Power Of Attorney Idaho Transportation Department
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1
2Power of Attorney
ITD 3368 (Rev. 08-10)
Supply # 01-957150-4
Idaho Transportation Department
itd.idaho.gov/dmv
- See Page 2 for Instructions -
Vehicle or Hull Identification Number (VIN/HIN)
Title Number
Year
Make
Model
Power of Attorney Given To
Name of Business or Individual Representing Vehicle Owner
Address
City
State
Zip
By my signature below, I hereby appoint the business or individual shown above as my/our attorney to endorse,
release, or transfer all registration and ownership documents required by Idaho statutes for the above-described
vehicle; and to give full discharge for same, granting to said attorney full power of substitution and revocation,
hereby ratifying and confirming all that said attorney or his substitute shall do or cause to be done by virtue hereof.
Grantor’s Signature:
If this power of attorney will be used to apply for a duplicate title, it must be notarized.
If grantor is an individual, complete the following
Individual's Full Legal Name (Printed Last, First, Middle)
Individual’s Idaho Drivers License No. or SSN
Address of Owner’s Current Legal Residence
City
State
Zip+4
Mailing Address (if different)
City
State
Zip+4
Individual’s Signature See *Note for duplicate title application
Date
Daytime Phone Number
X
If grantor is a business, complete the following
Authorizing Business Name
Authorized Representative's Name (Printed)
Business's EIN
Business Current Legal Address
City
State
Zip+4
Mailing Address (if different)
City
State
Zip+4
Authorized Representative’s Signature See*Note for duplicate title application
Date
Daytime Phone Number
X
Subscribed and sworn before me this
*
Note: If this form is used to grant power
day of
. year
of attorney when applying for a duplicate
County of
, State of
title, the grantor’s signature must be
notarized.
SEAL
My Commission Expires
Notary Public’s or
ITD Agent’s Signature
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