Louisiana Motor Vehicle Power of Attorney
This Power of Attorney ("POA") document allows you ("Principal") to grant authority to another person ("Agent" or "Attorney-in-Fact") to make decisions and take actions regarding a motor vehicle on your behalf, under the laws of the State of Louisiana, including but not limited to the Louisiana Revised Statutes Title 32: Motor Vehicles and Traffic Regulation.
Please fill in the blanks with the required information to customize your POA document.
Principal Information
Name: ____________
Address: ____________
Parish: ____________
State: Louisiana
Zip Code: ____________
Telephone Number: ____________
Email Address: ____________
Agent/Attorney-in-Fact Information
Name: ____________
Address: ____________
Parish: ____________
State: Louisiana
Zip Code: ____________
Telephone Number: ____________
Email Address: ____________
Vehicle Information
Make: ____________
Model: ____________
Year: ____________
Vehicle Identification Number (VIN): ____________
License Plate Number: ____________
By this document, the Principal grants the Agent full power and authorization to act on the Principal's behalf in relation to the motor vehicle described above, including but not limited to the sale, purchase, registration, and titling of the vehicle.
This Power of Attorney is subject to the laws of the State of Louisiana and may be revoked by the Principal at any time, provided the revocation is in writing and communicated to the Agent.
Signatures
This document will become legally binding upon the signatures of the Principal and the Agent, accompanied by the date of signing.
Principal's Signature: ____________
Date: ____________
Agent's Signature: ____________
Date: ____________
Notary Public:
State of Louisiana)
Parish of ____________) ss.
On this, the ____________ day of ____________, 20__, before me, a Notary Public in and for said state, personally appeared ____________, known to me to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that he/she/they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary's Signature: ____________
Printed Name: ____________
Commission Expires: ____________