LICENSE PLATE AUTHORIZATION STATEMENT OF FACT I, hereby authorize

ANN HARRIS BENNETT

Tax Assessor-Collector & Voter Registrar

LICENSE PLATE AUTHORIZATION STATEMENT OF FACT

I, __________________________________________________hereby authorize (Vehicle Owner)

_______________________________________________________ to place the (Plate Owner)

license plates described below on my vehicle.

_______________________________________________________ has legal (Plate Owner)

right of possession and control of the below described vehicle.

Plate Number:_____________________ Plate Type:____________________

Qualifying Plate?:________Yes___/____No___(Circle One)

Year:__________________________________

Make:_________________________________

Model:________________________________

VIN:__________________________________________________________

_________________________________ ________________________________

Signature of Vehicle Owner

Signature of Plate Owner

MV-510



Rev 03/14 v.2

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download