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Wisconsin Motor Vehicle Power of Attorney Form


Wisconsin Motor Vehicle Power of Attorney Form
Form 1020F
© 2003 Nationwide Publishing Company, Inc.
http://www.claimspages.com
POWER OF ATTORNEY
I (We) ________________________________________________________________________________,
of _____________________________________________________________, am (are) the legal owner(s)
of the following vehicle:
Year: ______________
Type: __________________________________________
Make: __________________________________________
VIN: __________________________________________
License Number: __________________________________________.
By this instrument, I (we) appoint __________________________________________________________
of _________________________________ County, as my (our) attorney in fact to sign my (our) name(s)
and complete information in relation to transactions involving the certificate of title or registration for the
vehicle as described above.
WITNESS(ES): SIGNATURE(S):
______________________________________ ____________________________________
Witness Signature
______________________________________ ____________________________________
Witness Signature
______________________________________ ____________________________________
Claim Number Date
NOTARY:
State of ____________________________________ ; County of ______________________________; SS
On this ________ day of _____________________, 20_____, before me appeared ___________________
______________________________________________________________________________________
who is known to be the person(s) named herein and who voluntarily executed this release.
_____________________________________ ____________________________________
Notary Signature Date Commission Expires
Wisconsin Motor Vehicle Power of Attorney Form