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| Civil Aviation Administration | Civil Aviation Administration | Civil Aviation Administration | Civil Aviation Administration |
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תמורת הסכום של _____________________
אני/אנו החתום(ים) מטה, הבעל(ים) של כלי הטיס המתואר להלן:
| For and in consideration of the undersigned owner(s) of the full legal and beneficial title of the aircraft described as follows: | For and in consideration of the undersigned owner(s) of the full legal and beneficial title of the aircraft described as follows: | For and in consideration of the undersigned owner(s) of the full legal and beneficial title of the aircraft described as follows: | For and in consideration of the undersigned owner(s) of the full legal and beneficial title of the aircraft described as follows: |
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יצרן כלי הטיס, סוג כלי הטיס ודגמו | Manufacturer and manufacturer's designation of aircraft | Manufacturer and manufacturer's designation of aircraft | Manufacturer and manufacturer's designation of aircraft | Manufacturer and manufacturer's designation of aircraft |
המספר הסידורי של כלי הטיס Aircraft serial number __________________________________ | סימני הלאומיות והרישום Nationality and Registration Marks | סימני הלאומיות והרישום Nationality and Registration Marks | סימני הלאומיות והרישום Nationality and Registration Marks | סימני הלאומיות והרישום Nationality and Registration Marks |
מוכר(ים), מעביר(ים) ומוסר(ים) את כל זכויותי(נו) בכלי הטיס האמור ביום __________________________________________ | Does hereby sell, grant, transfer and deliver all rights, title and interests in and to such aircraft on the date of_________________________ | Does hereby sell, grant, transfer and deliver all rights, title and interests in and to such aircraft on the date of_________________________ | Does hereby sell, grant, transfer and deliver all rights, title and interests in and to such aircraft on the date of_________________________ | Does hereby sell, grant, transfer and deliver all rights, title and interests in and to such aircraft on the date of_________________________ |
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השם והמען של הקונה(ים)
(אדם פרטי יציין את שם המשפחה, השם הפרטי והאות הראשונה לשמו האמצעי)
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| Purchaser's Name and Address (If individual(s) give last name, first name and middle initial). ___________________________________________________________________________ | Purchaser's Name and Address (If individual(s) give last name, first name and middle initial). ___________________________________________________________________________ | Purchaser's Name and Address (If individual(s) give last name, first name and middle initial). ___________________________________________________________________________ | Purchaser's Name and Address (If individual(s) give last name, first name and middle initial). ___________________________________________________________________________ |
ומצהיר(ים) כי על כלי הטיס האמור לא רובץ כל שיעבוד או עיקול מלבד אלה המנויים להלן: | and certifies that same is not subject to any mortage or other encumbrance except: | and certifies that same is not subject to any mortage or other encumbrance except: | and certifies that same is not subject to any mortage or other encumbrance except: | and certifies that same is not subject to any mortage or other encumbrance except: |
סוג השיעבוד Type of encumbrance | | | | |
ולראיה חתמתי(נו) בחתימת ידי(נו) ובחותמתי(נו) | In testimony whereof have set hand and seal this day of | In testimony whereof have set hand and seal this day of | In testimony whereof have set hand and seal this day of | In testimony whereof have set hand and seal this day of |
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