Vehicle Ownership Transfer Power of Attorney

Owner Information

Name:

Address:

Phone:

Email:

Attorney-in-Fact Information

Name:

Address:

Phone:

Email:

Vehicle Information

Make:

Model:

Year:

VIN:

License Plate Number:

Authorization

I hereby appoint the above-named attorney-in-fact to sign on my behalf and complete all necessary paperwork to transfer ownership of the above-described vehicle.

Owner Signature:

Date:

Attorney-in-Fact Signature:

Date:

Notary Acknowledgment

State of:

County of:

Subscribed and sworn before me on this day of , .

Notary Public Signature:

My commission expires: