Fillable POWER OF ATTORNEY I appoint the Attorney-In-Fact above, (Arizona Department of Transportation)

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POWER OF ATTORNEY I appoint the Attorney-In-Fact above, (Arizona Department of Transportation)

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Vehicle Identification Number
Year
Make
Body Style
Attorney-In-Fact (individual or organization you wish to act for you in this matter)
Mailing Address
City
State
I appoint the Attorney-In-Fact above, to sign al
l papers and documents required to secure the title, and further grant the
authority to endorse and transfer title thereto, for the vehicle described above.
Buyer/Seller/Owner Name
Driver License Number
Date of Birth
Mailing Address
City
State
Signature
Acknowledged before me this date.
Notary or MVD Agent Signature
Date
County
State
Commission Expires
POWER OF ATTORNEY
48-1001 R12/13
azdot.gov
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POWER OF ATTORNEY I appoint the Attorney-In-Fact above, (Arizona Department of Transportation)

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Completed 16 November 2020

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