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Missouri Motor Vehicle Power of Attorney Form

The Missouri motor vehicle power of attorney is a legal document used by the grantor to authorize the attorney-in-fact to act on his/her behalf in matters related with the motor vehicle.

Missouri Motor Vehicle Power of Attorney Form
Missouri Motor Vehicle Power of Attorney Form
MISSOURI DEPARTMENT OF REVENUE
MOTOR VEHICLE BUREAU
POWER OF ATTORNEY
NOTARY PUBLIC EMBOSSER SEAL STATE OF COUNTY (OR CITY OF ST. LOUIS)
SUBSCRIBED AND SWORN BEFORE ME, THIS
DAY OF
USE RUBBER STAMP IN CLEAR AREA BELOW.
NOTARY PUBLIC SIGNATURE MY COMMISSION
EXPIRES
NOTARY PUBLIC NAME (TYPED OR PRINTED)
NOTARY INFORMATION
MO 860-1005 (7-2011)
I (WE) HEREBY APPOINT ___________________________________________________________________________ AS MY (OUR) ATTORNEY-IN-FACT FOR THE
PURPOSE OF TRANSFERRING OR MAKING APPLICATION FOR TITLE AND REGISTRATION TO THE FOLLOWING DESCRIBED UNIT:
WITH THE FULL AUTHORITY TO SIGN ON MY (OUR) BEHALF ALL PAPERS AND DOCUMENTS AND TO DO ALL THAT IS NECESSARY TO THIS APPOINTMENT.
IDENTIFICATION NUMBERMAKE
FORM
4054
(REV. 7-2011)
OWNER’S PRINTED NAME OWNER’S PRINTED NAME
OWNER’S SIGNATURE OWNER’S SIGNATURE
___ ___ ___ ___
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
YEAR
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Missouri Motor Vehicle Power of Attorney Form