Owner 1 Name: Owner 2 Name:
Resident Physical Address:
Mailing Address:
Lienholder Name: Lien Date:
Lienholder Address:
Licensing Official’s Name (Printed):
Licensing Official’s Signature: Date:
I hereby appoint ____________________________________________ of _________________________________, Alabama as my attorney-in-fact, to sign
my name and do all things necessary to apply for a title on the above vehicle.
Owner Signature: Date:
ALABAMA DEPARTMENT OF REVENUE
MOTOR VEHICLE DIVISION
P.O. Box 327640 • Montgomery, AL 36132-7640
Vehicle Inspection Form
MVT 5-9
8/20
Part I – To be completed by Owner (Owner/Lienholder & Vehicle Information)
Part II – To be completed by Owner (Appointment of Licensing Official by Owner)
Part III – To be completed by Licensing Official (Appointment of Deputy by a Licensing Official)
Part IV – To be completed by Government Official (Vehicle Inspection by a Government Official)
__________________________________________________________
_________ ___________________________ ___________________________ ___________________________ ____________
(Licensing Official) (County)
YEAR MODELMAKE COLOR CYLINDERS
VEHICLE IDENTIFICATION NUMBER
Government Official’s Name (Printed):
Government Official’s Agency Name:
Government Official’s Signature: Date:
I, the undersigned, hereby appoint the government official in Part IV as my deputy for the purpose of physical inspection required of me personally or through any of my
deputies as provided under Chapter 8 of Title 32.
I hereby certify that I have completed physical inspection of the above referenced motor vehicle and that the vehicle information on the vehicle matches the vehicle informa-
tion listed on this form.
This form is used by a licensing official to appoint a deputy for the purpose of physically inspecting a motor vehicle when the owner is unable
to bring the motor vehicle to the licensing official for inspection in accordance with Sections 32-8-32 and 32-8-35, Code of Alabama 1975.
