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)