Omb No 2120 0003 Form PDF Details

Are you in the process of filing your taxes for the year and need help understanding which forms to use? Knowing where to start can be a daunting task, but with the right information it doesn't have to be. The OMB No 2120 0003 Form is an important form used by individuals and businesses when filing their annual federal taxes. In this blog post, we'll explain what the OMB No 2120 0003 Form is used for, how to complete it accurately and quickly, as well as other essential details you should know before submitting it. Come along on our journey as we explore all aspects of this helpful tax form!

QuestionAnswer
Form NameOmb No 2120 0003 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesOMB, ATA, faa form 8010 4 example, FAA

Form Preview Example

DEPARTMENT OF TRANSPORTATION

OPER. Control No.

 

8. Comments (Describe the malfunction or defect and the circumstances under which it

 

occurred. State probable cause and recommendations to prevent recurrence.)

FEDERAL AVIATION ADMINISTRATION

ATA Code

 

 

 

 

 

 

 

 

 

 

 

 

 

MALFUNCTION OR DEFECT REPORT

1. A/C Reg. No.

 

Enter pertinent data

MANUFACTURER

MODEL/SERIES

SERIAL NUMBER

 

 

 

 

 

 

2.

 

 

 

 

 

AIRCRAFT

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

POWERPLANT

 

 

 

 

 

 

 

 

 

 

 

4.

 

 

 

 

 

PROPELLER

 

 

 

 

 

 

 

 

 

 

 

5. SPECIFIC PART (of component) CAUSING TROUBLE

Part Name

MFG. Model or Part No.

Serial No.

Part/Defect Location.

 

 

 

 

 

 

 

 

6.APPLIANCE/COMPONENT (Assembly that Includes part)

Comp/Appl Name

Manufacturer

Model or Part No.

Serial Number

 

 

 

 

 

 

Optional Information:

 

 

Part TT

 

Part TSO

 

Part Condition

7. Date Sub.

Check a box below, if this report is related to an aircraft

 

 

 

 

 

 

 

 

 

Accident; Date

 

Incident; Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FAA FORM 8010­4 (10­92) SUPERSEDES PREVIOUS EDITIONS

OMB No. 2120­0003

DISTRICT OFFICE

OPERATOR

DESIGNATION

OTHER

 

 

 

 

 

 

 

 

 

COMMUTER

 

 

 

 

 

 

 

 

 

FAA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MFG.

 

 

 

 

 

 

 

)

AIR TAXI

 

 

 

 

 

 

 

(

MECH.

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

OPER.

SUBMITTED BY:

 

 

 

REP.STA.

 

Use this space for continuation of Block 8 (if required).

PAPERWORK REDUCTION ACT STATEMENT: The information collected on this form is used to evaluate certification standards, maintenance programs, and regulatory requirements. The information is required to ensure safety in air transportation. It is estimated that it will take approximately 9 minutes to complete the form. Providing this information is mandatory. No assurance of confidentiality is given. 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. The control number for this collection of information is 2120­0003.

­

U.S. Department of Transportation

Federal Aviation Administration

Flight Standards Service

Aviation Data Systems Branch

P.O. Box 25082

Oklahoma City, OK 73125­5029

AFS­620

Official Business

Penalty for Private Use $300

BUSINESS REPLY MAIL

FIRST CLASS PERMIT NO. 12438 WASHINGTON, D. C.

Federal Aviation Administration

AFS­620 (Alerts)

P.O. Box 25082

Oklahoma City, OK 73125­5029

NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES

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Tips to complete form 8010 4 step 1

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