Motor Vehicle Power Of Attorney Form

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POWER OF ATTORNEY
INSTRUCTIONS FOR USING A POWER OF
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
ATTORNEY ON VEHICLE TITLE AND/OR
1905 LANA AVE NE, SALEM OREGON 97314
REGISTRATION DOCUMENTS
I authorize the person or firm named below to act as my representative and
to sign my name to any forms necessary concerning the titling and/or
registration of the vehicle described below.
This power of attorney is valid only if the following sections are
The power of attorney must be exercised by the person or
completed:
firm named as representative on the form. To properly
Name of person or firm appointed as attorney and
exercise the power of attorney, write the name of the owner
Plate number, vehicle identification number or title number, and
followed by the representative's signature.
Signature of owner.
Jane Doe
NAME OF PERSON OR FIRM APPOINTED AS ATTORNEY (PRINTED):
Example:
Sharon Smith by
(Sharon Smith is the owner and Jane Doe is the person
DESCRIPTION OF VEHICLE
named as representative on the power of attorney.)
PLATE NUMBER
YEAR
MAKE
BODY STYLE
TITLE NUMBER
VEHICLE IDENTIFICATION NUMBER
If the named representative is a company, the representative
must sign and countersign.
NAME OF OWNER (PRINTED)
SIGNATURE OF OWNER
DATE
Example:
Sharon Smith by
Morrison's Garage
X
George Morrison, owner
NAME OF JOINT OWNER (PRINTED)
SIGNATURE OF JOINT OWNER
DATE
X
The power of attorney must be exercised on the title or
document for which the authority was granted in order to be
THIS POWER OF ATTORNEY
valid.
MAY NOT BE TRANSFERRED
TO ANY OTHER PERSON OR FIRM
(See instructions on back for exercising power of attorney.)
735-500 (6-13)
STK # 300158

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