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Get MI TR-128 2015

Owner s Signature X Authorities granted under Public Acts 300 of 1949 451 of 1994 and 96 of 1987 as amended. TR-128 06/15. Michigan Department of State Clear Form APPOINTMENT OF AGENT For a Vehicle Watercraft or Mobile Home NOTE This form CANNOT be used to apply for an instant title unless the Agent is a licensed vehicle dealer. All Information must be completed in ink. I appoint agent s name Agent s address Agent s Driver License Number or ID Card Number as my agent to sign my name to legal documents pertaining to the sale purchase or titling of the unit described below which is required to be titled under Michigan law. Year VIN Make License Plate Number if any Vehicle Watercraft or Mobile Home Owner Information Owner s Name Owner s Street Address State City Zip Code Daytime Phone Number Owner s Driver License or ID Card Number Today s Date A false statement in connection with a title transaction is a crime. NOTE Owner must provide a photocopy of their valid driver license or state ID card to the agent listed above. Michigan Department of State Clear Form APPOINTMENT OF AGENT For a Vehicle Watercraft or Mobile Home NOTE This form CANNOT be used to apply for an instant title unless the Agent is a licensed vehicle dealer. All Information must be completed in ink. I appoint agent s name Agent s address Agent s Driver License Number or ID Card Number as my agent to sign my name to legal documents pertaining to the sale purchase or titling of the unit described below which is required to be titled under Michigan law. All Information must be completed in ink. I appoint agent s name Agent s address Agent s Driver License Number or ID Card Number as my agent to sign my name to legal documents pertaining to the sale purchase or titling of the unit described below which is required to be titled under Michigan law. Year VIN Make License Plate Number if any Vehicle Watercraft or Mobile Home Owner Information Owner s Name Owner s Street Address State City Zip Code Daytime Phone Number Owner s Driver License or ID Card Number Today s Date A false statement in connection with a title transaction is a crime. Year VIN Make License Plate Number if any Vehicle Watercraft or Mobile Home Owner Information Owner s Name Owner s Street Address State City Zip Code Daytime Phone Number Owner s Driver License or ID Card Number Today s Date A false statement in connection with a title transaction is a crime. NOTE Owner must provide a photocopy of their valid driver license or state ID card to the agent listed above. Michigan Department of State Clear Form APPOINTMENT OF AGENT For a Vehicle Watercraft or Mobile Home NOTE This form CANNOT be used to apply for an instant title unless the Agent is a licensed vehicle dealer. All Information must be completed in ink. I appoint agent s name Agent s address Agent s Driver License Number or ID Card Number as my agent to sign my name to legal documents pertaining to the sale purchase or titling of the unit described below which is required to be titled under Michigan law. Year VIN Make License Plate Number if any Vehicle Watercraft or Mobile Home Owner Information Owner s Name Owner s Street Address State City Zip Code Daytime Phone Number Owner s Driver License or ID Card Number Today s Date A false statement in connection with a title transaction is a crime. .

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