Form 4054 - Power Of Attorney - Missouri Department Of Revenue

Download a blank fillable Form 4054 - Power Of Attorney - Missouri Department Of Revenue 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 4054 - Power Of Attorney - Missouri Department Of Revenue 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

Reset Form
Print Form
Missouri Department of Revenue
Form
4054
Power of Attorney
I (we) hereby appoint ___________________________________________________________________________ as my (our) attorney-in-fact for
the purpose of transferring or making application for title and registration to the following described unit:
Year
Make
Identification Number
___ ___ ___ ___
With the full authority to sign on my (our) behalf all papers and documents and to do all that is necessary to this appointment.
Owner’s Printed Name 
Owner’s Signature  
Owner’s Printed Name 
Owner’s Signature 
Subscribed and sworn before me, this
Embosser or black ink rubber stamp seal
day of  
year
State 
County (or City of St. Louis) 
My Commission Expires (MM/DD/YYYY)
___ ___ /___ ___ /___ ___ ___ ___
Notary Public Signature 
Notary Public Name (Typed or Printed) 
Form 4054 (Revised 11-2013)
Mail to:
  Motor Vehicle Bureau 
Visit dor.mo.gov 
P.O. Box 100 
Phone: (573) 526-3669
Jefferson City, MO 65105-0100 
E-mail: mvbmail@dor.mo.gov 
for additional information.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go