PRINT
CLEAR
Form T-19 (Rev. 1-2014)
Affidavit of Authority to Sign for a Company, Corporation or Partnership*
Date: ___________________________
We, __________________________________________________________________________,
(Name of Company, Corporation or Partnership)
__________________________________________________________________________________________________
(Street Address)
_______________________________________________________________________________
(City, State & Zip)
certify that______________________________________________________________________
(Typed/Printed Name of Individual Granted Authority to Sign for Your Company, Corporation or Partnership)
has the authority to execute title documents on behalf of our company, corporation or
partnership for vehicles owned by our company, corporation, or partnership.
Note: An officer, partner or owner of the company, corporation or partnership must
sign this form under oath. A copy of grantor’s drivers license is required upon initial
receipt of this affidavit.
Sworn to and subscribed before me:
, _________________________
_________________________________
This day of
(Day)
(Month) (Year)
(Printed Name of Officer, Partner or Owner)
_______________________________________________
_____________________________________________
(Printed/Typed Name of Notary Public)
(Signature of Officer, Partner or Owner)
____ _____________________________ _____________
_____________________________________________
(Notary Public’s Signature & Notary Seal or Stamp)
(Job Title/Position)
_______________________________________________
(Date My Notary Commission Expires)
General Information
The in-person Customer Service Operations of the Department of Revenue’s Motor Vehicle
Division retains these affidavits, Form T-19, in the Title Processing Unit for one (1) year from the
date received. The individual granted authority to sign for your company, corporation or
partnership must submit two (2) original affidavits, Form T-19, to the Title Processing Unit of the
Motor Vehicle Division. The Motor Vehicle Division returns to the individual one (1) original,
stamped affidavit, which indicates that it is in our files and valid for one (1) year from the date
received. The authorized individual must submit a legible copy of the ‘stamped’ affidavit, Form T-
19, with each set of title documents submitted for processing on behalf of your company,
corporation or partnership.
*This form can be electronically completed and printed from the Department of Revenue’s web
site, , for signing, notarization and submission in-person only! The address for
the Motor Vehicle Division is: Title Processing Window, Motor Vehicle Division, 4125 Welcome All
Rd, Atlanta, GA 30349. The in-person Customer Service Operations is open Monday through
Friday from 7:30 a.m. to 4:30 p.m. excluding
state
holidays. Except for the signature, this form
must be typed, electronically completed and printed or legibly hand printed in blue or black ink.
An authorized representative of the company, corporation or partnership must sign this
completed form and enter his/her position or job title with the company, corporation or
partnership in the space provided.
Any alteration or correction voids this form.