POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS;
That I (we)
the undersigned, who reside at
STREET ADDRESS CITY STATE ZIP CODE
being the seller(s) of the following described vehicle:
Make Type Mode Year
License Plate No. Vehicle Identification No.
do hereby make, constitute and appoint
of Honolulu aforesaid my (our) true and lawful attorney to sign to me (us) in my (our) name, place and stead, any application for
original registration, certificate of title, duplicates or other certificates issued by the Director of Customer Services, City and County
of Honolulu, as seller(s) for the motor vehicle described above.
false statement may result in fines and/or imprisonment. I appoint my attorney-in-fact to sign the mileage disclosure, on the title for
the vehicle described above, exactly as stated in my (our) following disclosure.
I (we) understand that federal and state law requires that I (we) state the mileage upon transfer of ownership. Providing a
I state that the odometer now reads (no tenths) miles and to the best of my knowledge that it
reflects the actual mileage unless one of the following statements is checked:
I hereby certify that to the best of my knowledge, the odometer reading reflects the mileage in excess of its mechanical
I hereby certify that the odometer is NOT the actual mileage. WARNING: ODOMETER DISCREPENCY.
Granting and giving unto my (our) said attorney full power and authority to do and perform any and all other acts
necessary or incident to the execution of the powers herein expressly granted, with power to do and perform all acts
authorized thereby, as fully to all intents and purposes as I (we) might or could do if personally present, with full power of
substitution.
NOTARY CERTIFICATION: Signed this day of , 20
Document Date: No. Pages:
Signature of Seller
Document Description:
Printed Name of Seller
Notary Printed Name Circuit Signature of Seller
Notary Signature Date Printed Name of Seller
(Stamp or Seal)
Address
Subscribed and sworn before me this day
City State Zip Code
Of , 20 .
Notary Public
State of Hawaii, Judicial Circuit
My commission expires:
(Stamp or Seal)
(1)
(2)
limits.
SELLER
CS-L(MVR) 38A (4/09)
