Power of Attorney - Cash 4 Motorcycles

Power of Attorney For A Motor Vehicle, Mobile Home or Vessel

Agent Name

I hereby name and appoint the person listed above, to be my lawful attorney-in-fact, to act for me, in applying for an original or duplicate certificate of title, to register, transfer title, or record a lien to the motor vehicle, mobile home, or vessel described below, and to print my name and sign their name, on my behalf. My attorney-in-fact can also do all things necessary to the application or any other related instrument and to bind me in as sufficient a manner as I myself could do, were I personally present and signing the same.

With the full power of substitution and revocation, I hereby ratify and confirm whatever my said attorney-in-fact may lawfully do or cause to be done in the virtue hereof.

Check One

Motor Vehicle

Mobile Home

Vessel

Vehicle Details

Year

Make/Manufacturer

Body Type

Title Number

Vehicle/Vessel Identification Number

Owner/Co-Owner Seller Information

Owner Name

First Last

Street Address of Owner / Co-Owner "Grantor"

Street Address City State ZIP Code

Driver License Number or FEID Number

Date of Birth, if applicable

Email(Required)

Is there a Co-Owner?(Required)

Co-Owner

First Last

Co-Owner Address

Street Address City State / Province / Region ZIP / Postal Code

Co-Owner Driver License Number or FEID Number

Co-Owner Date of Birth, if applicable

Co-Owner Email

This non-secure power of attorney form may be used when an individual or entity appointed as the attorney in fact will be completing the odometer disclosure statement as the buyer only or the seller only. However, this form cannot be used to allow an individual or entity (such as a dealership) to sign as both buyer and seller for the purpose of disclosing the odometer reading. This may be accomplished only with the secure power of attorney (HSMV 82995) when:

(a) the title is physically being held by the lienholder; or
(b) the title is lost

NOTE: A licensed dealer and his employees are considered a single entity.

Notary - If Required

Sworn to and subscribed in my presence

County

State

Signature of Notary Public

Notary Seal

Max. file size: 2 MB.

Once submitted you will be sent to a page to provide your signature.

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