UNITCO STATC& Of AMCJIJCA lXPAmMCNT Or TI'\AN~P()f'ITAT OH -

fEDERAL A\MTION AOMIHISTRATION·MII<l MONAOHIY AfAONAUltCAL COflP 

AII.CIIAt-r Al:ClSlH~ ION AP'PI.ICATION 

UNfl'CO STAT($ N '2 2 A REGISTIWlON NUMBER 4' W 

AIRCIW'T MANUFACTlJRER & MOOEL 

MJ ..... -11Wo:<J<S uA\1. ~R..X 1'2-

AIRCIW1' &RAl No 

1-NP- X l'loo'L 

TYPC Of' AtGISTRA110N f(:heck OM tlolt) 

H.JtiM AI-'""'HUVtU 

OMB No. 2120-0042 

CERT: ISSUE DATE 

FOR FAA USE ONLY 

~-... 02.-p 0 3. Co<J>ototoon 04.Co-Owner 0 5. Goo.-emment 

0 8. lolon-OI"en Coq)otoloon 0 ll .......o-n Coq)ototxln eo-o- HAM£ OR APPLJCAHT ~ tiiCJwft.,. t'II'IOII'U Of~ n ~ Qr~W k't!l ~.llrSI ~ • .-.cJ ~ lktlaiJ 

TF1 f'PHOIHF NUMBFR: ~J2 • 9,....,- 0"2.0/ 

AOOAt.SS ~ mW~g """*"tor~ eoohoem on 11M) I" PO Box • UNO, fllh't'I:IC:el addree:t mus. aJt()beShowf\1 

Number ilnCI $1TMt t'3sr3 f:Jt(IA r<_ 1-loU....CM/ 

RumiRoutc· P.O Rnx· 

CITY CTATC ZIPOOOC 

AuS1/JJ --1"6)(4$ 7i'1'29 . 0 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 fnl(le or di!#lont::m llnw.-.,.to :•rty (f.lt'!.!ltiClfl if'l lhlll ll(lpi!CIIIIoll !fiftY bo QIOOI'ldl' l(lt JXII'll~n'IO )1 by fiM l ii'KtfO. ilflpriflonrnl~t 

(U.S. Codo. lltlit 18. Soc. 1001).. 

CERTIFICATION 

IM'r CfRTlrY; 

(1) That IM above 31reroft i8 QO,to'tle<J by thot vi'\Citf'Oiqnoct ~enc. whO It a eltl:en iii'ICiudlftQ corporations• 

01 the Unrted Statft. 

(Fa' YOI•\9 lru!lt, 9W OORl(l Of tf\IStet --- ), or: 

g:HCCK OOC e§; APPR~RW~; 

a. 0 AteSider't' 31.en. YO!th .-.n rtgistrt,fion ,.orm I·IC.1 OI',.OJm 1-601) No. 

b. 0 A f!Qn·O~ ~ cwgnnif'Cd and dong b.IIWlotl$ un<IOf lf'IO laws of (siMttl 

lll'ld s.1id ;~ircr.'lft • ba8.s Wid po\mUrlly UM~C~Itl the U""*' Stlt• f~ or Mlgrlt hCkn ate a-.3ilable kw' 

ir1$0f!Cb0tl at 

(2t Thet tr• ~ 1$ not nlgl+:lec:recl londirr the klws ot "'~"~ lot09" ~ry; ~ 

l3) lllat legal ~ or ~ e auact.s « "'- bclon -.cl wilt! tt. r edlttat A<A.<Ibot'l Adm~netration. 

NOTE: Hex~ for c;cHM'net1hip 11 tiC)C)IICMtS must $9'1· Use teYetSe side d nec::essary. 

TYP€ OR PRINT NAME BELOW AE 

I 

~ ..J. mu MlF ~ .... ~ '-;¥3d •tt ,_:>z :r"'" ....,::-- 0~·'-'"'-" ~~,. 

oz """""""' nlU Dt.1r ,_oo 

crt=w <<Z 00 

:t:JCO SIC~ '111\S IW£ oa.., 

:i~CO 

NOTC P~ rece(l4 oJ the Cettlt.ca!e ot ~an lttQ!JtrKIOf\, the~ tNy bG ~eel for a period not in~ of90 

diys. 6.1dng ~iefl b'N 1he PINK QOPV 01 tt'lls ~ion mlm be cwnod in tM a11Q111t. 

AC Fonn 805().1 (5112) (NSN OOS2·00--9007) 
OMS Control No. 2120-0042 

Exp. 1113012014 

Paperwofk RCMJuction Act Statement: The information collected on this form i& nece&$3ry to ensure a.pplicant eligibility. The • 

information is used to determine that the applicant meet(. the nece.s.&.ary quafrfieation$ as owner ot an amateur buit aittr'dft. We 

estimate that it wi11 take approximately 30 minutes to complete the fom1. The information coUcction is required to obtain a benefit. The 

infofmation collected becomes part of the aircraft fegistration system. Please note that an agency may not conduct or sponsor, and a 

person is not required to res.pond to, a collection of infol'fl"\8tion unless it displays a currentty valid OMS control number. OMB 2120· 

0042. Comments covering the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at 800 

fndependence Avenue SW, Washington, DC 20591. ATTN: Information Coflection Clearance Officer, AES-200. 

AFFIDAVIT OF. OWNERSHIP FOR AMATEUR-BUILT AND OTHER 

NON-TYPE CERTIF1CATED AlRCRAFf 

(d<Je$ not i.nclude light-sport) 

1J. S. ldcnLification N242AW 

-------------------------------------------- N'"ne of Amuteur I Nou TC'd builder Multiworks UAV ------------------------------------------ Modcl ERX12 Scnal Number HVP-X12002 

Closs (airplaM. rotorcrafl.. glider. weight shift 

conlfol, powered-parachute, etc.) Rotorcraft 

Type ot' Engine lnsta1Jed (rociprocatmg. turboprop. 2 or 4 cycl~ clcctlic, etc.) Electric 

Manufacturer, Model and S.:.ial Number of each Fnginc Installed T Motor, Model Number: 307140711 

All motors are identical without Serial Numbers. Numbcr ofEngmcs lnstallcd 12 (Twelve) 

Built for Land or Sea Operation _L_a_n_d __________ NLnnbcr of Scat:; _O_.:..(Z_e_r_o..;) _____ _ 

MUST CHECK ON f.. 

0 More than 50% of the above-described aircraft: was bull from mi:scelaneoU$ parts and I am the OY.It"'er. (This option is for aircraft 

eligible tor ~mateurwbuilt certification.) 

0 More than 50% of the above~escribed aircraft was built from a kit (prefabricated partto) and I am the owner. The bill of sale from 

the kit manufacturer is attached. (This option l& for aircraft ci giblc for amateur-built certification.) 

0 I certify that the abovMescribed aircraft is a newly built non-type certi~ated aircraft and is not currentty registered in another 

country. (This optiotl is for aircraft eligible for experimental certification other than amateur·built.) 

0 I certify that the abovMescribed aircraft it; a previously built {used) non4ype certificated aitaaft and is not currently registered in 

another country. (Thi& option is tor aircraft eligible for experimental eenitication other than amateur..I:Juitt certification.) 

0 Evidence of ownership from the aircraft builder through any intervening owners: is attached {chain of ownership). 

O Unable to obtsin complete chain of ownership. Statement a$ to ownership history snd where3bovts of aircraft is attached. 

Name of Ov.11cr: Eric C. Austin dba HeliVideo Productions, LLC 

Signature of 0\\11cr. c == e:=: 

Addrcs..-o;: 13513 Briar Hollow 

city. Austin 

Telephone: (512) 917-0201 

Nota1y Public: 

State of: 

A C Fom1 & 50-88 (03/1 2) 

State· Texas 

Title of Signer 

(If Appropnatc). 

7.ip 78729 

XUE YAN 

My Commission E.q>lrH 

January 17. 2016 

I 
,_(l)(AAI. A\IIATIOH Al»oo..:STfiATION.,..,- ~AONEY loEAOHAU'tiCAL CENTER 

AIRCRAFT AE"GISTRAnoN APPl.ICAYION 

HVP- Xr'l.ool 

FORM APf'f'CNfD 

OMBNo.21~2 

CERT: ISSUE DATE 

FOR FAA USE O.:..:N:;LY:...._., 

/ m>f 01' AECISi1W10H Poe<"""-

fB"i. Individual D 2. Part.n.:.h•P 0 3. Co!'por3110n 04. Co-Ownor 0 S. Govornmont 

0 8, Non..Citizen Coi'J)Oft~Uon 0 9. Non-Citizen CorPOmlion Co-Owne.-

on ~kkwl~ of (>'oiW'lef9hjp.lf.,<l•'w10Ual, gi.,.. aa~ nNno. hrst ~. and middle lf'liti31.) 

Numbef' and oot: 

Rural Aoute; 

QIY 

AU$1/,J 

n CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS 

AITENTION! Read the following statement before signing this application. 

This portion MUST b<l completed. 

A...._or~....., to..,Q..li8MIOftifl.._~,_,btSIJ"l'UUII$kr~ f1¥ line andbw•..,.WIWJilil!itt 

fiJ.$. Coo$. Tcttt11. S.C. 1001). 

CERTIFICATION 

1/WI:. CCRTIFY: 

( It Thnt tl'Je above arc:ran: Ia owned by the ~MIQneel applbrrt,. \OifiO • • eili.ron ~ndl.ld•ng cor~ O'lti:n:s) of fht tJrllted Stalet. 

(fOT '«<li'1g 1n.I:SI. ~ IOMol~ 

Cti[O<ON£ ASAPPt~ 

•· 0 A resi:Senl -.,, w•th ahn regi~~tr•lon(Form 1~151 or f.orm 1·651) No. 

b. 0 A non-cililt."''i c:or('IOtlltlon OJli3Ail(l(l ond dOII'!J buslne68 ur\001 thO l.l~'S or ($13ht) _ _ nn(l $<lid all't:r'(ltl II bo!lod nrd prlmWIIY USiid io lhQ Vnitt<l StO.tU!I. R1~otd3 or !1~1 hourn llt9 <JYallatllt lOt ir'ISpectron ilt 

i2t That CO,. OIIJQ- ilf IIIQt ~ IMIOOf the 10-M of iJII'f belqn '*"ry. lnd 1St n. 11911 ~of CIW'*'$hp~& a=.chld or tas belln Qd •-.rt ._ r~ ~ *41 - lliZlllilt<lft. 

NOTE: H axocutOd tor co-ownet8hiJ) all app.licanttl must sign. Use mwtrM $Kie if ecEM~StYy. 

M)rt- ,..endi•lQ t00C'1:)1 of tna Cer'lllieale <" AirerM 1-\egi&UMiOI\, 1hr lllrettiM may be oper~to<l 101' a l)&fioc::J noc in oKCM8 or 90 

<1;)'1$. duriu19 whlcl\ llf'l'lt lhe PINK copy of lhlaappiictttion mu:ll be catrled in til(! t•irc!r'llt 
OMS Control No. 2120-0042 

Exp. 11/30/2014 

Paperwork Reduction Act Statement: The information collected on this form is nece$$3.ry to ensure applicant eligibility. The 

information is us.ed to determine tttat the appliea_nt meet$ the necessary qualifications C!l:& owner of an amateur built aircraft. We 

estimate that it will take approximatety 30 minutes to complete the fotrn. The information ooflection is required !o obtain a benefit The 

informatkm colleded becomes part of the aircraft registration system. Please note that an agency may not conduct or sponsor. and a 

person ts not required to respond to, a col ection of information unless it dispklys a currently valid OMS control number. OMB 2120-

0042. Comment& covering the accuracy of this. burden and sugge&tion& for reducing th.e burden $-hoUld be directed to the FAA at 800 

Independence Avenue SW, Washington., DC 20591. AITN: Information CoiJedionC~ranee ontcer, AE-S..200. 

tl. S. ldcnlificotion N219AW ----------------------------------------------------- Name of Amateur 1 Non TC'd builder Multiworl<s UAV ---------------------------------------------------- Model ERX12 Scnal Numbcr HVP-X12001 

Class (airplane, rotorcrafl. glider, weight shift 

control. powered-parachute, etc.) Rotorcrafl 

Type or 1:-".nginc lnstaJicd (n.x .. --lprocating .. turboprop~ 2 or 4 t..-ydc.,. clcctliC) CIC.) Electric 

Manufactw-a·, Model ;md Selia! Number of each r.nginc Installed T Motor, Model Number: 307140711 

All motors are identical without Serial Numbers. NumbcT of Engines Installed 12 (Twelve) 

Built for Land or Sea Opo:ralion Land Nwnbor or SoaL' 0 (Zero) ---------------- --~-------

MUST CHECK ONE 

0 More than 50% of the above-described aircraft was buik from mi$celaneoU$ parts and I am the owner. (This option i$ for aircraft 

eligible tor amateur-buitt certification.) 

0 More than 50°4 of the above-described aircraft vtas built from a kit (prefabricated parts) and I am the owner. The bill of &ale from 

the ldt manufactu er~ attached. (This option is for aircraft eligible for amateur-built certification.) 

[2] I certify tOOt the above-described aircraft is a newty built non-type certificated aircraft and is not currently registered in another 

country. (This option is for aircraft eligible for experimental octtffication other than amatcur-budl) 

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-buitt certification.) 

0 Evidence of ownership from the aircraft builder through any intervening owners is attached (chain of ownership}. 

O Unilble to obtain complete chain of ownership. Statemoot as to ownership history and whereabouts of a.ircr3ft iG attached. 

Name of Owner· Eric C. Austin dba He · o Productions, LLC 

Signature of Ch\1tcr: 

Address: 

c ity : Austin State. Texas 

Telephone: (512) 917-0201 

Nota•y J~Jbl ic: 

Stale of: 

Subocribed and swom to before me Ibis 

AC Fonn 8050- 03/12) 

Zip. 78729 

XU£ YAH 

My Commiulon bplm 

January 17, 2016