CERT: ISSUE DATE AIRCRAFT MANUFACTURER & Gulfstream, Aerospace @-\N TYPE OF REGISTRATION (Check One box) 01. individual =()2. Partnership 13. Corporation (14.Co-Owner [1 5. Government (8. Non-Citizen Corporation 0 9. Non-Citizen Corporation Co-Owner NAME OR APPLICANT (Person(s) shown on evidence of ownership. If individual, give last name, first name, and mikidie initial.) © CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS ATTENTION! Read the following statement before signing this application. This portion MUST be completed. A talse or dishonest answer to any question in this application may be grounds for punishment by fine and/or imprisonment (U.S. Coda, Title 18, Sec. 1001). CERTIFICATION (1) That the above aircraft is owned by the undersigned applicant, who is a citizen fincluding corporations) of the United States. (For voting trust, give mame of trustee: re CHECK ONE AS APPROPRIATE: & [JA resident alien, with aiien registration (Form 1-151 or Form 1-551) No. b. D1 Anen-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 for inspection at (2) That the aircraft is not registered under the laws of any foreign country; and (3) That legal evicence of ownership is attached or has been filed with the Federal Aviation Administration, NOTE: If executed for co-ownership ail applicants must sign, Use reverse side if necessary, NOTE Pending receipt of the Certificate of Aircratt Registration, the aircraft may be operated for a period not in excess of 90 days, during which time the PINK copy of this application must be carried in the aircraft. AC Form 8050-1 (5/12) (NSN 0052-00-628-9007) TYPE OR PRINT NAME BELOW SIGNATURE EACH PART OF THIS APPLICATION MUST BE SIGNED IN INK, EFTA00313129