MVT 5-13 5/95 ALABAMA DEPARTMENT OF REVENUE MOTOR VEHICLE DIVISION P. O. Box 327640 • Montgomery, AL 36132-7640 • (334) 242-9000 Power of Attorney THIS FORM MAY BE REPRODUCED STATE OF_________________________________________ COUNTY OF_______________________________________ Date: _____________________________________________ I hereby appoint _______________________________________________________________________________________ NAME of _____________________________________________________________________________ Zip __________________ ADDRESS as my attorney-in-fact to sign my name and do all things necessary for the purpose(s) of: (Owner shall initial each purpose for which appointment intended) ___________ making application for certificate of title, ___________ making application for replacement certificate of title, ___________ completing assignment of title to transfer my ownership to the transferee, ___________ to receive my certificate of title, ___________ to register and to purchase license plate, ___________ other purpose, describe: _____________________________________________________________________, for my motor vehicle described as follows: ___________ ______________________________ _________________________________ ________________________ YEAR MODEL MAKE MODEL BODY STYLE __________________________________________ _____________________________ ____________________________ VEHICLE IDENTIFICATION NUMBER LICENSE NUMBER w Sworn to and subscribed before me on Date above stated. STATE LICENSED ________________________________________________ w SIGNATURE OF OWNER ________________________________________________ NOTARY PUBLIC ________________________________________________ PERMANENT ADDRESS My commission expires: _______________________________ Zip ______________ w ________________________________________________ Signature of Appointee: ________________________________________________________________________________ NOT VALID WITHOUT THIS SIGNATURE If a business firm or corporation is appointed, the signature shall be of an authorized representative of the firm who will perform as attorney-in-fact for the owner. SPECIAL NOTICE: Any alterations or strikeovers shall void this Power of Attorney. Original signatures are required on all Power of Attorneys. LEGAL NOTICE: A person acting for the motor vehicle owner under this Power of Attorney should be aware of the statute under the Alabama Uniform Certificate of Title and Antitheft Act as follows: Code of Alabama 1975, §32-8-11. “Aiding, abetting, etc., in violations. A person who, whether present or absent, aids, abets, induces, procures or causes the commission of an act which if done directly by him, would be a felony or a misdemeanor under provisions of this chapter, is guilty of the same felony or misdemeanor. (Acts 1973, No. 765, p. 1147, §43.)” American LegalNet, Inc. www.USCourtForms.com