Fill and Sign the 411021 Iowa Department of Transportation Power of Attorney Form

DEPARTMENT OF TRANSPORTATION MOTOR VEHICLE DIVISION POWER OF ATTORNEY KNOW B Y A LL P E R SO NS B Y T H ESE P R ESE N TS, T hat t h e u nders ig ned ___________________________O f th e C ounty o f _ ________ ________________, S ta te o f _ _______________________, B ein g th e B uyer, S elle r or O wner o f th e fo llo w in g d esc rib ed M oto r V eh ic le : M ak e _ ____________________________________ Y ear __ _____ ________ B ody Sty le _________________ __ V IN ___________________________________ D oes he re b y m ak e, c o nstitu te a n d a p poin t _ ______________________________________________________ A ddre ss __ _____ _______________ _____________ C ity _ ___________________________ S ta te _ ________ C ounty o f _ __ ____________ ___________ T ru e a n d la w fu l a tto rn ey -in -fa ct to s ig n in th e n am e, p la ce a n d s te ad o f th e u nders ig ned a n y C ertif ic ate o f O wners h ip is su ed b y th e _ __________ D ep artm en t o f T ra n sp orta tio n, M oto r Ve h ic le D iv is io n, S ta te o f _ __________, co nvertin g th e m oto r v eh ic le d esc rib ed ab ove, in w hate v er m an ner ne cessa ry t o t r a n sfe r a n y r e g is tr a tio n o f s a id m oto r v eh ic le .G ra n tin g a n d g iv in g t o s a id a tto rn ey -in -fa ct f u ll a u th ority a n d p ow er t o d o a n d p erfo rm a n y a n d a ll a cts n ecessa ry o r in cid en t to th e ex ecu tio n o f th e p ow ers h ere in ex pre ssly g ra n te d w ith th e p ow er to d o an d p erfo rm all acts au th oriz ed h ere b y, a s f u lly t o a ll i n te re sts a n d p urp ose s a s g ra n to r m ig ht, o r c o uld d o i f p ers o nally p re se n t, w ith f u ll po w er o f s u bstitu tio n.IN T EST IM ONY W HER EO F, t h e U nders ig ned H ere to s e t h an dth is _ _________ D ay o f _ ___ ___________________, 2 0____. ____________________________________ S ig natu re _ ___________________________________ S ig natu re S ubsc rib ed a n d S w orn b efo re m e t h is _ ____ d ay o f _ __________________________________, 2 0___. ____________________________________ N ota ry P ublic _ ___________________________________ M y C om mis sio n E xpir e s