Supplemental Type Certificate

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Any alteration of this certificate is punishable by a fine of not exceeding $1,000, or imprisonment not exceeding 3 years, or both. This certificate may be transferred or made available to third persons by licensing agreements in accordance with 14 CFR 21.47. Possession of this Supplemental Type Certificate (STC) document by persons other than the STC holder does not constitute rights to the design data nor to alter an aircraft, aircraft engine, or propeller. The STC’s supporting documentation (drawings, instructions, specifications, flight manual supplements, etc.) is the property of the STC holder. An STC holder who allows a person to use the STC to alter an aircraft, aircraft engine, or propeller must provide that person with written permission acceptable to the FAA. (Ref. 14 CFR 21.120). FAA Form 8110-2 (11/20) SUPERSEDES PREVIOUS EDITION Page 1 of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: ____________________ This certificate issued to: Certifies that the change in the type design for the following product with the limitations and conditions therefore as specified hereon meets the airworthiness requirements of of _______________________. Original Product Type Certificate Number: Make: Model: Description of Type Design Change: Limitations and Conditions: This certificate and the supporting data which is the basis for approval shall remain in effect until surrendered, suspended, revoked, or a termination date is otherwise established by the Administrator of the Federal Aviation Administration. Date Reissued: Date of Application: Date of Issuance: Date Amended: By Direction of the Administrator Signature: Title: (See Continuation Sheet Page 3 of 3 Pages) Any alteration of this certificate is punishable by a fine of not exceeding $1,000, or imprisonment not exceeding 3 years, or both. This certificate may be transferred or made available to third persons by licensing agreements in accordance with 14 CFR 21.47. Possession of this Supplemental Type Certificate (STC) document by persons other than the STC holder does not constitute rights to the design data nor to alter an aircraft, aircraft engine, or propeller. The STC’s supporting documentation (drawings, instructions, specifications, flight manual supplements, etc.) is the property of the STC holder. An STC holder who allows a person to use the STC to alter an aircraft, aircraft engine, or propeller must provide that person with written permission acceptable to the FAA. (Ref. 14 CFR 21.120). FAA Form 8110-2 (11/20) SUPERSEDES PREVIOUS EDITION Page 2 of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate Number: ____________________ INSTRUCTIONS: The transfer endorsement below may be used to notify the appropriate FAA Aircraft Certification Office of the transfer of this Supplemental Type Certificate. The FAA will reissue the certificate in the name of the transferee and forward it to him. Transfer Endorsement Transfer the ownership of Supplemental Type Certificate Number: _______________ To (Name and address of transferee): From (Name and address of grantor): Extent of Authority (if licensing agreement): Date of transfer: Signature of grantor: _________________________ Any alteration of this certificate and/or the Type Certificate Data Sheet is punishable by a fine not exceeding $1,000, or imprisonment not exceeding 3 years, or both. This certificate may be transferred or made available to third persons by licensing agreements in accordance with Title 14 of the Code of Federal Regulations, part 21, section 21.47 (14 CFR 21.47). A transfer must be endorsed as provided on the reverse hereof. A Type Certificate holder who allows a person to use the Type Certificate to manufacture a new aircraft, aircraft engine, or propeller must provide that person with a written licensing agreement acceptable to the FAA. (Ref. 14 CFR 21.55). FAA Form 8110-2 (11/20) SUPERSEDES PREVIOUS EDITION Page ___ of ___ United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate (Continuation Sheet) Number: ____________________ End