Fillable Printable Division of Motor Vehicles Power of Attorney - West Virginia
Fillable Printable Division of Motor Vehicles Power of Attorney - West Virginia
Division of Motor Vehicles Power of Attorney - West Virginia
BUYER, SELLER, OR LEGAL OWNER’S NAME
APPOINTED AGENT’S NAME
STREET ADDRESS
STREET ADDRESS
PHONE NUMBER
PHONE NUMBER
SIGNATURE OF OWNER DATE
CITY STATE ZIP CODE
CITY STATE ZIP CODE
DMV-9-TR REVISED 7/14
West Virginia Department of Transportation
Division of Motor Vehicles
Power of Attorney (POA)
I, _____________________________________________________________ , of _______________________________
__________________________________________________________________ , ______________________________
does hereby authorize and appoint _________________________________________________________________ , of
________________________________________________________________________________________________ ,
_______________________________, as my agent. I grant my agent authority to sign in the name of the undersigned,
any certicate of title covering the vehicle described above in whatever manner necessary to eect the transfer of such
title, application for a duplicate title, or application for a new title of said vehicle as my agent may deem t and proper.
Any person, including my agent, may rely upon the validity of this power of attorney or a copy of it unless that person
knows it has been terminated or is invalid. IT WITNESS THEREOF, the undersigned has executed this instrument this
_______ day of _______________________ , 20 ______ .
(X)
YEAR BUILT MAKE BODY STYLEVEHICLE IDENTIFICATION / HULL / SERIAL NUMBER
Motor Vehicle, Trailer, or Boat Information
Notary Public Certication
State of: _________ County of: _______________________________
Subscribed and sworn before me this _____________________ day of
___________________________________________, 20___________.
_______________________________________________________________________________
My Commission expires on ____________/_____________/_________________.
NOTARY PUBLIC / AUTHORIZED OFFICIAL SIGNATURE
(X)
N O TA R Y P U BL I C/OFFICIAL STAMP