Limited Power of Attorney / Lien Certification
State of:
County of:
I, Registered Owner: (enter name exactly as listed on the title)
of Registered Owner address, city, state and zip:
do hereby appoint Capital One Auto Finance (PO Box 660068, Sacramento, California 95866): Aimee Saephanh,
Alicia Mendoza, Esther Boyd, Jennifer Saetern, Jenny Armendariz, Lee Vang, Leng Her, Lisa Cha, Mai G Vang,
Mai Vang, Mao Moua, May Saephan, Muang Saevang, Nadezhda Sushik, Naomi McKeller, Pang Vang, Regina
Chao, San Saephan, Seng Saeteun, Shane Rai, Siya Pas, Susan Saechao, Aisha Aubrey, Alyssa Conway, Amy
Miller, Angelica Norris, Antonio Napolitano, Arlene Garcia, Chassity Gildon, Cheryll Queen, Christi Sanchez,
Christina Belcher, Darrell Anderson, Donna Wilt, Gloria Quintanilla, Jessica Castillo, Jamal Umer, Kimberly
Robertson, Margarita Lazo, Mayra Faz, Rebecca Crago, Serena Birdsong, Shannan Beck, Shannon Lee, or Tiffany
Guedes his/her lawful attorney in fact, to execute all documents required only for the purpose of (1) transferring
a security interest, changing the lien holder and perfecting proper titles; (2) obtaining duplicate title; and (3)
signing affidavit confirming security interest; (4) and obtaining the title from the previous lien holder in regards
to the vehicle listed below.
Vehicle Identification Number:
License Plate Number:
Year/Make/Model:
Vehicle Color:
Name of Registered Owner:
Drivers License Number:
Odometer Reading:
I certify to the best of my knowledge that the odometer reading is the actual mileage of the vehicle unless one of
the following statements is checked;
The amount of the mileage stated is in excess of its mechanical limits.
The odometer reading is not the actual mileage.
(WARNING - ODOMETER DISCREPANCY)
Signature of Registered Owner (X)
ONLY ONE SIGNATURE PER FORM
