Power of Attorney_ Motor Vehicle only by RafaelSamonte

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									                        Power of Attorney, Motor Vehicle only

____________________, the “principal,” of ______________________, herewith appoints
_____________________ of _______________________, as their attorney in fact, to act in the
place and stead and with the same authority as Principal would have to transfer the following
motor vehicle, and to take any other necessary steps to transfer title the following motor vehicle:
Make: ___________
Model: ______________
Year: ___________
Body: ____________
Vehicle identification number: ________________________


IMPORTANT: Federal regulations require this statement to be given to purchasers on sales of
vehicles. An inaccurate or untrue statement may make you liable for damages to the buyer and
there may also be civil or criminal penalties.

The odometer described above now reads ______________ miles.

Certify one of the following—please “XXX” the appropriate line before the correct statement:

___________ I (we) certify that to the best of my (our) knowledge the odometer reading as stated
above reflects the actual mileage of the vehicle described below.

___________ I (we) certify that to the best of my (our) knowledge the odometer reading as stated
above reflects the amount of mileage in excess of designed mechanical limits of 99,999 miles of
the vehicle described below.

___________ I (we) certify that to the best of my (our) knowledge the odometer reading as stated
above is NOT the actual mileage of the vehicle described below, and should not be relied upon.

Certify one of the following—please “XXX” the appropriate line before the correct statement:

__________ I (we) certify that the odometer of the vehicle described above was not altered, set
back, or disconnected while in
								
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