Fillable Printable Motor Vehicle Power of Attorney Form - Florida
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
