FOR
MOTOR VEHICLE

POWER OF ATTORNEY

FOR

MOTOR VEHICLE

I,XXX, hereby appoint XXX, currently residing at [insert address], as my agent (attorney-in-fact) to act for me in any lawful way with respect to the below listed transactions involving the following motor vehicle:

Make :XXX

Model: XXX

Year: XXX

VIN:

Odometer:

This power of attorney grants to my agent the power to do all acts concerning the above-described motor vehicle, including but not limited to the power to register, license, sell, transfer ownership, repair, maintain, or retitle such vehicle, and the power to communicate with and execute all documents required by the Department of Motor Vehicles in the State of XXX.

My Social Security Number/ Tax ID Number is:

My date of birth is:

EFFECTIVE DATE:

THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL TRANSFER OF THE MOTOR VEHICLE IS CONCLUDED.

Signed this ______ day of __________________________, XXX.

_______________________________________

(Signature)

ACKNOWLEDGEMENT

A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.

STATE OF XXX)

)ss

COUNTY OF XXX)

On this ______ day of __________________________, XXX, before me, [insert notary name], personally appeared XXX, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of XXX that the foregoing is true and correct.

WITNESS my hand and official seal.

Signature _______________________________________ (Seal)

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