Power of Attorney - Arizona Department of Transportation
[Pages:1]48-1001 R12/13 Vehicle Identification Number
POWER OF ATTORNEY
Year Make
Body Style
Attorney-In-Fact (individual or organization you wish to act for you in this matter)
Mailing Address
City
State Zip
I appoint the Attorney-In-Fact above, to sign all papers and documents required to secure the title, and further grant the authority to endorse and transfer title thereto, for the vehicle described above.
Buyer/Seller/Owner Name
Driver License Number
Date of Birth
Mailing Address
City
State Zip
Signature
Acknowledged before me this date.
Date
County
Notary or MVD Agent Signature State Commission Expires
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