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Fill and Sign the Heavy Vehicle Use Tax Declaration Form 846

Fill and Sign the Heavy Vehicle Use Tax Declaration Form 846

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U.S. Department of Transportation Federal Aviation Administration Aircraft Registration, Branch, AFS-750 PO Box 25504 Oklahoma City, OK 73125-0504 Phone: (405) 954-3116 Fax: (405) 954-3548 Website: http://registry.faa.gov/ INFORMATION TO AID IN THE COMPLETION OF THE FAA ENTRY POINT FILING FORM FOR THE INTERNATIONAL REGISTRY For parties wishing to obtain an authorization code to transmit information to the International Registry, AC Form 8050-135 must be submitted to the FAA Aircraft Registry. The minimum requirements to complete each section are as follows: PARTY: The complete name, address and telephone number of at least one of the parties to the conveyance or prospective conveyance must be shown. The party may also include their electronic address, if applicable. COLLATERAL: A complete description of all affected collateral must be shown including the make, model, serial number, and U.S. registration/identification number, if applicable. If more space is required, additional collateral may be listed on an attachment, and the appropriate block checked on the form. TYPE OF INTEREST: Check the appropriate block for the type of interest. At least one block must be checked. SUBMITTED BY: Show name, address, and telephone number of the submitter. An incomplete submission will prevent or delay issuance of an authorization code. This form may be completed manually or online and faxed or mailed to the above address. Forms submitted via courier service should be sent to the following address: Federal Aviation Administration Aircraft Registration Branch, AFS-750 Registry Building, Room 118 6425 S. Denning Ave. Oklahoma City, OK 73169 The Convention on International Interest in Mobile Equipment, as modified by the Protocol to the Convention on International Interest in Mobile Equipment on Matters Specific to Aircraft Equipment (Cape Town Treaty), is available for viewing at http://www.unidroit.org. PLEASE DO NOT SUBMIT THIS INFORMATION SHEET TO FAA. AC Form 8050-135 (02/06) Paperwork Reduction Act Statement: The information collected on this form is necessary to obtain authorization to transmit information to the International Registry. The information is a condition for the issuance of a unique authorization code. We estimate that it will take approximately 30 minutes to complete the form. Please note that any 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 2120-0697. AUTHORIZATION CODE FAA ENTRY POINT FILING FORM INTERNATIONAL REGISTRY PARTY: (At least one party is required) PARTY: Name__________________________________________ Name____________________________________________ Address________________________________________ Address__________________________________________ _______________________________________________ _________________________________________________ Phone__________________________________________ Phone____________________________________________ Electronic Address_______________________________ Electronic Address_________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------COLLATERAL: (Required) Aircraft Make/Model Serial Number U.S. Registration Number Engine Manufacturer/Make Model Serial Number ‪ Additional collateral listed on attachment ------------------------------------------------------------------------------------------------------------------------------------------------TYPE OF INTEREST: (At least one block must be checked) ‪ ‪ ‪ ‪ ‪ Notice of Prospective International Interest, Prospective assignment, prospective sale International Interest Contract of Sale Discharge or Release Other (specify type)______________________________________________________________________________________ SUBMITTED BY: ________________________________________________________________________ (name, address, telephone number) _________________________________________________________________________________________ AC Form 8050-135 (02/06) Page 1 of ______

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