintain aircraft registration. We estimate that it will take approximately 3 minutes to complete the form. 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 valid OMB control number. Form Approved, OMB No "Comment$ concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 8 Independence Avenue SW, Washington, C ATTN: Information Collection Clearance Officer, AES-2.' EPARTMENT OF TRANSPORTATION - FEERAL AVIATION AMINISTRATION AIRCRAFT REGISTRATION RENEWAL APPLICATION AIRCRAFT REGISTRATION NUMBER SERIAL NUMBER N 539MY MANUFACTURER MOEL Cessna 182T FAILURE TO RENEW REGISTRATION WILL RESULT IN CANCELLATION OF REGISTRATION AN REGISTRATION NUMBER ASSIGNMENT (See 14 C.F.R (i), 47.4 and 47.41) ATE OF ISSUANCE I ATE OF EXPIRATION I TYPE OF REGISTRATION 1/8/21 1/31/213 Corporation ENTER REGISTERE OWNER(S) & ARESS FROM FAA FILE HELPFUL INFORMATION (Owner 1) NG Research Review Aircraft Registration File Information for this aircraft at: (Owner2) Note: Enter any additional owner names on page two. Assistance may be obtained at our web page: htt12://regist[y.faa.gov/renewregistration, (Address) PO BOX655 by at: faa.aircraft.regist[y@faa.gov, or (Address) by telephone at: (866) (toll free), or (45) )> 1J... Q. s: (fj (fj 1J... l\l 1... l\l -" l City Bristow State VA Zip When mailing fees, please use a check or money order made Country Physical Address: Required when mailing address is a P.O. Box or mail drop. (Address) 1678 Aviation Lane payable to the Federal Aviation Administration. Signature and Title Requirements for Common Registration Types: - Individual owner must sign, title would be "owner". - Partnership general partner signs showing "general partner" as title. (Address)' - Corporation corporate officer or manager signs, showing full title. City Manassas State VA Zip Limited Liability Co authorized member, manager. or officer identified in the LLC organization document signs, showing full title. Country - Co-owner each co-owner must sign; showing "co-owner" as title. - Government authorized person must sign and show their full title. TO RENEW REGISTRATION: REVIEW aircraft registration information, SELECT the appropriate statement, ENTER any change in address in the spaces below, SIGN, ATE, & SEN form with the $5 renewal fee to the: FAA Aircraft Registry, PO Box 2554, Oklahoma City OK , or by courier to: 6425 S enning Room 118, Oklahoma City OK Note: All signatures must be in ink, or other permanent media. To correct entries: raw a single line through error. Make correct entry in remaining space, or complete the form on-line. An application form will be rejected if any entry is covered by correction tape or similarly obscured. I (WE) CERTIFY, THE NAME(S) AN ARESSES FROM THE FAA 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 CHECK all applicable blocks below, COMPLETE, SIGN, ATE & MAIL this NOT REGISTERE UNER THE LAWS OF ANY FOREIGN COUNTRY. form with any fees to the: FAA Aircraft Registry, PO Box 2554, Oklahoma City, OK, , or by courier to: UPATE THE MAILING I PHYSICAL ARESS AS SHOWN BELOW S enning Rm. 118, Oklahoma City OK I (WE) CERTIFY THE: NAME(S) SHOWN ABOVE FOR THE OWNER(S) OF THIS AIRCRAFT IS CORRECT, OWNERSHIP MEETS THE CITIZENSHIP CANCELLATION OF REGISTRATION IS REQUESTE. REQUIREMENTS OF 14 CFR 47.3, AIRCRAFT IS NOT REGISTERE THE AIRCRAFT WAS SOL TO: UNER THE LAWS OF ANY FOREIGN COUNTRY. (Show purchaser's name and address.) NEW MAILING ARESS PO BOX 722 Bristow. VA NEW PHYSICAL ARESS: complete if physical address has changed, or the new mailing address is a PO Box or Mail rop. THE AIRCRAFT IS ESTROYE OR SCRAPPE. THE AIRCRAFT WAS EXPORTE TO: OTHER, Specify PLEASE RESERVE N-NUMBER IN THE OWNER'S NAME AN ARESS. The $1 O reservation fee is enclosed. SIGNATURE OF OWNER 1 (required field) PRINTE NAME OF SIGNER (required field) TITLE (required field) ATE ~d di. ~!. Robert Lindlev President 9/2/213 SIGNATURE OF OWNER "L PRINTE NAME OF SIGNER TITLE I ATE t ".t ~::J.UU \J':!ft:..'.J! u,,_, Use page 2 for add1t1onal signatures. AC Form 85-1 B (4/12)

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3 UNITE STATES OF AMERICA EPARTMENT OF TRANSPORTATION FEERAL AVIAllON AlllmNISTRA11N--.: lllonlloiey AERONAUTICAL CENTER AIRCRAFT REGISTRATION APPLICATION UNITE STATES REGISTRATION NUMBER N 539MY AIRCRAFT MANUFACTURER & MOEL Cessna 182T Sk lane AIRCRAFT SERIAL No. FORM APPROVE OMB No CERT. ISSUE ATE FOR FAA USE ONLY ~ TYPE OF REGISTRATION (Check on&!lox) i\j 1. Individual 2. Partnership V 3. Corporation 4. Co-owner 5. Gov't. P 8. NoCorpon-Citizen, -" rauon o NAME OF APPLICANT (Peraon(s) shown on evidence of ownership. II individual, give last name, first" name, and middle initial.) )> 1J... Q. s: 11 g NG Research 41 Kennett Pike, Ste 134 Greenville, E 1987 TELEPHONE NUMBER: p2 ) ARESS (Permanent mailing address for first applicant listed.) (II P.O. BOX is used, physical address must also be shown.) Rural Route: P.O. Box: 655 CITY STATE ZIP COE Bristow VA 2136 CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ARESS ATTENTION I Read the following statement before signing this appllcatlon. This portion MUST be completed. A lalse or dishonest answer to any qu\15tion in this application may be grounds lor. punishment by fine and I or imprisonment (U.S. Coda, TlHe 18, Sec. 11 ). CERTIFICATION I/WE CERTIFY: (t) That the above aircraft is owned by the undersigned applicant, who is a citizen (including corporations) of the United States. (For llllting trust, give name of trustee: ), or: CHECK ONE AS APPROPRIATE: a. A resident alien, with alien registration (Form 1-15t or Form t 55t) No b. A non-citizen corporation organized and doing business under the laws of (state) and said aircraft is based and primarily used in the United States. Records or flight hours are available lor inspection at (2) That the aircraft is not registered under the laws of any foreign country; and (3) That legal evidenca of ownership is attached or has been filed with the Federal Aviation Administration. NOTE: If executed for co-ownership all applicants must sign. Use reverse side if necessary. TYPE OR PRINT NAME BELOW SIGNATURE NOTE Pending receipt ol the Certilicate ol Aircraft Registration. the aircraft may be operated lor a period not in excess of 9 days, during which time the PINK copy of this application must be carried in the aircraft. AC Form 85-1 (5/3) ( )

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5 UNITE STATES OF AMERICA U.S. EPARTMENT OF TRANSPORTATION FEERAL AVIATION AMINISTRATION AIRCRAFT BILL OF SALE FOR AN IN CONSIERATION OF $1 & OVC THE UNERSIGNE OWNER (S) OF THE FULL LEGAL AN BENEFICIAL TITLE OF THE AIRCRAFT ESCRIBE AS FOLLOWS: UNITE STATES REGISTRATION NUMBER N539MY AIRCRAFT MANUFACTURER & MOEL Cessna 182T Skylane AIRCRAFT SERIAL NO OES THIS o?..:z~ AY OF~~~ter. 21, HEREBY SELL, GRANT, TRANSFER AN ELIVER ALL RIGH S, TITLE AN INTERESTS IN AN TO SUCH AIRCRAFT UNTO: s: 11 ~ Ol co l\l J < '< Ill J ;u a. Q. ~ co... l\l _,, C!) NAME AN ARESS :: (IF INIVIUAL {S), G!VE LAST NAME, FIRST NAME, AN MILE INITIAL) w U'J NG Research <( PO Box 655 :c Bristow, VA 2136 (.) :: ~ fl. EALER CERTIFICATE NUMBER AN TO its EXECUTORS, AMINISTRATORS, AN ASSIGNS TO HAVE AN TO HOL SINGULARLY THE SAI AIRCRAFT FOREVER, AN WARRANTS THE TITLE THEREOF IN TESTIMONY WHEREOF I HAVE SET MY HAN AN SEAL THIS ']_"')t!t AY OF, (i_ l- l - 21 NAME (S) OF SIGNATURE (S) 'TITLE :: w...j...j w U'J (IN INK) (IF EXECUTE (TYPE OR PRINTE) SELLER FOR CO-OWNERSHIP, ALL (TYPE OR PRINTE) MUST SIGN) Cessna Aircraft ( Company IT'\-._:~~.,~- enise Majewski Sr. Customer Account Manager, Contract Administration I "... I ACKNOWLEGMENT (NOT REQUIRE FOR PURPOSES OF FAA RECORING: HOWEVER, MAY BE REQUIRE BY LOCAL LAW FOR VALIITY OF THE INSTRUMENT) ORIGINAL: TO FAA AC Form 85-? (9/~2) (NSN q952--3) Supersedes Previous Edition :3244 $5.Q.Q 9/24121

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7 U.S. epartment of Transportation Federal Aviation Administration Flight Standards Service Aircraft Registration Branch, AFS-75 P.O. Box 2554 Oklahoma City, Oklahoma (45) Toll Free: WEB Address: June 28, 21 CESSNA AIRCRAFT CO ATTN: MARNA Z MURPHY EPT 41 PO BOX RUSS MEYER BLV INEPENENCE KS I II 11 II II I ear Sirs: United States identification mark N539MY has been assigned to CESSNA 182T, serial number , Mode S Transponder Code as requested by Cessna Aircraft Co. This manufacturer's assignment of special registration number cannot be used as an authorization for a number change. If we may be of further assistance, please contact the Aircraft Registration Branch at (45) or toll free Sincerely, Legal Instruments Examiner Aircraft Registration Branch AFS-75-SUPPORT-5 (2/1)

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9 Jun 22, 21 Federal Aircraft Registry Attention: Central Records P.O. Box 2554 Oklahoma City, OK Attn: Central Records, < ACTION > sen. )> 1J... Q. z ~ L c J... l\l... co l\l -" Please assign the following registration number to Cessna Aircraft Company for our customer. The $3. assignment fee is enclosed. The following planes are Model 182T: N428MT N539MY N467TS Please send confinnation of assignment to the address listed below. Cessna Aircraft Company Attention: Marna Z Murphy, ept 41 P.O. Box Russ Meyer Boulevard Independence,l{S 6731 Thank you for your attention in this matter. If you have any questions, please contact me at (62) ~.ilfi~ Marna Z. Murp~ Aircraft License Adm s tor Cessna Aircraft Company $ Cessna Aircraft Company, Russ Meyer Blvd, P.O. Box 1996, Independence, Kansas 6731,

10 FILE WITH FAA AIRCRAFT REGISTRATION BR Z1 JUN 28 Prl 1 rm OKLAHOMA CITY OKLAHOMA

11 MEMORANUM TO THE FILE NATALIE WILKOWSKE 6/28/21 I ATE A Prior Record search was performed for CESSNA AIRCRAFT CO 182T, on 6/28/21. Search results: No Prior Record Assigned N539MY

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