MOTOR VEHICLE POWER OF ATTORNEY
MOTOR VEHICLE POWER OF ATTORNEY
THIS DOCUMENT PRESENTS that______________________,(Company Name or Individual)with a mailing address of _____________________________________ (Principal) grants to ______________________,with a mailing address of _____________________________________ (Agent) or its designated representative for an indefinite period of time or until canceled in writing, a limited power of attorney, to act on its/his/her behalf, with regard to all matters pertaining to the registering, licensing, transfer of ownership, and/or titling of the vehicle listed below with the applicable motor vehicle agency in the State of _________________.
Year
|
Make
|
Model
|
Style
|
Vin Number
|
Odometer |
If this Power of Attorney is in an Individual’s Name, includethe following:
Dateof Birth: _______________
Social Security Number: _______________________
If thisPower of Attorney is in a Company’s Name, include the following:
Federal ID/EIN Number: _______________ .
Principal’s Signature _____________________________ Date: _______________
NOTARY ACKNOWLEDGMENT
STATE OF ______________)
COUNTYOF ________________).
Before me personally appeared the above named_________________________,(Name or Officer or Individual)acting as principal for the above-mentioned vehicle and duly acknowledged the for going instrument tube his/her free act and deed in his/her individual capacity or, if the representative of a company, acknowledges that he or she is duly authorized to sign the foregoing instrument on behalf of the company.
Notary Signature___________________________________
Print Name___________________________________
My Commission Expires: __________________
(Seal)