Tax Assessor-Collector Vehicle Specific Authorization Letter
ANN HARRIS BENNETT
Tax Assessor-Collector
Vehicle Specific Authorization Letter
Please complete this printable form online or write legibly in blue or black ink ONLY, within the lines provided. This form will not be accepted and will be returned if it is illegible, altered or incomplete.
I, We, _______________________________________________ do hereby authorize the following Title Service (Enter as listed on DBA): _______________________________________ Phone: (______) _________________ to complete the transaction(s) indicated below.
Please initial or check one or more:
Purchase Registration (Please Circle) Vehicle driven with Expired Registration ? Yes or No Ticket/Citation issued - Yes or No
Title Transfer Transaction
Replacement Plate or Replacement Sticker
Duplicate Receipt
All of the above
Change address to: _____________________________________________________________________________
Other: _______________________________________________________________________________________
Name: Address:
Customer, Dealer, or Company Appointing Motor Vehicle Title Service
Dealer #: (If any) Phone: ( )
City:
State:
Zip Code:
Name: Address:
Seller Information Dealer #: (If any)
City:
Phone: ( ) State: Zip Code:
Year: Vehicle Identification Number:
Vehicle Description Make:
Body Style:
Signature of Authorized Person and/or Registered Owner
Date
Printed Name same as Signature
Phone Number
Copy of owner's valid Personal Identification (Follow TxDMV Identification Guidelines). If registered owner and/or seller of the vehicle is in a company and/or an automobile dealer name please attach business card, along with copy of valid Personal Identification (Follow TxDMV Identification Guidelines). NOTE: Transportation Code 520.057 RECORDS...Requires a copy of the customer's driver license be maintained in the title service records which differs from the TxDMV Identification Guidelines. A Power of Attorney may not be used to sign this form.
TS-12
Rev 9/18 v1
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- tax assessor collector vehicle specific authorization letter
- tax assessor collector harris county title service
- assumed business name certificate ncgs
- assumed name renewal certificate
- assumed name dba certificate of ownership
- form 201—general information
- form 503—general information assumed name
- county clerk harris county texas
- assumed name records certificate of harris
- dana debeauvoir tyclerk
Related searches
- westbrook tax assessor ct
- westbrook ct tax assessor database
- marlborough ma tax assessor database
- bucks county tax assessor pa
- ann harris bennett tax assessor collector
- milford ma tax assessor s database
- lincoln county tax assessor sd
- vehicle release authorization form
- release vehicle authorization letter sample
- authorization letter for birth certificate
- crook county tax assessor oregon
- medical treatment authorization letter minor