Power of Attorney Form - Alaska Division of Motor Vehicles
STATE OF ALA SKA
DIVISION OF MOTOR VEHICLES
POWER OF ATTORNEY
I do hereby appoint as m y att orney-in-fact
(Printed Name)
(Printed Name)
to sign any and all docum ent s relating to tit le and registration for t he following vehicle:
Ser ial # (VIN) Year M ake
This form must be compl eted in full (in ink) and must be surrendered w ith the Application for Titl e and
Registration (812) or the Vehicle Transaction Application (821). Only the ORIGINAL, notarized
document is acceptable.
/ / 20
Signature
Date
ADL or Other ID Number
Subsc ri bed And Sworn T o B efore Me This
day of
,
20
(SEAL)
Month
Year
Notary or Al ask a DMV Representative (A MVC & Office Location)
My Commission Ex pires
Form 847 (Rev. 02/2012) Alaska.gov/dmv
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