Motor Vehicle Power of Attorney - Nebraska

Revised 11/2011
NEBRASKA DEPARTMENT
OF
MOTOR VEHICLES
Po wer of Attorney*
(For Vehicle/Motorboat Only)
I hereby appoint as my attorney-in-
fact, for the purpose of transferring ownership or making application for title and registration to
the following described vehicle/motorboat:
Year Make VIN/HIN
With full authority to sign on m y behalf all papers and documents and to do all that is necessary
to this appointment.
Name (P l ease Print)
Signature
Date
Print Name (Plea se Print)
Signature
Date
State of
County of
The foregoing signature
was acknowledged
before me this day of .
Notary or Designated County Official
Seal
State of
County of
The foregoing signature
was acknowledged
before me this day of .
Notary or Designated County Official
Seal
*Dealers may only us e this form when making application for a duplicate title or when the odomet er is
exempt from reporting.
Vehicle/ Motorboat Owner 1
Notar y 1
Notar y 2
Vehicle/ Motorboat Owner 2
Page 1/1
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Motor Vehicle Power of Attorney - Nebraska PDF

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