POWER OF ATTORNEY TO
Texas
Department
of Transportation
TRANSFER MOTOR VEHICLE
Form VTR-271
(Rev. 11/2002)
TYPE OR PRINT IN INK
DHT # 142384
This is to certify that I,
Print or Type Name of Owner
of the County of
and the State of Texas, owner of the following described motor vehicle, do make, constitute and appoint
of the County of
and the State of Texas, my true and lawful attorney,
for me and in my name, place and stead to sell, transfer and assign the motor vehicle described as follows:
Year
Make
Body Style
Model
Vehicle Identification Number
License Plate Number
Year of License Plate
Giving and granting unto my said attorney full power and authority to do and perform all and every act requisite and necessary
to transfer and assign the legal title to said motor vehicle to anyone whomsoever as may be designated by my said attorney.
NOTE: This form must be properly completed before it is an acceptable document. The power of attorney cannot be
the selling or buying dealer of the vehicle disclosed therein, unless the year model is ten (10) model years old
or older, the tonnage exceeds two (2) tons, or the vehicle is not self-propelled.
If a Power of Attorney will be used to apply for a certified copy of title, the person signing must include a copy of his/her
government issued photo identification (for example, a Texas or other state’s driver’s license, a government issued
Identification Card, or a United States passport).
I further certify that the current odometer reading is
miles and to the best of
(No Tenths)
my knowledge the odometer reading is the ACTUAL mileage of the vehicle unless one of the following statements
is checked:
1. The mileage stated is in EXCESS of its mechanical limits.
2. The odometer reading is NOT the actual mileage.
WARNING – ODOMETER DISCREPANCY
Print or Type Name of Owner
Signature of Owner
Address
City
State
Zip Code
Date
WARNING:
TRANSPORTATION CODE, § 501.155, PROVIDES THAT FALSIFYING INFORMATION ON ANY REQUIRED
STATEMENT OR APPLICATION IS A THIRD–DEGREE FELONY.
TEXAS DEPARTMENT OF TRANSPORTATION
VEHICLE TITLES AND REGISTRATION DIVISION
AUSTIN TEXAS 78779-0001