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  • Fl Hsmv 96440 2017

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HSMV 96440 06/11 Page 2 Federal Identification Number Section 6. Signature of Registrant/Licensee The Power of Attorney is not valid until it is signed and dated by the Registrant/Licensee. Division of Motorist Services Bureau of Commercial Vehicle and Driver Services POWER OF ATTORNEY and Declaration of Representative DMS USE ONLY A photocopy of the Registrant s Driver License must be submitted with this Power of Attorney. PART 1 POWER OF ATTORNEY Section 1. Registrant/Licensee Information* Registrant/Licensee must sign and date this form in section 1 and section 6. See Page 2 Section 6 Registrant/Licensee Name and Address as shown on Cab Card or IFTA License Signature of Applicant Print Name Federal ID No* s SSN FEIN etc Registrant Telephone Number Fax Number Hereby appoints the following representative as attorney-in-fact Section 2. Representative. Representative must sign and date this form* See Page 2 Part II Name and Address of person or company being appointed as Power of Attorn....

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How to fill out the FL HSMV 96440 online

The FL HSMV 96440 is a Power of Attorney and Declaration by Authorized Agent form that allows a representative to act on behalf of a registrant or licensee concerning their International Registration Plan (IRP) and International Fuel Tax Agreement (IFTA) accounts. This guide provides clear instructions to help users fill out this form online efficiently.

Follow the steps to complete the FL HSMV 96440 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In Section 1, enter the name and Federal Employer Identification Number (FEIN) that match those on your IRP and IFTA accounts. Make sure to input your IRP account number, telephone number, and email address accurately.
  3. Proceed to Section 2 to fill in the details of the authorized agent. Specify whether the agent is an individual or a motor carrier service provider company. Provide the agent’s name, address, main telephone number, fax number, and email address.
  4. In Section 3, include a photocopy of the Registrant/Licensee’s driver license. Then, affirm your authorization for the agent to access and process transactions related to your IRP and IFTA accounts. Write your signature, title, and the date in the designated places.
  5. Complete the notary section to validate the form. This includes having the notary public sign and date the section, confirming your identity.
  6. In Part II, the authorized agent must declare their understanding of the power granted in the form. They should provide their printed name, signature, and date.
  7. Finally, review all sections for accuracy. Save changes, and you can choose to download, print, or share the completed form as needed.

Start filling out the FL HSMV 96440 online today to ensure your representation is properly established.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
FL HSMV 96440
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