REGISTRATIONNOTTRANSFERABLE----UNITEDSTATESOFAMERICAIThiscertificateDEPARTMENTOFTRANSPORTATION-FEDERALAVIATIONADMINISTRATIONmustbeintheairCERTIFICATEOFAIRCRAFTREGISTRATIONcraftwhenoperated.NATIONALllYANDAIRCRAFTSERIALNO.REGISTRATIONMARKSN53710PH636149022MANUFACTURER ANDMANUFACTURER'SDESIGNATIONOFAIRCRAFTDJIINNOVATIONSPHANTOM2VISIONICAOAircraftAddressCode:51546355ID&CINSPECTIONSERVICESINCs221S NREPSDORPHRDsSEABROOKTX77586-6445uE0T0CorporationThiscertificateisissuedforregistrationpurposesonlyandisnotacertificateoftitle.TheFederalAviationAdministrationdoesnotdeterminerightsofownershipasbetweenprivatepersons.w00[OfficialBusinessPenaltyforPrivateUse$300ACForm8050-3(10/2010)SupersedespreviouseditionTO:D&CINSPECTIONSERVICESINC2215 NREPSDORPHRDSEABROOKTX77586-6445ItiscertifiedthattheabovedescribedaircrafthasbeenenteredontheregisteroftheFederal0AviationAdministration,UnitedStatesofAmerica,inaccordancewiththeConventiononInternationalCivilAviationdatedDecember7,1944,andwithTitle49,UnitedStatesCode,U.S.Departmentandregulationsissuedthereunder.ofTransportationFebruary18,2015i1Y'<---«gc/DATEOFISSUEEXPIRATIONDATEFebruary28,2018-m1hf<trii,;;nIH•JiJ:jj::jf11JnJ:j:j111j:ufJ:n:lri:1jin:Jl1ij;.:ijji:1jijACForm8050·3(10/2010)SupersedespreviouseditionsOMBConlrolNo.2120-0042Exp.11/30/2014PaperworkReductionActStatement:Theinformationcollectedonthisformisnecessarytoensureapplicanteligibility.TheinformationIsusedtodeterminethattheapplicantmeetsthenecessaryqualificationsasownerofanamateurbuiltaircraft.Weestimatethatitwilltakeapproximately30minutestocompletetheform.Thelnformatloncollectionisrequiredtoobtainabenefit.Theinformationcollectedbecomespartoftheaircraftregistrationsystem.Pleasenotethatanagencymaynotconductorsponsor,andapersonisnotrequiredtorespondto,acollectionofinformationunlessitdisplaysacurrentlyvalidOMBcontrolnumber.OMS2120-(}042.CommentscoveringtheaccuracyofthlsburdenandsuggestionsforreducingtheburdenshouldbedirectedtotheFAAat800IndependenceAvenueSW,Washington,DC20591.ATTN:InformationCollectionClearanceOfficer,AES-200.U.S.IdentificationAFFIDAVITOFOWNERSHIPFORAMATEUR-BUILTANDOTHERNON-TYPECERTIFICATEDAIRCRAFT(doesnotincludelight-sport)NameofAmateur/NonTC'dbuilderDJIInnovationsModelPhantom2VisionSerialNumberPH636149022Class(airplane,rotorcraft,glider,weightshiftcontrol,powered-parachute,etc.)Rotorcraft-0A5TypeofEngineInstalled{reciprocating,turboprop,2or4cycle,electric,etc.)Electric-------------------Manufacturer,ModelandSerialNumberofeaehEngineInstalledDJIInnovations-------------------------Model:N/AS/N:N/ANumberofEnginesInstalled_4:________BuiltforLandorSeaOperationLandNumberofSeats0-------------MUSTCHECKONEDMorethan50%oftheabove-describedaircraftwasbuiltfrommiscellaneouspartsandIamtheovmer.(ThisoptionIsforaircrafteligibleforcertification.),0Morethan50%oftheabove-describedaircraftwasbufftfromakit(prefabricatedparts}andIamtheowner.ThebillofsalefromthekitmanufacturerisaUached.{Thisoptionisforaircraftel!glb!eforamateur-bulltcertification.)0Jcertifythattheabove.desr;ribedaircraftisane\lJ.ybuiltnon-typecertificatedaircraftandisnotcurrentlyregisteredinanothercountry.(Tt1isoptionisforaircrafteligibleforexperimentalcertlficaUonotherthanamateur*built.)0Icertifythattheabove-describedaircraftIsapreviouslybuilt(used)non-typecertificatedaircraftandisnotcurrentlyregisteredinanothercountry.{ThisoptionisforairC(afteligibleforexperimentalcertificationotherthanamateur-builtcertification.)0Evidenceofownershipfromtheaircraftbuilderthroughanyintervening0\wtersisattached(chainofovmership).DUnabletoobtaincompletechainofownership.Statementastoownershiphistoryandwhereaboutsofaircraftisattached.NameofOwnel':D&CInspectionServices_,LTitleofSigner!t:t.-HllR-i>-'4(IfAppropl'iate):President-------SignatureofOwner:Addl'ess:City:SeabrookState:TXZip:77586Telephone:281-326-1800Nota1yPublic:1i:?.Ms:Countyof:1--fa.crls,'30f-.__,dayofpe.cew1<,tNJ,It(Stateof:Subscribedandswomtobeforemethislv1yCommissionExpires:...,..............................................................................(SignahireofNota•yPublic)ArFnrmRO"fi-R:R: