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Nebraska Power of Attorney (for Vehicle/Motorboat only) Form


Nebraska Power of Attorney (for Vehicle/Motorboat only) Form
Nebraska Power of Attorney (for Vehicle/Motorboat only) Form
Revised 11/2011
NEBRASKA DEPARTMENT
OF
MOTOR VEHICLES
Power of Attorney*
(For Vehicle/Motorboat Only)
I hereby appoint as my attorney-in-
fact, for the purpose of transferring ownership or making application for title and registration to
the following described vehicle/motorboat:
Year Make VIN/HIN
With full authority to sign on my behalf all papers and documents and to do all that is necessary
to this appointment.
Name (Please Print)
Signature
Date
Print Name (Please Print)
Signature
Date
State of
County of
The foregoing signature
was acknowledged
before me this day of .
Notary or Designated County Official
Seal
State of
County of
The foregoing signature
was acknowledged
before me this day of .
Notary or Designated County Official
Seal
*Dealers may only use this form when making application for a duplicate title or when the odometer is
exempt from reporting.
Vehicle/Motorboat Owner 1
Notary 1
Notary 2
Vehicle/Motorboat Owner 2
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Nebraska Power of Attorney (for Vehicle/Motorboat only) Form