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Oregon Motor Vehicle Power of Attorney Form


Oregon Motor Vehicle Power of Attorney Form
Oregon Motor Vehicle Power of Attorney Form
INSTRUCTIONS FOR USING A POWER OF
ATTORNEY ON VEHICLE TITLE AND/OR
REGISTRATION DOCUMENTS
The power of attorney must be exercised by the person or
firm named as representative on the form. To properly
exercise the power of attorney, write the name of the owner
followed by the representative's signature.
Example: Sharon Smith by
Jane Doe
(Sharon Smith is the owner and Jane Doe is the person
named as representative on the power of attorney.)
If the named representative is a company, the representative
must sign and countersign.
Example: Sharon Smith by Morrison's Garage
George Morrison, owne
r
The power of attorney must be exercised on the title or
document for which the authority was granted in order to be
valid.
735-500 (6-13)
POWER OF ATTORNEY
SIGNATURE OF OWNER
X
SIGNATURE OF JOINT OWNER
NAME OF OWNER (PRINTED)
NAME OF JOINT OWNER (PRINTED)
DATE
DATE
(See instructions on back for exercising power of attorney.)
THIS POWER OF ATTORNEY
MAY NOT BE TRANSFERRED
TO ANY OTHER PERSON OR FIRM
STK # 300158
PLATE NUMBER
DESCRIPTION OF VEHICLE
YEAR MAKE
TITLE NUMBER
BODY STYLE
VEHICLE IDENTIFICATION NUMBER
I authorize the person or firm named below to act as my representative and
to sign my name to any forms necessary concerning the titling and/or
registration of the vehicle described below.
This power of attorney is valid only if the following sections are
completed:
Name of person or firm appointed as attorney and
Plate number, vehicle identification number or title number, and
Signature of owner.
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
DM V
NAME OF PERSON OR FIRM APPOINTED AS ATTORNEY (PRINTED):
X
Clear Form
Oregon Motor Vehicle Power of Attorney Form