Power Of Attorney For Vehicle Transactions
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Tennessee Department of Revenue
Vehicle Services Division
POWER OF ATTORNEY FOR VEHICLE TRANSACTIONS
§
(Tenn. Code Ann.
34-6-101 and 102)
Dealers must use a secure power of attorney (RV-F1316901) to transfer ownership when the original certificate of title is not
available for the owner to make an odometer disclosure as required by The Motor Vehicle Information & Cost Savings Act of 1986;
49CFR580.
DATE:
I
, do hereby appoint
(Name)
(Name of Attorney-in-fact Representative)
of
(Street Address)
(Business or Title Service, if applicable)
as my attorney-in-fact to sign my name to all
(City)
(State)
(Zip Code)
applicable documentation relative to any title or registration transactions for the vehicle described herein. I understand that these
documents may contain the federally mandated odometer disclosure and that I am responsible for the disclosures made therein. This
authority is limited to the vehicle listed below:
Make
VIN
Model
Body Type
Year
Check the appropriate box for each transaction type authorized:
Duplicate Title
Transfer of Title
Noting of Lien
Application for Title and Registration
Request for Verification of Ownership on Vehicles
Other:
Found Abandoned, Immobile or Unattended
(Specify)
Vehicle Information Request
The area below is to be completed by the party granting authority:
Individual
Business
Business Name
(Signature of Individual or Business Owner)
(Printed Name of Individual or Business Owner)
(Zip Code)
(Physical Street Address)
(City)
(State)
(
)
(Telephone Number)
(Email Address)
TO BE COMPLETED BY NOTARY:
STATE OF TENNESSEE County of
Personally appeared before me, the undersigned authority,
, with whom I have
identified, who acknowledged that the foregoing instrument was executed for the purpose therein contained and I as a duly sworn
County, Tennessee.
notary have verified that they are a legal resident of
Please check the below document(s) used for verification:
Driver’s License
Military ID
(Notary Public)
Birth Certificate
Passport
My Commission Expires:
State Issued ID
Other (Specify)
Date:
NOTE: This document is void if any information has been left blank or if any information entered hereon has been erased or
altered by any means.
RV-F1311401 (Rev. 11-08)
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