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Nt or Type CBP USE ONLY CHECK ALL THAT APPLY: APPROVED OVERFLIGHT: TERM AMENDMENT SINGLE DATE OF SINGLE (MM/DD/YYYY): RENEWAL NO CHANGE DENIED DELETION DATE APPLICANT NAME AND ADDRESS 1. APPLICANT OR COMPANY NAME AND ADDRESS (Use Full Legal Name) 2. NAME OF OPERATOR (IF LEASED OR DIFFERENT FROM #1) (Use Full Legal Name) IRS NO. SURETY NO. IRS NO. SURETY NO. PHONE FAX PHONE FAX AIRCRAFT INFORMATION (if additional space is needed, provide attachments) 3. Tail Number 4. Coun.

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