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Florida Power of Attorney for a Motor Vehicle, Mobile Home or Vessel Form


Florida Power of Attorney for a Motor Vehicle, Mobile Home or Vessel Form
Florida Power of Attorney for a Motor Vehicle, Mobile Home or Vessel Form
STATE OF FLORIDA
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SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE
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POWER OF ATTORNEY FOR A MOTOR VEHICLE, MOBILE HOME OR VESSEL
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I/We hereby name and appoint, __________________________________________________________, to be my/our
(Full Legibly Printed Name is Required)
lawful attorney-in-fact, to act for me/us, in applying for an original or duplicate certificate of title, to register, transfer title,
or record a lien to the motor vehicle, mobile home or vessel described below, and to print my/our name and sign their
name, in my/our behalf. My attorney-in-fact can also do all things necessary to the application or any other related
instrument and to bind me/us in as sufficient a manner as I/we myself/ourselves could do, were I/we personally present
and signing the same.
With full power of substitution and revocation, I/we hereby ratify and confirm whatever my/our said attorney-in-fact may
lawfully do or cause to be done in the virtue hereof.
CHECK ONE: Motor Vehicle Mobile Home Vessel
Year
Make/Manufacturer
Body Type
Title Number
Vehicle/Vessel Identification Number
NOTICE TO OWNER(S): COMPLETE THIS FORM IN ITS ENTIRETY PRIOR TO SIGNING.
UNDER PENALTIES OF PERJURY, I/WE DECLARE THAT I/WE HAVE READ THE FOREGOING DOCUMENT AND
THAT THE FACTS STATED IN IT ARE TRUE.
_________________________________________________ __________________________________________________
(Signature of Owner "Grantor) (Legibly Printed Name of Owner "Grantor")
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(Driver License, Identification Card or FEID Number for Owner) (Date of Birth for Owner, if applicable)
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(Owner’s Address ) (City) State) (Zip)