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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
_________________.
If
this Power of Attorney is in an Individual’s Name, include the following:
Date
of Birth: _______________
Social Security Number: _______________________
If t
his Power of Attorney is in a Company’s Name, include the following:
Federal ID/EIN Number: _______________ .
Principal’s Signature _____________________________ Date: _______________
Year
Make
Model
Style
Vin Number
Odometer
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signature
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NOTARY ACKNOWLEDGMENT
STATE OF ______________ )
COUNTY OF ________________) ss.
Before me personally appeared the above-named
_________________________, (Name or Officer or Individual) acting as principal
for the above-mentioned vehicle
and duly
acknowledged the foregoing instrument
to be 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)