Dealer Appointment of Agent - Interstate Auto Title
Dealer Appointment of Agent
Dealership Name and Address: _____________________________________________
_______________________________________________
________________________________________________
Dealer License Number ________________________________________________
Hereby appoint Interstate Auto Title and its representative’s _______________________
As our designated agent to execute for us the documents pertaining to the sale and/or purchase of the unit described below which is required to be titled under state law.
Year____________________ Make___________________ Model__________________
Vehicle Identification Number ______________________________________________
Except as expressly stated above, no other authority is granted or appointment is made hereby.
Signature of Dealership Representative ________________________________________
Printed Name ________________________________________
Position ________________________________________
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