FAA 8110-9 With Instructions

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INSTRUCTIONS FOR PREPARATION OF FORM 8110-9, TC

1 - Import Certificate. Enter "IMPORT" immediately below “Type Certificate”, if issued


for a product in accordance with 14 CFR 21.29. Otherwise, leave blank.
2 – Number. Enter the TC number underneath “Type Certificate”, as obtained from the CPN
database tool or equivalent database.
3 – Certificate issued to. Enter the applicant's name (must agree exactly with that shown on
the application for the TC.
4 – Part of the Federal Aviation Regulations. Enter the applicable Federal Aviation
Regulation Part.
5 – Product designation. Enter the product type designation, i.e. "Airplane Model 120".
Where a second model is later added, the line would be “Airplane Models 120 and 140". If
the models added become too numerous to fit into this space, an extra page may be attached
to the FAA Form 8110-9. The notation should be added "See attached sheet for additional
models".

6 – Date of application. Enter the date of original application.


7 – Date of issuance. Enter the date the TC is issued.
8 – Date reissued. Enter the date the certificate is reissued when the TC is revised for the
purpose of issuing it in the name of a different certificate holder or where a duplicate
copy has been requested by the TC holder.

9 – Date amended. Enter the date when the TC is amended.

10 – Signature and Title. Obtain the signature of the manager of the accountable directorate.

11 - Transfer endorsement. Reserve page 2 of the TC document (FAA Form 8110-9) as a


sheet for transfer endorsements. The transfer endorsement page is to be used to notify the
appropriate FAA Aircraft Certification Office of the transfer of this TC. The FAA will
reissue the certificate in the name of the transferee and forward it to him.

12 – Continuation Sheets. In the TC, reference the continuation sheet in a note under the
applicable paragraph, for example, “See continuation sheet 3.” Insert “END” below the last
sentence on the continuation sheet.

i
United States of America
Department of Transportation
Federal Aviation Administration
Type Certificate
Number:
This certificate issued to:

Certifies that the type design for the following product with the operating limitations and conditions therefore as
specified in the Federal Aviation Regulations and the Type Certificate Data Sheet meets the airworthiness requirements
of Part _____ of the Federal Aviation Regulations.

Model:

This certificate, and the Type Certificate Data Sheet which is a part hereof, shall remain in effect until surrendered,
suspended, revoked or a termination date is otherwise established by the Administrator of the Federal Aviation
Administration.

Date of application: Date reissued:

Date of issuance: Date amended:

By direction of the Administrator

Signature ____________________________________________

Title

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
3years, 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 8110-9 (8/13) Page 1


United States of America
Department of Transportation
Federal Aviation Administration
Type Certificate
Number:
Transfer Endorsement
Before transferring a certificate, the person making the transfer must notify in writing the appropriate aircraft certification office.
The notification must include the type certificate number, name and address of the transferee, and anticipated date of the transfer
(Ref. 14 CFR 21.47).

To (Name and address) By: Date:


Holder:

Signature: ______________________________

Title:

To (Name and address) By: Date:


Holder:

Signature: ______________________________

Title:

To (Name and address) By: Date:


Holder:

Signature: ______________________________

Title:

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
3years, 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 8110-9 (8/13) Page 2


United States of America
Department of Transportation
Federal Aviation Administration
Type Certificate
(Continuation Sheet)
Number:

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
3years, 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 8110-9 (8/13) Page 3

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