![]() ![]() Birth Certificate Passport State Issued ID Other (Specify) My Commission Expires: Date: NOTE: This document is void if any information has been left blank or if any information entered hereon has been erased or altered by any means. Please check the below document(s) used for verification: Driver's License Military ID (Notary Public). TO BE COMPLETED BY NOTARY: STATE OF tennessee County of Personally appeared before me, the undersigned authority,, with whom I have identified, who acknowledged that the foregoing instrument was executed for the purpose therein contained and I as a duly sworn notary have verified that they are a legal resident of County, tennessee. (Physical Street Address) (City) (State) (Zip Code).ģ ( ). Vehicle Information Request The area below is to be completed by the party granting authority: Individual Business Business Name (Signature of Individual or Business Owner) (Printed Name of Individual or Business Owner). ![]() Model Body Type Year Check the appropriate box for each transaction type authorized: Duplicate Title Transfer of Title Noting of Lien Application for Title and Registration Request for Verification of Ownership on Vehicles Other: Found Abandoned, Immobile or Unattended (Specify). This authority is limited to the Vehicle listed below: Make VIN. applicable documentation relative to any title or registration Transactions for the Vehicle described herein.Ģ I understand that these documents may contain the federally mandated odometer disclosure and that I am responsible for the disclosures made therein. 34-6-101 and 102) Dealers must use a secure power of. as my Attorney -in-fact to sign my name to all (City) (State) (Zip Code). Print Tennessee Department of Revenue Taxpayer and Vehicle Services Division Reset POWER OF ATTORNEY FOR VEHICLE TRANSACTIONS (Tenn. of (Business or Title Service, if applicable) (Street Address). DATE: I, do hereby appoint (Name) (Name of Attorney -in-fact Representative). Dealers must use a secure Power of Attorney (RV-F1316901) to transfer ownership when the original certificate of title is not available for the owner to make an odometer disclosure as required by The Motor Vehicle Information & Cost Savings Act of 1986. 1 Print Reset tennessee department of revenue Taxpayer and Vehicle services division Power OF Attorney FOR Vehicle Transactions. ![]()
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