This Motor Vehicle Power of Attorney ("Document") is designed to grant legal permission to another person, known as the Agent, to make decisions and take certain actions regarding the Principal's vehicle. This grant of power is subject to the laws of the specific state within which it is executed and is intended for use exclusively in that jurisdiction.
1. Principal Information
Full Name: ___________________________________
Address: _____________________________________
City, State, Zip: ______________________________
Telephone Number: ____________________________
Email Address: _______________________________
2. Agent Information
Full Name: ___________________________________
Address: _____________________________________
City, State, Zip: ______________________________
Telephone Number: ____________________________
Email Address: _______________________________
3. Vehicle Information
Make: ________________________________________
Model: _______________________________________
Year: ________________________________________
VIN (Vehicle Identification Number): ____________
License Plate Number: ________________________
4. Powers Granted
This Document grants the Agent the following powers related to the Principal's vehicle, pursuant to the relevant state laws:
- Title transfer
- Registration
- Sale or Purchase
- Application for duplicate Certificate of Title
- Authorization to negotiate with insurance companies
5. State-Specific Provisions
State in which this Document will be executed and used: _____________
Note: This Document is intended for use in the named state and may contain provisions specific to its laws. It is the responsibility of the Principal and the Agent to ensure compliance with all applicable state-specific requirements.
6. Term
This Motor Vehicle Power of Attorney shall become effective on the date signed and, unless sooner revoked by the Principal in writing, shall remain in effect until: _______________________.
If no termination date is specified, the Document shall remain in effect until explicitly terminated by the Principal.
7. Signature of Principal
By signing below, the Principal confirms the grant of power to the Agent as specified in this Document.
Signature: _______________________________ Date: ____________
8. Signature of Agent
By signing below, the Agent accepts the grant of power specified in this Document and agrees to act in the Principal's best interest to the best of their ability.
Signature: _______________________________ Date: ____________
9. Witness or Notarization (if required by state law)
State of ________________________
County of _______________________
This Document was acknowledged before me on [Date] by [Name of Principal] and [Name of Agent].
[ ] Witnessed by (if applicable):
Signature of Witness: __________________________ Date: ____________
Printed Name: ________________________________
[ ] Notarized by (if applicable):
Signature of Notary Public: ____________________ Date: ____________
Printed Name: ________________________________
My Commission Expires: _______________________