TENNESSEE DEPARTMENT OF
REVENUE
Power of Attorney for Vehicle Transactions
Date:
I,
, do hereby appoint
(Name of Attorney-in-fact Representative)
of
(Name)
(Street Address)
(City)
(State)
t
o all applicable documentation relative to any title or registration transactions for the vehicle described herein. I
understand that these documents
may contain the federally mandated odometer disclosure and that I am responsible
for the disclosures made therein. This authority is limited to the vehicle listed below:
Make:
VIN:
Model:
Body Type:
Year:
Check the appropriate box for each transaction type authorized:
Transfer of Title
Application for Title and
Registration Other:
(Specify)
Duplicate Title
Noting of Lien
Request for Verification of Ownership on
Vehicles Found Abandoned, Immobile or
Unattended Vehicle Information Request
The area below is to be completed by the party granting authority:
Individual
Business:
Business Name
(Signature of Individual or Business Owner)
(Printed Name of Individual or Business Owner)
(City) (State)
(Zip Code)
(Telephone Number)
(Email Address)
(Physical Street Address)
(Business or Title Service, if applicable)
INSTRUCTIONS: Please complete the document below in
it's entirety. Notarization is not required for salvage
applications. NOTE: This document is void if any information has been left blank or if any information entered
hereon has been erased or altered by any means.
RV-F1311401 (Rev. 03-20)
PURPOSE: To appoint an individual or entity to manage vehicle transactions on the behalf of another individual.
(Tenn. Code Ann. § 34-6-101 and 102). Dealers must use a secure power of attorney (RV-F1316901) to transfer
ownership when the original certificate of title is not available for the owner to make an odometer disclosure as
required by The Motor Vehicle Information & Cost Savings Act of 1986; 49CFR580.
(Zip Code)
as my attorney-in-fact to sign my name
Personally appeared before me, the undersigned authority, , with whom I have
identified, who acknowledged that the foregoing instrument was executed for the purpose therein contained and I as a duly sworn
notary have verified that they are a legal resident of
County, Tennessee.
Please check the below document(s) used for verification:
Driver’s License
Military ID
B
irth Certificate
Passport
State Issued ID
Other (Specify)
(Notary Public)
My Commission Expires:
Date:
TO BE COMPLETED BY NOTARY:
STATE OF TENNESSEE County of
