In which state will this power of attorney be used? Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming What powers will be given to the agent? (check all that apply) What powers will be given to the agent? (check all that apply) Title and Registration: Transfer title, register vehicle, renew registration, etc.Purchase and Sale: Buy, sell, negotiate terms for vehicleInsurance: File claims, pay premiums, etc.Maintenance and Repair: Handle costs and decisions for vehicle upkeepOther Specify: Who is the agent? This individual or entity ("attorney-in-fact") receives the power to act on the vehicle owner's behalf. Do you know the agent's mailing address? Do you know the agent's mailing address? YesNo, I will enter it later. Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Who is the vehicle owner? Do you know the vehicle owner's mailing address? Do you know the vehicle owner's mailing address? YesNo, I will enter it later. Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Do you want to enter vehicle information (i.e. year, make, model, etc.)? Do you want to enter vehicle information (i.e. year, make, model, etc.)? YesNo, I will write it in later. Make Model Body Style Color Year Vehicle Identification Number (VIN) 17 characters The vehicle owner must sign this form in the presence of a notary public. The vehicle owner must sign this form in the presence of a notary public. I understand. Next Save Save and finish later
