LIMITED POWER OF ATTORNEY
FOR VEHICLE
REGISTRATION & TITLING PURPOSES ONLY
Name of Individual or Company
DO HEREBY GRANT A
LIMITED POWER OF ATTORNEY TO THE UNDERSIGNED AGENT OF NATIONAL VEHICLE TITLE
& LICENSE SERVICE, INC. AT
____________________________________________
_______________________________________________
Signature
of Agent Appointed as Attorney-In-Fact
Printed Name of Agent Appointed as Attorney-In-Fact
MY ATTORNEY-IN-FACT
SHALL HAVE FULL POWER AND AUTHORITY TO UNDERTAKE AND PERFORM THE FOLLOWING ON
MY BEHALF:
ALL MATTERS RELATED
TO PERMITTING, LICENSING AND TITLING OF VEHICLES IN THE UNITED STATES,
INCLUDING ALL DISCUSSIONS AND SIGNATURES FOR CORPORATE OFFICERS OR INDIVIDUALS
FOR THE PURPOSE OF LICENSING OR TITLING IN THE UNITED STATES.
MY ATTORNEY-IN-FACT
AGREES TO ACCEPT THIS APPOINTMENT, SUBJECT TO ITS TERMS, AND AGREES TO ACT AND
PERFORM IN SAID FIDUCIARY CAPACITY CONSISTENT WITH MY BEST INTERESTS AS HE /SHE
IN HIS/HER DISCRETION DEEMS ADVISABLE.
THIS POWER OF
ATTORNEY MAY BE REVOKED BY AT ANY TIME, PROVIDED ANY PERSON RELYING ON THIS
POWER OF ATTORNEY SHALL HAVE FULL RIGHTS TO ACCEPT THE AUTHORITY OF MY
ATTORNEY-IN-FACT UNTIL IN RECEIPT OF ACTUAL NOTICE OF REVOCATION.
_________ __________________ ______________________________________
YEAR MAKE VIN
____________________________________ ___________________________________________
Signature
of Individual or Agent of Company Printed Name of Individual or Agent of
Company
_________________________________________ __________________________________________________
Address City
State Zip
__________________________________________
Notary
Public Notary
Seal