Form Vr-470 - Restricted Power Of Attorney To Sign For Vehicle Owner

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Motor Vehicle Administration
VR-470 (04-15)
6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062
Restricted Power of Attorney To Sign For Vehicle Owner
When Registering and/or Transferring Ownership of a Motor Vehicle
VEHICLE OWNER(S):
Owner’s Name: First
Middle
Last
Co-Owner’s Name: First
Middle
Last
Owner’s Street Address
Co-Owner’s Street Address
City
State
Zip Code
City
State
Zip Code
POWER OF ATTORNEY GRANTED TO:
Full Legal Name – First
Middle
Last
Street Address
City
State
Zip Code
VEHICLE INFORMATION
Vehicle Make
Body Type
Model Year
Vehicle Identification Number (VIN)
Title Number
I/We, being the owner(s) of the motor vehicle described above, by these presents do make, constitute, and appoint the person
named above true and lawful attorney-in-fact to sign in my/our name, place, and stead any Certificate of Title, or other supporting
papers, covering said motor vehicle, in whatever manner necessary to register and/or transfer ownership of said motor vehicle;
and I/We do hereby grant unto said attorney-in-fact full authority and power to do and perform any and all other acts necessary or
incidents to the execution of the powers herein expressly granted, as the grantor might or could do if personally present, with full
power of substitution.
I/We further certify and affirm that all information presented in this form is true and correct, that any documents I/We have
presented are genuine, and that the information included in all supporting documentation is true and accurate. I/We make
this certification and affirmation under penalty of perjury and I/We understand that knowingly making a false statement or
representation on this form is a criminal violation.
Owner’s Signature
Date
Co-Owner’s Signature
Date
For more information, please call: 410-768-7000 (to speak with a customer agent).
TTY for the hearing impaired: 1-800-492-4575. Visit our website at:

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