Form Mvt 5-13 - Power Of Attorney

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A
D
R
MVT 5-13
LABAMA
EPARTMENT OF
EVENUE
9/08
M
V
D
OTOR
EHICLE
IVISION
P.O. Box 327640 • Montgomery, AL 36132-7640 • titles@revenue.alabama.gov
THIS FORM MAY
BE REPRODUCED
Power of Attorney
STATE OF_________________________________________
COUNTY OF_______________________________________
Date: _____________________________________________
I hereby appoint _______________________________________________________________________________________
NAME
of _____________________________________________________________________________ Zip __________________
ADDRESS
as my attorney-in-fact to sign my name and do all things necessary for the purpose(s) of: (Owner shall initial each purpose
for which appointment intended)
___________ making application for certificate of title,
___________ making application for replacement certificate of title,
___________ completing assignment of title to transfer my ownership to the transferee,
___________ to receive my certificate of title,
___________ to register and to purchase license plate,
___________ other purpose, describe: _____________________________________________________________________,
for my motor vehicle described as follows:
___________ ______________________________ _________________________________ ________________________
YEAR MODEL
MAKE
MODEL
BODY STYLE
__________________________________________ _____________________________ ____________________________
VEHICLE IDENTIFICATION NUMBER
LICENSE NUMBER
STATE LICENSED
Sworn to and subscribed before me
on Date above stated.
________________________________________________
SIGNATURE OF OWNER
________________________________________________
________________________________________________
NOTARY PUBLIC
My commission expires:
PERMANENT ADDRESS
________________________________________________
_______________________________ Zip ______________
Signature of Appointee: ________________________________________________________________________________
NOT VALID WITHOUT THIS SIGNATURE
If a business firm or corporation is appointed, the signature shall be of an authorized representative of the firm who will perform
as attorney-in-fact for the owner.
SPECIAL NOTICE: Any alterations or strikeovers shall void this Power of Attorney. Original signatures are required
on all Power of Attorneys.
LEGAL NOTICE: A person acting for the motor vehicle owner under this Power of Attorney should be aware of the statute
under the Alabama Uniform Certificate of Title and Antitheft Act as follows: Code of Alabama 1975, §32-8-11. “Aiding,
abetting, etc., in violations. A person who, whether present or absent, aids, abets, induces, procures or causes the com-
mission of an act which if done directly by him, would be a felony or a misdemeanor under provisions of this chapter, is
guilty of the same felony or misdemeanor. (Acts 1973, No. 765, p. 1147, §43.)”

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