West Virginia Motor Vehicle Power of Attorney
This West Virginia Motor Vehicle Power of Attorney ("the Document") authorizes another individual to make decisions and take certain actions regarding the management, the titling, and the registration of motor vehicles under West Virginia State law. The authority provided through this document is governed by the West Virginia Code, specifically Chapter 39A (Uniform Power of Attorney Act) and Chapter 17A (Motor Vehicle Administration, Registration, Certificate of Title, and Antitheft Provisions). This document grants powers specific to motor vehicle affairs and must be completed accurately to be effective.
Please complete the information below to prepare your Motor Vehicle Power of Attorney.
Principal Information
Full Name: ___________________________
Address: ___________________________
City: ________________________ State: WV Zip: __________
Contact Number: ___________________________
Agent Information
Full Name: ___________________________
Address: ___________________________
City: ________________________ State: WV Zip: __________
Contact Number: ___________________________
Vehicle Information
Make: ___________________________
Model: ___________________________
Year: ___________________________
Vehicle Identification Number (VIN): ___________________________
Authority Granted
The Principal grants the following authority to the Agent, regarding the management, titling, and registration of the motor vehicle described above:
- Application for a new title.
- Transfer of title.
- Application for registration.
- Renewal of registration.
- Application for a duplicate title.
- Any other transactions with the West Virginia Department of Motor Vehicles related to the motor vehicle described above.
Signature Area
This document does not validate unless it is signed and dated by the Principal or by the Principal’s authorized representative. Witnessing or notarization may be required for this document to be accepted by the West Virginia Department of Motor Vehicles or other entities.
Principal's Signature: ___________________________ Date: __________
Agent's Signature (optional): ___________________________ Date: __________
State of West Virginia
County of ___________________
This document was acknowledged before me on (date) ______________ by (name of Principal) _________________________.
Notary Public's Signature: ___________________________
Printed Name: ___________________________
My commission expires on: __________