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South Carolina Motor Vehicle Power of Attorney Form

The South Carolina 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.

South Carolina Motor Vehicle Power of Attorney Form
South Carolina Motor Vehicle Power of Attorney Form
South Carolina Department of Motor Vehicles
(Rev. 6/10)
Licensees are required to file IRP/IFTA applications/returns and pay taxes as owed. They are also required to accept
and respond to various types of official communications with the South Carolina Department of Motor Vehicles.
If a licensee prefers an appointed individual or Service Provider to fulfill these responsibilities, this form is to be
completed. This is a privilege extended to the licensee which requires special handling by the Department, therefore,
such action will not be considered unless this form is properly completed and placed on file with the Department.
The completion of this form does not relieve the licensee of the legal obligations associated with a particular license.
The licensee is ultimately responsible for the payment of taxes as well as all acts and omissions of the stated
individual or Service Provider.
KNOW ALL MEN BY THESE PRESENT, that the undersigned principal and licensee has made and appointed, and
does hereby make and appoint (Firms Name) _________________________________________________________
(Mailing Address) (Phone Number)
to act as Attorney-in-Fact for the licensee, who makes this appointment either personally or in an authorized
representative capacity on behalf of the including licensing; this power of attorney shall be for all matters related to
IFTA fuel taxes including licensing, decal orders, fuel tax reports; IRP licensing and discussing all required
documents with any employee of the SCDMV.
IN WITNESS WHEREOF, I, ______________________________________________________________________
have set my hand this _______________ day of ___________________, 20 __________.
Signature of Owner/Legal Representative
STATE OF _________________________ ) COUNTY OF ____________________________ )
On this _______ day of ______________, 20____, before me, the undersigned Notary Public, in and for the county
and state aforesaid personally appeared ______________________________________________________________
and acknowledged to me that he executed the same as his free and voluntary act and deed, of said corporation, for the
uses and purposes therein set forth.
Given under my hand and seal the day and year last above written.
Notary Public ___________________________________________
My commission Expires: __________________________________
A power of attorney submitted from another state must bear the impression, seal or other authentication of a
notary of the state. The submitter must ensure that such authentication is proper under the law of that state to
authenticate documents sent across state lines. Forms without such authentication will be returned without
South Carolina Motor Vehicle Power of Attorney Form