Fillable Printable Motor Vehicle Power of Attorney Form - Florida

Motor Vehicle Power of Attorney Form - Florida

STATE OF FLORIDA

DIVISION OF MOTOR VEHICLES

POWER OF ATTORNEY FOR A MOTOR VEHICLE, MOBILE HOME

OR VESSEL

I hereby name and appoint, _________________________________________, to be my lawful

attorney-in-fact, to act for me, in applying for an original or duplicate certificate of title, to register,

transfer title, or record a lien

to the motor vehicle, mobile home or vessel described below, and to

print my name and sign their name, in my behalf. My attorney-in-fact can also do all things

necessary to the application or any other related instrument and to bind me in as sufficient a

manner as I myself could do, were I personally present and signing the same.

With full power of substitution and revocation, I hereby ratify and confirm whatever my said

attorney-in-fact may lawfully do or cause to be done in the virtue hereof.

CHECK ONE:

Motor Vehicle Mobile Home Vessel

Year

Make/Manufacturer Body Type Title Number

Vehicle/Vessel Identification Number

NOTICE TO OWNER: COMPLETE THIS FORM IN ITS ENTIRETY PRIOR TO SIGNING.

________________________________________________________________________________

(Signature of Owner / Co-owner "Grantor")

________________________________________________________________________________

(Street Address of Owner / Co-owner "Grantor")

________________________________________________________________________________

(City) (State) (Zip)

________________________________________________________________________________

(Driver License Number or FEID Number) (Date of Birth, if applicable)

(To be Completed by Notary):

Sworn to (or affirmed) and subscribed before me this _________ day of ____________________,

20 ______, by _____________________________________________________.

(Print or Type Name of the Person Making the above Statement)

_________________________________________

(Print, Type or Stamp Commissioned Name of Notary)

(SEAL) _________________________________________________

(Signature of Notary)

Personally Known ______________

or, Produced Identification ______________

Type of Identification Produced: ______________

This non-secure power of attorney form may be used when an individual or entity appointed as the

attorney in fact will be completing the odometer disclosure statement as the buyer only or the

seller only. However, this form cannot be used to allow an individual or entity (such as a

dealership) to sign as both buyer and seller for the purpose of disclosing the odometer reading.

This may be accomplished only with the secure power of attorney (HSMV 82995) when:

(a) the title is physically being held by the lienholder; or

(b) the title is lost

NOTE: A licensed dealer and his employees are considered a single entity.

HSMV 82053 (Rev. 05/03) S www.hsmv.state.fl.us

STATE OF FLORIDA

DIVISION OF MOTOR VEHICLES

POWER OF ATTORNEY FOR A MOTOR VEHICLE, MOBILE HOME

OR VESSEL

I hereby name and appoint, _________________________________________, to be my lawful

attorney-in-fact, to act for me, in applying for an original or duplicate certificate of title, to register,

transfer title, or record a lien

to the motor vehicle, mobile home or vessel described below, and to

print my name and sign their name, in my behalf. My attorney-in-fact can also do all things

necessary to the application or any other related instrument and to bind me in as sufficient a

manner as I myself could do, were I personally present and signing the same.

With full power of substitution and revocation, I hereby ratify and confirm whatever my said

attorney-in-fact may lawfully do or cause to be done in the virtue hereof.

CHECK ONE: Motor Vehicle Mobile Home Vessel

Year

Make/Manufacturer Body Type Title Number

Vehicle/Vessel Identification Number

NOTICE TO OWNER: COMPLETE THIS FORM IN ITS ENTIRETY PRIOR TO SIGNING.

________________________________________________________________________________

(Signature of Owner / Co-owner "Grantor")

________________________________________________________________________________

(Street Address of Owner / Co-owner "Grantor")

________________________________________________________________________________

(City) (State) (Zip)

________________________________________________________________________________

(Driver License Number or FEID Number) (Date of Birth, if applicable)

(To be Completed by Notary):

Sworn to (or affirmed) and subscribed before me this _________ day of ____________________,

20 ______, by _____________________________________________________.

(Print or Type Name of the Person Making the above Statement)

_________________________________________

(Print, Type or Stamp Commissioned Name of Notary)

(SEAL) _________________________________________________

(Signature of Notary)

Personally Known ______________

or, Produced Identification ______________

Type of Identification Produced: ______________

This non-secure power of attorney form may be used when an individual or entity appointed as the

attorney in fact will be completing the odometer disclosure statement as the buyer only or the

seller only. However, this form cannot be used to allow an individual or entity (such as a

dealership) to sign as both buyer and seller for the purpose of disclosing the odometer reading.

This may be accomplished only with the secure power of attorney (HSMV 82995) when:

(a) the title is physically being held by the lienholder; or

(b) the title is lost

NOTE: A licensed dealer and his employees are considered a single entity.

HSMV 82053 (Rev. 05/03) S www.hsmv.state.fl.us