ALA BAMA DEPARTMENT OF REVENUE MOTOR VEHICLE …
* VEHICLE IDENTIFICATION NUMBER (VIN)
BODY TYPE
ALABAMA DEPARTMENT OF REVENUE
MOTOR VEHICLE DIVISION
revenue.motorvehicle/forms.html
Power of Attorney
YEAR
MAKE
MVT 5-13 1/13
THIS FORM MAY BE REPRODUCED
MODEL
LICENSE PLATE NUMBER
STATE OF ISSUANCE
Taxpayer Information Taxpayer Name(s) and Address (Please Type or Print)
Representative(s): Hereby appoint(s) the following representative(s) Name and Address (Please Type or Print)
Email Address**___________________________________________________
Telephone Number** (_______)___________________
Fax Number**
(_______)___________________
As my attorney-in-fact to sign my name and do all things necessary for the purpose(s) of:
Title application, transfer or lien filing
IFTA transaction(s)
register and purchase license plate(s),
other purpose, describe:_________________________________________________________________________________________,
for my motor vehicle described above.
ACTS AUTHORIZED The representative(s) is authorized to receive and inspect confidential tax information and to perform any and all acts that I (we) can perform with respect to the matters described above. The authority does not include the power to receive refund checks or the power to sign certain returns.
LIST ANY SPECIFIC ADDITIONS OR RESTRICTIONS TO THE ACTS OTHERWISE AUTHORIZED IN THIS POWER OF ATTORNEY:
Sworn to and subscribed before me on date above stated.
_______________________________________________
NOTARY PUBLIC
My commission expires:
_______________________________________________
_______________________________________________
SIGNATURE OF TAXPAYER
DATE
_______________________________________________
SIGNATURE OF TAXPAYER
DATE
Signature of Appointee: _________________________________________________________ ____________________
NOT VALID WITHOUT THIS SIGNATURE
DATE
If a business firm or corporation is appointed, the signature shall be of an authorized representative of the firm who will perform as attorney-
in-fact for the owner.
SPECIAL NOTICE: Any alterations or strikeovers shall void this Power of Attorney. Original signatures are required.
*All VINs for 1981 and subsequent year model vehicles that conform to federal anti-theft standards are required to have 17 digits/characters. ** Optional
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