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,
Danielle Hale, Jennifer Saetern, Kevyn Morilla, Kristin Kane Hickling, Mai Vang, Mao Moua, Margarita Nand,
May Saephan, Michelle Thao, Regina Chao, Samantha Robertson, Seng Saeteun, Siya Pos, Zoua Thao, Alyssa
Conway, Amber O'Donnell, Angelica Norris, Antionette Herron, Ashley Roberts, Brittany Holy, Carina Brown,
Chassity Gildon, Chelsea Lucero, Christina Belcher, Donna Wilt, Elizabeth Arellano, Gloria Quintanilla, Ivonne
Alambar, Janequa Jordan, Joseph Harris, Kevin Moreno, Margarita Lazo, Maria Del Carmen Serna, Marrian
Kitchens, Michael Altenbaumer, Patrice Terrell Osioh, Rebecca Crago, Tanya Jones 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
