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STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
POWER OF ATTORNEY
I do hereby appoint as my attorney-in-fact
tosign any and all documents relating to title and registration for the following vehicle:
Serial # (VIN) Year Make
This form mustbe completed in full (in ink) and mustbe surrendered with the Application for Title and
Registration (812) or the Vehicle Transaction Application (821). Only the ORIGINAL, notarized
document is acceptable.
/ / 20
ADL or Other ID Number
Subscribed And Sworn To Before Me This
Notary or Alaska DMV Representative (AMVC & Office Location)
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