Texas Specific Power of Attorney (Retrieval of Motor Vehicle by Lien Holder) Form
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The undersigned representative of ___________________________, (the Company) with it principle place of business
at __________________________________________ (street address, city and state) do hereby swear or certify that
the Company is the owner of the motor vehicle described herein. The Company establishes ownership of the vehicle
___ unrecorded lien holder with a right of possession, or
___ lien holder with an affidavit of repossession (a copy of which is attached hereto)
to the following described motor vehicle:
Vehicle Year, Make and Model: __________________________
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