Motor Vehicle Power of Attorney
This Motor Vehicle Power of Attorney (hereinafter referred to as "Document") is made according to __________________ (the "Relevant State Law") of the State of ________________________ (the "State"), to grant certain powers as described below regarding a motor vehicle to an appointed Attorney-in-Fact.
1. Principal Information
Full Legal Name: ___________________________________________
Address: __________________________________________________
City: ______________________ State: ________ Zip: ____________
Telephone Number: ____________________
Email Address: ___________________________________________
2. Attorney-in-Fact Information
Full Legal Name: ____________________________________________
Address: ___________________________________________________
City: _______________________ State: ________ Zip: ___________
Telephone Number: _____________________
Email Address: ____________________________________________
3. Vehicle Information
Make: __________________ Model: __________________ Year: ______
VIN (Vehicle Identification Number): ___________________________
License Plate Number: ________________________________________
4. Granted Powers
The Principal grants the Attorney-in-Fact the authority to act on the Principal's behalf in the following matters concerning the above-mentioned motor vehicle:
- Registration and titling of the vehicle.
- Sale and/or purchase of the vehicle.
- To obtain and manage insurance.
- Claims and litigation.
- Any other transaction concerning this motor vehicle.
5. Term
This Document becomes effective on the date it is signed and will remain in effect until __________________ (Insert the termination date or event), unless revoked earlier by the Principal.
6. Governing Law
This Document shall be governed under the laws of the State of ________________________ without regard to its conflict of laws principles.
7. Signatures
IN WITNESS WHEREOF, the Principal and the Attorney-in-Fact have executed this Document on this day of ________________, __________.
Principal's Signature: _______________________________ Date: ___________
Attorney-in-Fact's Signature: _________________________ Date: ___________
State of _________________________
County of ________________________
On this __________ day of ________________, __________, before me, a notary public, personally appeared ________________________________ and _______________________________, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public's Signature: ____________________________
My commission expires: _______________________________