Fillable Printable Motor Vehicle Power of Attorney - Ohio

Motor Vehicle Power of Attorney - Ohio

Linda H. Frary

Clerk of Courts, Richland County, Ohio

Power of Attorney

Know all men by these presents, that the undersigned does hereby make, constitute and appoint

Name ______________________________________________________________________

Address ____________________________________________________________________

My true and lawful attorney-in-fact for me and in my name, place and stead, to make and execute the

assignment of or application for m y Certificate of Title covering the following described m otor vehicle,

to-wit:

Year _____________ Make _____________________ M odel __________________________

Serial Number ______________________________ ____ Body Type ________________________

And granting to my said attorney-in-fact full authority to do and perform all and every act and thing

whatsoever, requisite, necessary and proper to be done in and about the premises as fully and to all

intents and purposes as the undersigned might or could do with full power of substitution and

revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or

cause to be done by virtue hereof.

In Witness Whereof, the undersigned has caused his name to be subscribed hereto this ___________

day of __________________ 20 _____.

____________________________________________

SIGNATURE OF PERSON GIVING POWER OF ATTORNEY

____________________________________________

SOCIAL SECURITY NUMBER OF BUYER/OWNER

ACKNOWLEDGEMENT

State of Ohio, County of ________________________. Subscribed and sworn to before me a Notary

Public in and for said County personally appeared ______________________________________ who

acknowledged the signing of the foregoing instrument and that such signing is his free act and deed.

In Testimony Whereof, I have hereunto set my hand and affixed my official seal this _______________

day of _________________ 20 _____.

____________________________________________

NOTARY PUBLIC

(Seal)

My com m ission expires on ______________________