Fillable Printable Limited Durable Power of Attorney - New Mexico Motor Vehicle Division

Limited Durable Power of Attorney - New Mexico Motor Vehicle Division

MVD–11020

REV. 10/10

New Mexico Taxation & Revenue Department, Motor Vehicle Division

LIMITED D URABLE P OWER

OF ATTORN EY

I, ______________ ________________ ___, her eby appoint ____ _______ ____ _______ _______ ____ as m y

attorney-in-f act to take all actions I w ould be r eq uired to take or to sig n all documents I would be r eq uired to s ig n

to complete any tr a nsaction s, includin g a sale, of th e vehicle d escrib ed herein.

Ty pe of tr a nsac tion ___________________ ______________ ______________ _________________

Vehicle make:

Model: Model Year:

Veh ic le iden tifica tion number (V IN) : __ __ __ __ __ __ __ __ __ __ __ __ __ _ _ __ __ __

This P ower of Attor ney sh all not be affe c ted by my incapa c ity bu t will ex pire wit hin 3 0 days or upon m y death

unless I hav e r evoked it prior to m y death.

_____________________________________________________

Printed name of vehicle owner

_____________________________________________________ __________________

Signature of vehicle owner Date

SUB SCRIBE D A N D SW O R N to before me this __ ___ day of ___________ _____ 20__

by _________ ______ ________________________________.

_____________________________________________

Notary Public signature

My Com m ission Expires :

______________________________

I hereby dec lar e under penalty of perju ry tha t I am the pers on a uthorized to act under th is Power of Attorney a nd

tha t I am not aware the Power of Attorne y has been revoked or that the Gr antor of th e P ower of A ttor ney ha s died.

An d I a c kn ow ledge m y personal liab ility for any loss to the owner or any other p er son b y my m is-use of th is powe r

of a ttor ney.

_____________________ _______ _________________________ __________________

Signature of person submitting affidavit Date

SUBSC RI BE D A N D SW ORN to before me this _____ day of ______________ __ 20__

by _________ ______ ________________________________.

_____________________________________________

Notary Public signature

My Com m ission Expires :

______________________________

Warning: Any person who makes any false affidavit, or knowingly swears or affirms falsely to any matter

required by the Motor Vehicle Code is guilty of perjury, which is a fourth degree felony (Sections 66-5-38

and 30-25-1 NMSA 1978).