Name & Address of Heir-at-Law

FAA Registration Number Aircraft Serial Number

Aircraft Make & Model

AFFIDAVIT OF HEIR-AT-LAW

I, ______the undersigned, hereby state that I (name of affiant) am the heir-at-law of ______, deceased owner of the above described aircraft; that no application for appointment of an executor or administrator has been made; that so far as I can determine none will be made; and that I am the person entitled to, having the right to dispose of the aircraft under the applicable law of the State of ______, and that the signing of this form is not in conflict with the laws of this State.

DATE______. SIGNATURE ______. (Heir-at-law)

Subscribed and sworn to before me this ______day of ______, 2______.

My commission expires ______Notary Public ______.