Who is the vehicle owner? This individual gives the right to sell, register, title, or any other rights to their vehicle. Do you know the vehicle owner's mailing address? YesNo, I will write it in 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 agent? This individual or entity ("Attorney-in-Fact") receives the right to act on the vehicle owner's behalf. Do you know the agent's mailing address? YesNo, I will write it in 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.)? YesNo, I will write it in later. Make Model Body Style Color Year Vehicle Identification Number (VIN) 17 characters Title / Document number If unknown, you may leave blank. License Plate State and Number You may leave blank if none or not applicable. Do you want to add a section for notary acknowledgment? (Optional) YesNo Notarizing this form is not legally required in the State of Texas. Next Save Save and finish later
