Indiana Motor Vehicle Power of Attorney
This Power of Attorney (POA) is granted in accordance to the specific provisions of the Indiana Code Title 30 - Trusts and Fiduciaries, to enable an appointed individual, referred to as the "Agent", to execute motor vehicle transactions with the Indiana Bureau of Motor Vehicles (BMV) on behalf of the person granting this power, referred to as the "Principal".
By completing and signing this document, the Principal authorizes the Agent to sign documents, make decisions, and carry out all acts as listed below for the described motor vehicle.
Principal's Information:
Name: ___________________________
Address: _________________________
City, State, Zip: __________________
Phone Number: ____________________
Agent's Information:
Name: ___________________________
Address: _________________________
City, State, Zip: __________________
Phone Number: ____________________
Vehicle Information:
Make: ___________________________
Model: __________________________
Year: ___________________________
VIN (Vehicle Identification Number): _______________
Authority Granted:
- Application for Title and Registration
- Transfer of Title
- Application for Duplicate Title
- Registration Renewal
- Any other transactions as required with the Indiana BMV
Duration of Power of Attorney:
This Power of Attorney shall remain in effect until: ___________________
If no expiration date is specified, this Power of Attorney will continue to be effective until it is revoked in writing by the Principal.
Signature of Principal:
___________________________________ Date: ______________
Signature of Agent:
___________________________________ Date: ______________
Notary Acknowledgment:
This document was acknowledged before me on (date) ____________ by (name of Principal) _____________________ and (name of Agent) ____________________.
Notary Public: ___________________________
My Commission Expires: __________________