General Letter of Authorization
for Vehicle Transactions
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it us at www.NJMVC.gov
New Jersey is an Equal Opportunity Employer
LOA1
THIS FORM GIVES THE INDIVIDUAL IDENTIFIED BELOW PERMISSION TO PROCESS THE FOLLOWING TRANSACTION(S). FORMS AND/OR
DOCUMENTS MUST BE FILLED OUT AND SIGNED BY THE OWNER PRIOR TO PROCESSING. THE AUTHORIZED INDIVIDUAL IS REQUIRED
TO SHOW PROOF OF IDENTIFICATION AND MUST SUBMIT A COPY OF THE OWNER'S ID OR DRIVER LICENSE FOR VERIFICATION. THIS
FORM DOES NOT GRANT "POWER OF ATTORNEY" AND DOES NOT GIVE THE NAMED INDIVIDUAL THE AUTHORITY TO SIGN
DOCUMENTS FOR THE OWNER OF THE VEHICLE/VESSEL.
IMPORTANT: PHOTOCOPIES OF THIS FORM ARE NOT ACCEPTABLE. MUST BE ORIGINAL SIGNATURE.
*COMPANY AUTHORIZATION SHOULD BE ON OFFICIAL COMPANY LETTERHEAD WITH A NOTARIZED SIGNATURE OF THE
OWNER/AUTHORIZED INDIVIDUAL OF THE COMPANY GRANTING AUTHORIZATION. ALL RELATED FORMS/DOCUMENTS SHOULD BE
SIGNED BY THE SAME OWNER/ AUTHORIZED INDIVIDUAL.
I, _________________________________, hereby authorize the following individual to process the listed vehicle/vessel transaction(s).
Owner’s Printed Name
Authorized Individual:
Name: __________________________________________________
Driver License Number: ________________________________________
Vehicle/Vessel Information:
Select one: Vehicle Vessel
__________ __________ __________ ______________________________
Year Make Model VIN/HIN Number
Select one: Vehicle Vessel
__________ __________ __________ ______________________________
Year Make Model VIN/HIN Number
Select one: Vehicle Vessel
__________ __________ __________ ______________________________
Year Make Model VIN/HIN Number
Select one: Vehicle Vessel
__________ __________ __________ ______________________________
Year Make Model VIN/HIN Number
Transaction Type(s): CHECK ALL THAT APPLY
Title (Vehicle/Vessel): Initial Replacement Duplicate Correction Transfer
Registration: Initial Replacement Duplicate Correction Transfer
Other: _______________________________________________________________________________________
___________________________________________ ___________________________________________
Owner’s Signature (Original Signature Only) Authorized Individual’s Signature (Original Signature Only)
Motor Vehicle Commission Use Only:
Owner Name and ID or Driver License Verification
Authorized Individual Name and ID/driver License Verification
Owner Transaction/Vehicle Information
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