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Of the vehicle is/are unable to apply in person for vehicle registration services. PART 1 I/We, Name of Owner/Lessee / Name of Joint Owner/Lessee of , Address (include postal code) give consent to , Name of Authorized Representative with a driver's licence or MVID number of , to act on my/our behalf to process the following transaction for the vehicle specified in Part 2: Register in the name of the owner(s)/lessee(s) as shown above. New Vehicle - The following documents must be provide.

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