OMB Control No. 2120-0042 Exp. 11/30/2014 Paperwork Reduction Act Statement: The information collected on this form is necessary to ensure applicant eligibility. The information is used to determine that the applicant meets the necessary qualifications as owner of an amateur built aircraft. We estimate that itwill take approximately 30 minutes to complete the form. The information collection is required to obtain a benefit. The information collected becomes part ofthe aircraft registration system. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection ofinformation unless it displays a currently valid OMB control number. OMS 2120- 0042. Comments covering the accuracy ofthis burden and suggestions for reducing the burden should be directed to tlie FAA at 800 Independence Avenue SW, Washington, DC 20591. ATTN: Information Collection Clearance Officer, AES-200,



### AFFIDAVIT OFOWNERSHIP FOR AMATEUR-BUILT AND OTHER NON-TYPE CERTIFICATED AIRCRAFT 

### (does not include light-spol't) U. S. Identification 

## N534ED 

# ------------------------------------------ Name ofAmatem 

### 1Non TC'd builder 

## DJI Innovations 

# ---------------------------------- Model 

## Phantom 2Vision plus
Class (airplane, rotorcraft, glider, weight shift control, powered-parachute, etc.) Serial Number 

## PH645202714 Rotocraft-UAS Type ofEngine Installed (reciprocating, turboprop, 2 or4 cycle, electric, etc.) 

## Electric Manufactmer, Model and Serial Number ofeach Engine Installed 

## _D_J_I_M_o_d_e_l_2_2_1_2 _________ _ Serial 

## # N/ A Number ofEngines Installed 

## 4



# ------- Built for Land 

### or Sea Operation 

## Land and Sea Number ofSeats 

## 0



# --------

**~iUST** 

### CHECK ONE 

# D More than 50% of the above-described aircraftwas built from miscellaneous parts and I am the owner. (This option is for aircraft eligible for amateur-built certification.) 

# 0 More than 50% ofthe above-described aircraftwas built from a kit (prefabricated parts) and I am the owner. The bill ofsale from the kit manufacturer is attached. (This option is for aircraft eligible for amateur-buill certification.) 

# 0 I certify that the above-described aircraft is a newly built non-type certificated aircraft and is not currently registered in another country. (This option is for aircraft eligible for experimental certification other than amateur-built.) 

# 0 I certify that the above-described aircraft is a previously built (used) non-type certificated aircraft and is not currently registered in another country. (This option is for aircraft eligible for experimental certification other than amateur-built certification.) 

# D Evidence of ownership from the aircraft builder through any intervening owners is attached (chain of ownership). 

# O Unable to obtain complete chain of ownership. Statement as to ownership history and whereabouts of aircraft is attached.


### Name ofOwner: 

## Daniel Harry
**------~-----------------------------------** 

### Signature ofOwner: Title ofSigner



## -~~~~~~~~~~~~- (IfAppropriate):



## _P_r_e_s_id_e_n_t~~~~-- Address: 

## 2215 Repsdorph RD. City: 

## Seabrook State: 

## TX Zip: 

## 77586



# ------ Telephone: 

## 281-326-1800 Notary Public:
State of: 

# 7£ '(j)S , ' . \

.

**~** f.'

**~** I 

# u······· · oro.:s
Subscribed and sworn to before me this tvly Commission Expires:
(Signature ofNotary Public)

AC 

### Form8050-88 (03/12)

# Addendum to AC Form 8050-88 (03/12)
for DJI INNOVATIONS PHANTOM 2 VISION+, SERIAL NUMBER PH645202714, FAA registration number N534ED Januaty 28, 2015 At the behest ofthe FAA representative, the following additional information is added for consideration for the registration ofthe aircraft:
FAA Letter dated January 16, 2015 from Jamie Powers Comment a. - All craft operated by D&C Inspection Inc. are ofnew construction and are not and have never been registered in a foreign country. The manufacturer and the government ofthe country of manufacture do not require registration ofthese type ofcraft and no statement from the official havingjurisdiction over the national aircraft of China stating "the aircraft has
never been registered or that the registration as ended or is invalid" is available from the government ofthe country of manufacture. The DJI INNOVATIONS PHANTOM 2 VISION+ craft was received new as a kit that was assembled, pretested, and modified to meet the minimum safety requirements. This aircraft has been modified at our facility in the USA to include additional safety features: In the event ofinterruption ofthe control signal or minimum power availability,
an automated "go home" function where the craft will climb to a preset altitude (up to 150 feet from ground level) to avoid obstructions and return to a defined GPS coordinate at either the takeofflocation or the controller location (based
on initial startup procedure). GPS/altimeter hold hardware and software are properly installed so the craft is stable at a given elevation without the pilot having to adjust constantly. GPS triangulation hardware and software are properly installed so the craft is stable within reason and will hold the GPS location without pilot having to adjust constantly. Comment b.

- See attached the revised Affidavit of Ownership to include the statement "Rotorcraft

- UAS"

Comment c. -The subject aircraft is a DJ! 1

## IijNO)!ATIONS PHANTOM 2 VISION+, SERIAL NUMBER PH645202714, FAA registration number N534ED and carries 4 electric motors DJI model·2212. Individual electric motor serial numbers are not issued by the manufacturer and are unavailable.

Page 1 of2

## Comment d. -We think there may be some confusion on the registration applications we submitted. There are applications for 2 aircraft that are similar. One is DJI INNOVATIONS PHANTOM 2 VISION+, SERIAL NUMBER PH645202714, FAA registration number N534ED and the other is OJ! INNOVATIONS PHANTOM 2 VISION+, SERIAL NUMBER PH645202714, FAA registration number N534ED. We are not understanding the requirement to correct the serial number. Please advise. We have attached the invoice referencing this aircraft from the manufacturer. Some ofthe craft were purchased from the US based authorized distributor for OJ! prior to D&C becoming an authorized distributor or were purchased to include different camera/gimbal control and combinations. Please let me know ifanything further is required.

Daniel Harry President, D&C Inspection Services Inc.

Page 2 of2pRJNTVIS!ON, iNC.(212)398-4670

, <AmlENT PRINTINGOffiCE:2004-£68-545

-{rU.S.GOV<- • 302416 

### ('; 

# trl (' OK-'12·1970-JAH
FORMAPPROVED OMB No. 2120-0042 Papenvork Reduction Act Statement: The information col!ected Is used to register an aircraft or ho!d an aircraft in trust The informalion is required to determine that aircraft are registered in accordance with the provisions of the Federal Aviation Regulations. We estimate it 

### wm take .5 hour to complete. 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. OMB 2120-0042. Comments concerning the accuracy of this burden and suggestionsforreducingthe burdenshou!dbe directedtothe FAAat:800IndependenceAve., SW, Washington DC, 20591, atto: !nformaUon CollectionClearanceOfficer,AES-200. ' 

## UNITEDSTATES OFAMERICA-DEPARTMENTOFTRANSPORTATION FEDERAL AVIATION ADMINISTRATION-MIKE MONRONEYAERONAUTICAL CENTER 

## AIRCRAFT REGISTRATION INFORMATION I'IIEPARATION: 

### Prepare this form in duplicate. Except for signatures, all data ,·, i•Juld be typewritten or printed. Signatures must be in ink. The name of the "•:Jiicantshouldbeidenticaltothenameofthepurchasershownontheapplicant's ·.•1dence ofownership. VIDENCE OF OWNERSHIP: 

### The applicant for registration of an aircraft must 1iJmit evidence of ownershipthat meets the requirements prescribed in Part 47 t'1e Federal Aviation Regulations. AC Form 8050-2, Aircraft Bill of Sale, or its i'''valentmaybe usedas evidenceofownership. Iftheapplicantdidnotpurchase , 11ircraft from the last registered owner, theapplicant mustsubmitconveyances :**~<pleting** 

### thechain ofownership from the registered ownertotheapplicant.

ourchaser under a CONTRACT OF CONDITIONAL SALE is considered the '""forthe purpose ofregistration and the contract ofconditional sale must be **>~nitted** 

### as evidenceofownership.

" 1

### 1orationwhichdoesnotmeetcitizenshiprequirementsmustsubmitacertified '/ of itscertificateofincorporation. ;fSTRAT/ON ANDRECORDINGFEES: 

### Thefeeforissuingacertificateofaircraft
·. ·\ t,il\ion is $5.00; therefore, a $5.00 fee should accompany this application. 

## fil; '.lditional $5.00 recording fee is required when a conditional sales contract is Wed as evidence of ownership. There is no recording fee for a bill of sale 11tted withtheapplication. 'NGINSTRUCTIONS: 

### PleasesendtheWHITE originalcopyofthisapplication '\ Aircraft Registration Branch, P.O. Box 25504, Oklahoma City, Oklahoma

0504. Retain the PINK copy afterthe original application, fee and evidence 1m·ship have been mailed or delivered to the Registry. When carried in the ·withanappropriatecurrentailworthinesscertificateoraspecialflightpermit, 1k copy istemporaryauthoritytooperate the aircraft. >E OFADDRESS: 

### An aircraft owner must notifythe FAAAircraft Registry change in permanent address. This form may be used to submit a new I.

**~~-** 1(5!12) (NSN 0052-00-628-9007) 

# I I

### U.S. DEPARTMENT OFTRANSPORTATION Federal Aviation Administration Aircraft Registration Branch, AFS-750 P.O. Box 25504 OklahomaCity, Oklahoma73125-0504 http://registry.fha.gov 

### INFORMATION TO AID IN THE REGISTRATION OFU.S. CIVILAIRCRAFT ELIGIBILITY I. An aircraft is eligible for United States registration only if it is owned by (a) a citizen of the United States, (b) an individual citizen of a foreign country lawfully admitted for pennanent residence in the United States, (c) acorporation (not a U.S. citizen) lawfully organized under the laws ofthe United States or any State thereofas long as the aircraft is based and primarily used in the United States, or {d) a govennnental unit, and it is not registered under the laws of any foreign county. OPERATION OF AN UNREGISTERED AIRCRAFT MAY SUBJECT THE OPERATORTO CIVIL PENALTY 2. DEFINITION OFUNITED STATES CITIZEN a. An individual who is a citizen ofthe United States or one of its possessions. b. A partnership of which each individual is a citizen of the United States. c. A corporation or association created or organized under the laws of the United States or of any State, Territory, or posse-ssion of the United States, of which the president and two-thirds or more of the board of directors ;md other managing ofllcers thereofme such individuals and in which at least 75 percent ofthe voting interest is owned or controlled by persons who are citizens ofthe United States or ofone of its possessions.

### HOW TO REGISTER 3. The owner ofan aircraft must apply to the Aircraft Registration Branch, P.O. Box 25504, Oklahoma City, Oklahoma 73125- 0504, to obtain a certificate ofregistration. The applicant must submit an Aircraft Registration Application, AC Fonn 8050-1, accompaniedby evidence ofownership and a$5 registmtion fee. Requirements for registration of aircraft are contained in the Federal Aviation Regulations, Part 47, "Aircraft Registration." (For sale by the Superintendent ofDocuments, U.S. Govemmcnt Printing Oftlce, Washington, DC 20402.) 

### NAME REQUIREMENTS 4. An aircraft may be registered only by and in the legal name ofits owner. Itis important that aname be the same on all conveyances submitted. Acorporation has only one name which is approved in its charter or certificate ofincorporation: do not use abbreviated
or shortened names. An individual should avoid the usc of nicknames rutd should show "Jr." or "Sr." if applicable. A woman's full given name should be used (Harriet A Jones) rather than her married name (Mrs. George E. Jones). 5. TRADE NAME. When atrade name is used by an individual, by co-owners, or by a corporation, the trade name alone is not sufiicient since it is not the legal entity owning the aircraft. The trade name may appear on conveyances in addition to the legal name ofthe 0\\1ter. 

### AIRCRAFT REGISTRATION APPLICATION 6. The aircraft registration application must be signed by the owner /applicant. The owner's name on the application must be identical to the name as shown on the evidence ofovmership. The type of registration block checked and the title of the signer must also agree. (See requirements for Types of Registration, Items 27 through 31.) The application must also meet the following requirements: a) The typed or printed name ofthe signer(s) must be included in the signature element.



### AFS-750-94 (09/13) b) If a post office or mail drop address is used for mailing purposes, a physical location or physical address must also be shown. c) The application must be completed and essentially "perfect" in original appearance. There can be no white out, strike throughs, or other alterations that obscure the content of the original text or the information provided by the applicant. 

### EVIDENCE OFOWNERSHIP 7. llte applicant for registration of an aircraft last registered in the United States must submit conveyances completing the chain of ownership from the last registered owner, through any intervening O\\ners, to the applicant. 8. A BILL OF SALE. AC Fonn 8050-2, or its equivalent, which transfers all right, title, and interest in a specifically described aircraft, is evidence ofownership. 9. A CONTRAC.'T OF CONDITIONAL SALE may be recorded as evidence of0"11ership and the certificate ofregistration issued to thebuyer. 10. TRANSFER OF EQUITABLE INTEREST. A transfer of equitable interest under acontract ofconditional sale or lease with
a purchase option, previously recorded with the Aircraft Registration Branch, shall be executed by the original conditional buyer (or their assignee) and by the seller under the contract of conditional sale (ortheir assignee) to show consent to the transfer. It shalt describe the original contract, including the date, names of parties, date ofFAA nxording, and conveyance number, and the aircraft by make, model, serial number, and registration number. Arecording fee, in addition to the registration fee, is required. ll. TRANSFER OF INTEREST. A transfer of interest (by an instnunent other than a bill of sale) in an aircraft subject to the security agreement or chattel mortgage whereby the seller conveys all oftheir right, title and interest in an aircraft to a purchaser is eligible for recording as evidence ofownership. llte instmment may contain an assumption clause pertaining to the recorded security document. The transfer agreement should be signed by the seller, the purchaser(ifthepurchaser assumes the debt), and by the lienholderto denote assent to the transfer. It shall describe the original agreement by its date, parties, date ofFAA recording, ru1d conveyance number, and the aircraft by make, model, serial number, and registration number. Arecording fee, in addition to the registration fee, is required. 12. REPOSSESSION. The repossessor ofan aircraft must submit a Certificate ofRepossession on AC Form 8050-4 or its equivalent, accompanied by the original or acertified tme copy ofthe security instmment upon which repossession is based, unless such instnunent is already recorded with this office (See Certified Tme Copy, Item43). 13. FORECLOSURE. When repossession is through foreclosure proceedings resulting in a sale, abill ofsale is required in addition to the court order offoreclosure. The bill ofsale mt1st be signed by the sherifl' or other authorized person who conducted the sale and must include a statement that the sale was made under applicable local law. 14. JUDICIAL SALE, The buyer ofan aircraft at ajudicial sale, or at a sale to satisf}' a lien or charge, must submit a bill of sale signed by the sheriff, auctioneer, or other authorized person who conducted the sale, stating that the sale was made under applicable local law. 15. FORECLOSURE OF MECHANIC'S LIEN. Ifthe lienholder conducts the sale, the lienholder must provide the citation ofthe law under which sale was conducted, a statement that it was conducted in accordance with the law, and documentary evidence ofcompliance.35. ESTATE. A conveyance executed on behalf ofthe estate of a deceased owner must be signed by the authorized representative of the e-state and should be accompanied by that representative's authority to sign for the estate, unless such authority is already on file with the Aircraft Registration Branch. The name ofthe estate should be shown, followed by the representative's signatme and title; i.e., Estate of John Doe by Richard Doe, Executor. The representative's name must be signed exactly as it appears on the authorization document. lfregistration is de-sired by the executor, administrator, or heir-atJaw, the application for registration and $5 registration fee for each aircraft should accompany the authorization document. The certificate ofregistration is issued to the executor or administrator. 36. EXECUTOR OR ADI\IINISTRATOR. Acertified true copy of LcUcrs Testamentary or LcUcrs ofAdministration is required as authority for an executoror administrator to act. 37. HEIR-AT-LAW. Ifno executor or administrator is appointed, a notarized statement from the heir-at-law is required. The affidavit should state that no application has been made for the appointment ofan executor or administrator and that, insofar as the aftlant can determine, no such application will be made; that they are the person entitled to the aircraft under the laws ofthe state having**jurisdiction~** or that under such Jaws they have the right to dispose ofthe aircraft. 38. TRUSTEE. The applicant must submit acertified true copyofthe complete trust instnunent. Ifthe trustor and/or beneficiary is anonU.S. citizen, a copy ofeach document legally affecting arelationship under the trust must also be submitted pursuant to Part47.7(c)(2)(i). This document may be in the form ofan operating agreement, or similarside agreement or arrangement, involvingtmstee and trustor or beneficiary, which allows possession and use ofthe aircraft at all time-s to remain with the trustorand/or beneficial)'. Ifno such document exists, the applicant (owner trustee) must provide sufficient assurances that no such operating agreement, or otherside agreement or arrangement exists between the trustee and the trustor or beneficiary. This might take the form ofa declaration by the owner trustee in an aftidavit submitted in support ofanon-citizen tmst registration, that no such agreement or arrangement has been entered into by the trustee and the tmstor orbeneficiary. The certificate of aircraft registration is issued to asingle applicant as trustee, orto several trusteesjointly as co-trustees. The trustee(s) must submit an affidavit to the effect that each beneficiary underthe trust, including each person whose security interest in the aircraft is incorporated in the tmst, is either a United States citizen oraresident alien. Ifany beneficial)' under the trust, including any person whose security interest in the aircraft is incorporated in the trust, is not aUnited States citizen orresident alien, m1 atlidavit is required from each trustee stating the tmstee is not aware ofany reason, situation, or relationship as aresult ofwhich those persons togetherwould have more than 25 percent ofthe aggregate power to influenceor limit the exercise ofthe tmstees' authority. These aOidavits are required under Part47.7(c)(2)(ii) and (iii) ofthe Federal Aviation Regulations. 39. TRUSTEE OF BANKRUPTCY. A certified tme copy of the court order appointing the trustee in bankmptcy, or other court order naming the trustee, is required to show the trustee's authority to sign. The bankmpt's name should be shown, followed by the signature and title ofthe trustee. 40. TRUST FORMED BY A PARTNERSHIP. A partnership of which each member, considered separately, is a citizen of the United States may establish a tmst and transfer legal title ofthe aircraft to the respective tmstee(s). The partnership, whose members, considered separately, are citizens ofthe United States, may be abeneficial)' under the trust although the partnership itself may not come within the definition of "citizen of the United States" by reason ofone ofthe members being a corporation.The applicant trustee(s) must be either a United States citizen(s), including corporations, or resident alien(s) and must certifY such on the Application for Registration. In addition, the tmstee(s) must submit an afl1davit that each beneficiary, including each person whose security interest in the aircraft is incorporated in the trust, is either a United States citizen or a resident alien (Section 47.7(c)(2)(ii)). If, however, any beneficial)' under the trust is not a United States citizen or resident alien, each trustee must submit an aft!davit that the trustee is not aware ofany reason, situation or 

### AFS-750-94 (09113) relationship (involving beneficiaries or other persons not citizens or resident aliens) as a result of which those persons together would have more than 25 percent of the aggregate power to influence or limit the exercise of the trustees' authority (FAR 47.7(c)(2)(iii)). The original or a certified copy ofthe complete tmst agreement and each additional document legally affecting a relationship, including a security interest, under the tmst is required. Altematively, ifthe subject aircraft is not mmed as a partnership asset, but is co-mmed, and all the co-owners are individually eligible to register aircraft, the aircraft may be registered in the names ofthe co-owners. In any case where one or more ofthe co-owners is a corporation that is not a United States citizen, the requirements of Section 47.9 of the Federal Aviation Regulations must be complied with fully. For further infonnation, please contact the Aeronautical Center Counsel, telephone**405/954~3296.** 

### CHANGE OFNAME 41. When a chmtge ofnameoccurs, the original, certified true copy, or photostatic copy of the instrument approving the chmtge is required; i.e., marriage certificate, certificate from the Secretary of State, certificate from the Comptroller of U.S. Currency, the approved merger agreement, etc. A photostatic copy must show ofl1cial's name, title, and state seal ifapplicable. (See Certified True Copy Requirements, Item 42.) When the registered owner's name is chmtged, m1 application for registration in the new name should be submitted for each aircraft O\\Tied, in addition to the name change document. The fcc is $5 for each aircraft ifmerger is i1wolved. 

### CERTIFIEDTRUE COPY 42. Acertified true copy must be a complete copy (front and back) of the original including all terms, signatures, and dates, to which is attached a signed statement that the copy has been compared with the original and that it is a true copy. The copy must be legible, reproducible, mtd printed on paperpermanent in nature. Adocument issued by acourt oflaw should be certified as true by an ofliccr ofthe court. Acertificate ofincorporation must be certified as trueeitherby the Secretary of State or by a corporate officer of the certificate holder. Statutory: 49 United States Code 40101**~ ~**  Regulatory: 14 Code ofFederal Regulations Parts 47 and 49. 

### 3U.S. Department Flight Standards Service P.O. Box 25504 ofTransportation 

### Federal Aviation Administration Aircraft Registration Branch, AFS·750 Oklahoma City, Oklahoma 73125·0504 (405)954-3116 Toll Free: 1-866--762·9434 WEB Address: http://registry.faa.gov



### Febmary 12, 2015

D&C INSPECTIONS SERVICE..') INC 2215 REPSDORPH RD SEABROOK TX 77586 

## 11,,,II",I,1,1,I,,I"II,,I,,oil

Dear Sirs:
The Civil Aviation Registry has received the documents petiainingtoDJIINNOVATIONS PHANTOM2 VISION+, serial numberPH645202714. United States registration number N534ED has been assigned. The following item(s) are required beforeregistration ofthe experimental aircraft canbecompleted:

a. An Affidavit ofOwnership for Amateur-Built aircraft submittedbyD&C Inspection Serviceswith serial numberPH645180714, dated 12/30/2014 was received by theFAAon December 31, 2014 and remains unrecorded. The affidavit submittedbyD&C Inspection Serviceswith serialPH645180714 must be amended to set asidetheunrecorded affidavit, and must showthefollowing information:
1. The complete aircraft description (i.e., DJI Innovations, PhantomVision 2 Plus, serial numberPH645180714, etc
....).
2. The affidavit must describe theunrecorded Affidavit ofOwnership for Amateur-Built by thedated of 12/30/2014, was received by theFAA on 12/31/2014with document ID

## # 4308 and the affidavit remains unrecorded.

3. The amended to affidavit must statethe Affidavit ofOwnership for AmateurBuilt aircraft was submitted in errorthat the aircraft serial numberwas not correct. In addition, you mu"t includethe statementthat no airworthiness has been applied for orissued.
4. The amended to set aside mustbe signed by officer ofD&C inspection Services and must be notarized.
5. A recording fee of$5.00.

### 2 

### b. Show the legal name ofcorporation in which DanielHarry is signing on behalfas ofPresident onthe line of"Name ofOwner" ofthe enclosed affidavit ofownership which includes a complete description ofthe aircraft, and must be signed in INK 

### before a notary public. Also, the individual name ofDaniel Harry should not be shown on the line of 

## "Name ofOwner".

c. An Application for Aircraft Registration, AC Form 8050-1, completed and signed in inkby the applicant. In addition to the signature, the name ofthe person signing must be legibly printed ortyped in the signatureblock, showing a title, ifappropriate. The previous submitted to ouroffice on 02/05/2015 appears to bea copy and not FAAan official form. New form is enclosed for your convenience. Please see items 1-6c on enclosed information sheet.
d. IfSUAS was purchased in U.S retail store or web-site retail seller, you may submit an invoice ortransfer document showing the retail store and address it SUAS was purchased in the U.S. Or,

e. Ifan invoice, receipt, ortransfer document is not available, you may submit an affidavit stating the SUAS was purchased at aretail store orweb-site retail sellerwithin the U.S. include the name and address ofthe retailer; the approximate date ofthe sale and that to the best of yourknowledge the aircraft has not been registered in another country. Or, 

## f IfSUAS was purchased outside the United States, submit a confirmation from that country that it was either never entered, registration has ended, oraircraft aren't registered in that country. The statement must how the official's name and title, and must describe the aircraft by manufacturer, model, and serial number.
Ifyou require further assistance, you may contact the Aircraft Registration Branch at (405) 954-3116 ortoll free 1-866-762-9434. Sincerely,

Oanh Tran Legal Instruments Examiner Aircraft Registration Branch
Enclosures: BOS, -1, 

### -94