Form 8050-41 – Fill Out and Use This PDF

DEPARTMENT OF TRANSPORTATION

FEDERAL AVIATION ADMINISTRATION

THIS FORM SERVES TWO PURPOSES

PART I acknowledges the recording of a security conveyance covering the collateral shown. PART II is a suggested form of release, which may be used to release the collateral from the terms of the conveyance.

PART I CONVEYANCE RECORDATION NOTICE

NAME (last name first) OF DEBTOR

NAME and ADDRESS OF SECURED PARTY/ASSIGNEE

NAME OF SECURED PARTY’S ASSIGNOR (if assigned)

THE SECURITY CONVEYANCE DATED ________________________ COVERING THE ABOVE COLLATERAL WAS

RECORDED BY THE FAA CIVIL AVIATION REGISTRY ON ________________________________ AS CONVEYANCE

NUMBER ____________________________.

PART II – RELEASE – (This suggested release form may be executed by the secured party and returned to the Civil Aviation Registry when the terms of the conveyance have been satisfied.)

THE UNDERSIGNED HEREBY CERTIFIES AND ACKNOWLEDGES THAT THEY ARE THE TRUE AND LAWFUL HOLDER OF THE NOTE OR OTHER EVIDENCE OF INDEBTEDNESS SECURED BY THE CONVEYANCE REFERRED TO HEREIN ON THE ABOVE DESCRIBED COLLATERAL AND THAT THE SAME COLLATERAL IS HEREBY RELEASED FROM THE TERMS OF THE CONVEYANCE. ANY TITLE RETAINED IN THE COLLATERAL BY THE CONVEYANCE IS HEREBY SOLD, GRANTED, TRANSFERRED, AND ASSIGNED TO THE PARTY WHO EXECUTED THE CONVEYANCE, OR TO THE ASSIGNEE OF SAID PARTY IF THE CONVEYANCE SHALL HAVE BEEN ASSIGNED; PROVIDED, THAT NO EXPRESS WARRANTY IS GIVEN NOR IMPLIED BY REASON OF EXECUTION OR DELIVERY OF THE RELEASE.

DATED THIS ____________ DAY OF ___________________________________________________, ____________________.

_______________________________________________________________________________

(Name of security holder)

SIGNATURE IN INK ________________________________________________ TITLE ____________________________

ACKNOWLEDGMENT ( If required By Applicable Local Law):

Form Provided Courtesy of Aero-Space Reports, Inc.