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Texas Limited Power of Attorney to Register / Re-register a Motor Vehicle Form

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Texas Limited Power of Attorney to Register / Re-register a Motor Vehicle Form

LIMITEDPOWEROFATTORNEYTO
REGISTER/RE-REGISTERAMOTORVEHICLE

(Thisformcannotbeusedtotransferownershipofavehicle)
ThisistocertifythatI,___________________________________ofthe
Countyof_______________________andtheStateofTexas,ownerofthe
followingdescribedmotorvehicle,domake,constituteandappoint:
____________________________________,__________________________,
printednameofappointedpersonaddressofappointedperson
__________________,oftheCountyof
_________________________
andtheState
city
of________,mytrueandlawfulattorney,formeandinmyname,placeand
steadtoregisterorrenewtheregistrationforthemotorvehicledescribed
asfollows:
YEAR______MAKE______________________LIC.PLATE#:______________
VEHICLEIDENTIFICATIONNUMBER:_________________________________
TITLEDOCUMENTNUMBER:_______________________________________
________________________________________________________________
printed/typedname(s)ofowner(s)
________________________________________________,_______________________TX________
streetaddressofowner(s)  cityzip
___________________________________________________________________________________
daytimetelephonenumber(s)ofowner(s)
____________________________________________________________________________________
signature(s)ofowner(s)datesignature(s)ofowner(s)date
_____________________________________________________________________________________
printednameofowner'sinsuranceagent insuranceagent'stelephonenumber
_______________________________________,__________________________________________
printednameofappointedperson signatureofappointedperson
WARNING: Transportation Code, 501.155, provides that falsifying information on
any required statement or application is a third-degree felony.
Texas Limited Power of Attorney to Register / Re-register a Motor Vehicle Form