POWER OF ATTORNEY TO SIGN FOR OWNER WHEN REGISTERING AND/OR TRANSFERRING OWNERSHIP OF A MOTOR VEHICLEVSA 70 (05/10/2018) VEHICLE OWNER(S): OWNER NAME (last, first, middle) VEHICLE INFORMATION VEHICLE MAKE BODY TYPE MODEL YEAR VEHICLE IDENTIFICATION NUMBER (VIN) TITLE NUMBER CERTIFICATION OWNER SIGNATURE CO-OWNER SIGNATURE DMV CUSTOMER NUMBER/EMPLOYER FEDERAL ID NUMBER (If vehicle owned by a company or corporation) DATE (mm/dd/yyyy) DMV CUSTOMER NUMBER/EMPLOYER FEDERAL ID NUMBER (If vehicle owned by a company or corporation) DATE (mm/dd/yyyy) CO-OWNER NAME (last, first, middle) CO-OWNER STREET ADDRESS OWNER STREET ADDRESS CITY STATE ZIP CITY STATE ZIP POWER OF ATTORNEY GRANTED TO: FULL LEGAL NAME (last) (first) (middle) (suffix) STREET ADDRESS CITY STATE ZIPI/We, being the owner(s) of the motor vehicle described above, by these presents do make, constitute, and appoint the person named above true and lawful attorney-in-fact to sign in my/our name, place, and stead any Certificate of Title, or other supporting papers, covering said motor vehicle, in whatever manner necessary to register and/or transfer ownership of said motor vehicle; and I/we do hereby grant unto said attorney-in fact full authority and power to do and perform any and all other acts necessary or incidents to the execution of the powers herein expressly granted, as the grantor might or could do if personally present, with full power of substitution. I/We further certify and affirm that all information presented in this form is true and correct, that any documents I/we have presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I/We make this certification and affirmation under penalty of perjury and I/we understand that knowingly making a false statement or representation on this form is a criminal violation. American LegalNet, Inc. www.FormsWorkFlow.com