Fillable Printable Vehicle Power of Attorney Form - Oregon

Vehicle Power of Attorney Form - Oregon

INSTRUCTIONS FOR USING A POWER OF

ATTORNEY ON VEHICLE TITLE AND/OR

REGISTRATION DOCUMENTS

The power of attorney must be exercised by the person or

firm named as representative on the form. To properly

exercise the power of attorney, write the name of the owner

followed by the representative's signature.

Example: Sharon Smith by

Jane Doe

(Sharon Smith is the owner and Jane Doe is the person

named as representative on the power of attorney.)

If the named representative is a company, the representative

must sign and countersign.

Example: Sharon Smith by Morrison's Garage

George Morrison, owne

The power of attorney must be exercised on the title or

document for which the authority was granted in order to be

valid.

735-500 (6-13)

POWER OF ATTORNEY

SIGNATURE OF OWNER

SIGNATURE OF JOINT OWNER

NAME OF OWNER (PRINTED)

NAME OF JOINT OWNER (PRINTED)

DATE

(See instructions on back for exercising power of attorney.)

THIS POWER OF ATTORNEY

MAY NOT BE TRANSFERRED

TO ANY OTHER PERSON OR FIRM

STK # 300158

PLATE NUMBER

DESCRIPTION OF VEHICLE

YEAR MAKE

TITLE NUMBER

BODY STYLE

VEHICLE IDENTIFICATION NUMBER

I authorize the person or firm named below to act as my representative and

to sign my name to any forms necessary concerning the titling and/or

registration of the vehicle described below.

This power of attorney is valid only if the following sections are

completed:

Name of person or firm appointed as attorney and

Plate number, vehicle identification number or title number, and

Signature of owner.

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DEPARTMENT OF TRANSPORTATION

DRIVER AND MOTOR VEHICLE SERVICES

1905 LANA AVE NE, SALEM OREGON 97314

DM V

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NAME OF PERSON OR FIRM APPOINTED AS ATTORNEY (PRINTED):