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 it will take approximately 30 minutes to complete the form. The information collection is required to obtain a benefit. The 

information collected becomes part of the aircraft registration system. 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 OMS control number. OMS 2120-

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

Independence Avenue SW, Washington, DC 20591. ATTN: Information Collection Clearance Officer, AES-200. 

AFFIDAVIT OF OWNERSHIP FOR AMATEUR-BUILT AND OTHER 

NON-TYPE CERTIFICATED AIRCRAFT 

(does not inclnde light-sport) 

U. S. Identification N534AD 

----------------------------------------------------- Name of Amateur 1 Non TC'd builder DJI Innovations ------------------------------------------- Model Phantom 2 Vision Serial Number PH636044997 

Class (airplane, rotorcraft, glider, weight shift 

control, powered-parachute, etc.) Rotorcraft - UAS 

Type of Engine Installed (reciprocating, turboprop, 2 or 4 cycle, electric, etc.) Electric 

Manufacturer, Model and Serial Number of each Engine Installed DJ I model 2212 --------------------------- Serial# N/A Number of Engines Installed 4 

-------------

Built for Land or Sea Operation Land and Sea Number of Seats _0 _________ _ 

MUST CHECK ONE 

0 More than 50% of the above-described aircraft was built from miscellaneous parts and I am the owner. (This option is for aircraft 

eligible for amateur-built certification.) 

D More than 50% of the above-described aircraft was built from a kit (prefabricated parts} and I am the owner. The bill of sale from 

the kit manufacturer is attached. (This option is for aircraft eligible for amateur-built certification.) 

[2] 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.} 

0 Evidence of ownership from the aircraft builder through any intervening owners is attached (chain of ownership). 0 Unable to obtain complete chain of ownership. Statement as to ownership history and whereabouts of aircraft is attached. 

Name of Owner: 

Signature of Owner: 

Title of Signer 

(If Appropriate): President 

-----------------

Address: 

City: Seabrook TX 

------------ Zip: 77586 

Telephone: 281-326-1800 

Notmy Public: 

State of: County of: 

Subscribed and sworn to before me this I Z t/JA. day of 

My Commission Expires: JZ L{ - ;:;)(_) 'Jd 

\} - \!he - (Signature ofNotmy Public) 

AC Form 8050-88 (03/12) 
2/1/2015 HeiiPal.com 

~Homo (S}) T esUmonlal /It FAQ ond TIPS 

c~;~~-~-~·~:ii.~~~~~~~~~~~rf }> Otder 9320256 -·--··········~~~ -~--~~=------·-~--------·-~--:~~~~~~---··-~09 Off ( 

q OJI Sale 

4 Whal's Bot 

Q- Browse by Brand 

NameEl 

~ Drowse by Number of 

Channe[fil 

~Browse by Skllllevellil 

'?- Browse by Slzefil 

q Browse by TyjJQ fiJ 

4 Nultl-mtors m 

v ... fPV system Iii 

->.. Handheld Stablflzer 

q. cameras 

0. Aerial Fllmrng 

(!. RC Cars til 

~ RC Jllanesfil 

Q. RC Boat 

(} RC Notorc.yclo 

0.. RCTanks 

(!. Helicopter Spare 

Partsm 

q, Helicopter Canop!eslil 

0.. He/lcoJlter 

Accessories m 

Q. Plane Spare Parts[!} 

~ Plana 1\ccessorlesm 

Q. Car Spare ParlsiD 

o, car Bodlesl:i1 

!.!- Car AccCJssorles m 

~ t·!otorcyde Partslil 

Q.. nauerlos r .. ChargersG:I 

~ Sorvosm 

~ AIRY Partsm 

<!: leopard Hotort";l!l 

t!. ToolsG 

'?- Screw~Gl 

~ Bags & Cases 

Naw Prllducl 

ll8X004 ESC l'>.ower Cabfe 

USD $S.9fJ 

1 D)J 1:sso GPS f)r ... 

1 English (dofalut) 

• Arable 

t Chlneso (Simplified) 

1 ChJnose (l'r<tdll!omll) 

• Dutch 

1 french 

order Information 

order #32925G (Shipped) 

OHicrTradllng 

The pan:C!:I for th!s ordQr has bean shipped, 9209BOBBlil] 

Qidtr D~t~: Sttuto5ay22 f'£bnJi'tY, ZOH Orduiot<J: Uso $1,105.85 

Oellvew Addrt1ss Products 

Daniel Harry 

2034 Oceanvlew Drive 

seabrook, Texas 77586 

United Slates 

Shipping l·1ethod 

f?xpress (WC!:Ight: 5.62 

1 x 0)1 Phantom 2. ~lslon GPS Drone (RIF) W/ Free Extra 

Battery 

-Node: 2 (Wl lllt"/Ua) -!id«.(«l Qy 

USD 

$1,199,00 

KG. Delivery l!me: 3-4 Days) 

nllllno xnrormt~.tlon 

Ullllng Address 

oanlel nmv 

2034 Ocemwlew Drive 

seabrook1 Texas 17506 

Unlt13tl States 

Payment l·Iathod 

. PayPal 

Order t-Il story 

02/22/2014 \'/atung for 

PayPal 

, 0nfCrmaUon 

sub-Jotal: usn $1,199.00 

Express (Weight: 5.62 KG. 

Oef!very Tlmn: 3·4 0,-.ys}: 

USD 

$106,85 

·r ~, uso 0 "" : $1,305.85 

02/2:2/20!<1 Procilsslng PayPallPN Verified rpqyment stati!S: Completed {Vllrlflt::d; USD $1,305.85), 

Customer PllyPal Mdress~ Diln!el H<my, ?.034 OcennvJaw Dr., senhrook, 77586,. 

IX, U11lled Statos1 US, confirmed} 

02/23J20ltl racklno 

D2j;Nj2.0!4 Shipped 

Order statuS; tJpdated outornotlc~\fy. 

lho pMkago lor this order hus alrl!ady been shipped via om Express. 

You will receive lhenl within 3-5 bus/ness days normally. 

The tcacklng number of shfpplng for the packaoc Is : 923969865-t 

You can check the s!Jipp!no status here: 

llttp:J/mwt.dhl.com.llk/contenVllk/en/express/tracklng.shtml? 

hrand.,.DHLMWB"'92091.H>8854%00%0A 

According to our experlence1 owr 9S0

/o> of our custllmors can receive lhelr 

package- on time, 

However', less than 5% of lh6 package:;; may be delave(l for a few days becqose 

of wslon\s Inspection or post<\! doliW• 

If you Cilrlllotre<:elve the packaoe within 10 business d<Jys, ploase !:lndlt lotus 

know. 

'Thanks a lot for choosing HeliPal.coml 

Helipal.com Corporation 

Flat 8-E, UG/F, Co-Tack lnd Bldg,'17 Kin Fat Street, 

Tuen Mun , Hong Kong 

,Hn·/AWJVI.hnHnal.r:omlflr:f:OIIIlt hlslnr'V lnfo.nho?orc!P.r ld=3?.9206 

~Support 

• {J{ffj(RID'~~-., 

[•tmJ-~l Shopplun Cmt [mill 

1 x S.BGh;: Clover Leaf 

AnteMa (fem~lo 

Receptacle I Strafgh\) 1 x s.eGhtCiover Le<~f 

Anter.na (Female 

Rerop\ade I Angled) 1 X C~nyfng ea~!l for DH 

Phanto>m 1/ Phanto-m 2/ 

Vision II x 5.8Ghtfmte.Ma Adapter 

(f.lala to Hala Receptade) 1 x Storm Vldct> Gnggta (n~ 1 Avr,.t) 

USD $441.20 

Curr~ncios 

Ius Dollar :=-y) 
Addendum to AC Form 8050-88 (03/12J 

for DJI INNOVATIONS PHANTOM 2 VISION, SERIAL NUMBER PH636044997, 

FAA registration number N534AD 

February 18, 2015 

At the behest of the FAA representative, the following additional information is added for 

consideration for the registration of the aircraft: 

FAA Letter dated Februaty 12, 2015 from Oanh Tran. 

Comment a. Name of owner has been changed to reflect D&C Inspection Services Inc. 

Comment b. NJA 

Comment c. N J A 

Comment d . An invoice with the full name and address of the place of purchase has been 

enclosed. All craft operated by D&C Inspection Inc. are of new construction and are not and 

have never been registered in a foreign country. The manufacturer and the government of the 

country of manufacture do not require registration of these type of craft and no statement from 

the official having jurisdiction 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 

of the country of manufacture. The DJI INNOVATIONS PHANTOM 2 VISION craft was received 

new as a kit that was assembled, pre-tested, and modified to meet the minimum safety 

requirements. 

Daniel Harry 

President, D&C Inspection Services Inc.