Power of Attorney for a Motor Vehicle, Mobile Home, or Vessel Instructions
This form contains 34 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Attorney-in-Fact Name | ||
| Attorney-in-Fact Full Name | Text |
Enter the full legal name of the person you are appointing as your attorney-in-fact (agent) under this power of attorney.
|
| General | ||
| Motor Vehicle | Checkbox |
Check this box if the power of attorney applies to a motor vehicle.
|
| Mobile Home | Checkbox |
Check this box if the power of attorney applies to a mobile home.
|
| Notarization Date | ||
| Notarization Day | Text |
Enter the day of the month on which the document is notarized.
|
| Notarization Month | Text |
Enter the month in which the document is notarized.
|
| Notarization Year | Text |
Enter the year in which the document is notarized.
|
| Notary Public | ||
| Notary Commission Expiration Date | Date |
Enter the date on which the notary public's commission expires.
|
| Notary Venue (State and County) | ||
| State (Notary Venue) | Text |
Enter the U.S. state where the notarization is taking place.
|
| County (Notary Venue) | Text |
Enter the county where the notarization is taking place.
|
| Owner Signature and Address | ||
| Owner Signature | Text |
Enter the signature of the vehicle/mobile home owner authorizing this power of attorney.
|
| Street Address | Text |
Enter the owner's street address (house number and street name).
|
| Person Appearing Before Notary | ||
| Person Appearing Before Notary | Text |
Enter the full name of the person who appeared before the notary and was subscribed and sworn.
|
| Principal (Owner) Name | ||
| Principal (Owner) Full Name | Text |
Enter the full legal name of the principal/owner granting this power of attorney.
|
| Vehicle Identification Number (VIN) | ||
| VIN character 1 | Text |
Enter the 1st character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 2 | Text |
Enter the 2nd character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 3 | Text |
Enter the 3rd character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 4 | Text |
Enter the 4th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 5 | Text |
Enter the 5th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 6 | Text |
Enter the 6th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 7 | Text |
Enter the 7th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 8 | Text |
Enter the 8th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 9 | Text |
Enter the 9th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 10 | Text |
Enter the 10th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 11 | Text |
Enter the 11th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 12 | Text |
Enter the 12th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 13 | Text |
Enter the 13th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 14 | Text |
Enter the 14th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 15 | Text |
Enter the 15th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 16 | Text |
Enter the 16th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| VIN character 17 | Text |
Enter the 17th character of the Vehicle Identification Number (VIN). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| Vehicle/Mobile Home Details (Year, Make, Body Type, Title Number) | ||
| Vehicle/Mobile Home Year | Text |
Enter the model year of the motor vehicle or mobile home. Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| Make | Text |
Enter the make (manufacturer/brand) of the motor vehicle or mobile home. Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| Body Type | Text |
Enter the body type of the motor vehicle or mobile home (for example, sedan, pickup, or trailer). Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|
| Title Number | Text |
Enter the certificate of title number for the motor vehicle or mobile home. Fill only if 'Motor Vehicle', 'Mobile Home' is selected (any).
Depends on:
Motor Vehicle, Mobile Home
|