Form Vtr-271 - Limited Power Of Attorney For Eligible Motor Vehicle Transactions
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1Limited Power of Attorney
for Eligible Motor Vehicle Transactions
Instructions
All sections of this form must be properly completed in black or blue ink in order for this to be an acceptable document. The
signature must be in black or blue ink. No alterations are allowed on the form. This completed and signed form grants the grantee
(or to anyone the grantee may substitute) full power and authority to do and perform all and every act necessary to purchase,
transfer, and assign the legal title to the motor vehicle described on behalf of the grantor.
This power of attorney cannot be used in a dealer transaction to complete a title assignment on a motor vehicle subject to federal
odometer disclosure. Federal law specifies a motor vehicle is subject to odometer disclosure if it is self- propelled, less than 10
years old, and has a gross vehicle weight of 16,000 pounds or less. In compliance with federal law, you must use the secure Power
of Attorney for Transfer of Ownership to a Motor Vehicle, Form VTR-271-A, when use of a power of attorney is permitted by the
applicable regulations for a vehicle subject to federal odometer disclosure.
If a power of attorney is used to apply for title, initial registration, or a certified copy of title, the grantor (person signing this
form) and the grantee (person signing the application) must include a photocopy of their photo identification, as required by
state law.
Vehicle Information
Vehicle Identification Number
Year
Make
Body Style
Model
License Plate State and Number (if any)
Title / Document Number
Grantor Information
First Name (or Entity Name)
Middle Name
Last Name
Suffix (if any)
Address
City
County
State
Zip
Grantee Information
First Name (or Entity Name)
Middle Name
Last Name
Suffix (if any)
Address
City
County
State
Zip
Certification -
State law makes falsifying information a third degree felony
I, the above listed grantor of the above listed county and state, owner of the above described motor vehicle, certify that I do
make, constitute, and appoint the above listed grantee of the above listed county and state, my true and lawful attorney, for me
and in my name, place and stead to title, and to allow my attorney the authority to substitute, as it pertains to the motor vehicle
described above.
Grantor Signature
Date
VTR-271 Rev 06/17
Online form available at
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