Form T-19a - Affidavit Of Authority To Receive Title(S) And/or Title Documents For A Company, Corporation Or Partnership

Download a blank fillable Form T-19a - Affidavit Of Authority To Receive Title(S) And/or Title Documents For A Company, Corporation Or Partnership in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form T-19a - Affidavit Of Authority To Receive Title(S) And/or Title Documents For A Company, Corporation Or Partnership with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Form T-19A Revised 11-2013
PRINT
CLEAR
Affidavit of Authority to Receive Title(s) and/or Title Documents for a Company,
*
Corporation or Partnership
The ______________________________________________________________
(Name of Company, Corporation or Partnership)
_______________________________________________________________________________________
(Street Address)
__________________________________________________________________________________________________
(City, State & Zip)
Hereby certifies that ________________________________________________
(Typed or Printed Full Legal Name of Appointed Attorney-in-Fact)
Has the authority to receive delivery of titles or title documents, on behalf of the
above named company, corporation or partnership.
Sworn to and subscribed before me
This _____ of ______________, 2____
___________________________
(Day)
(Month)
(Year)
(Printed Name)
________________________________________________
_________________________________________
(Notary Public Signature & Notary Seal or Stamp)
(Signature)
________________________________
___________________________
(Date Notary Commission Expires)
(Position or Job Title)
This form must be signed under oath by an officer, partner or owner of
the company, corporation or partnership.
Note: The State Motor Vehicle Division only holds powers of attorney on file
one (1) year from the receipt date in our Customer Service Operations Section.
The above named attorney-in-fact will be required to submit two (2) original
powers of attorney in-person to the Motor Vehicle Division. At that time, one (1)
of the two (2) original powers of attorney will be returned to the submitter with
a stamp affixed indicating that it is on file with the Motor Vehicle Division for one
(1) year from the receipt date. The attorney-in-fact, will then be required to
submit a legible valid copy of this ‘stamped’ power of attorney with each set of
documents where he/she is authorized to pick-up title(s) or title documents 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.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go