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Get TX PWD 1055-A0900 2016-2024

Limited Power of Attorney PWD 1055 For Vessels and/or Outboard Motors This is to certify that I Company Name if applicable Name Address City State Zip Phone Number Day time owner of the following described vessel and/or outboard motor do hereby appoint as my true and lawful attorney to sign and execute for me any and all papers in connection with the sale transfer or registration specifically limited to the vessel and/or outboard motor listed below Vessel Description complete all TX or Title Hull ID/Serial Year Built Make Outboard Motor Description complete all Horse Power Serial WARNING Falsifying information on documents is a punishable offense Texas Penal Code Chapter 37 Section 37. 10. Any person who knowingly makes a false entry in or false alteration of a governmental record is guilty of a felony of the third degree punishable by confinement in jail for any term of not more than 10 years or less than 2 years and punishable by a fine not to exceed 10 000. I hereby certify that all statements in this document are true and correct to the best of my knowledge and belief* Printed Name Signature of Owner The owner s signature must be notarized* Forms without notary will not be accepted* Subscribed and sworn to before me this day of month year. Signature of Notary Notary Stamp/Seal County State of Texas Texas Parks and Wildlife Department maintains the information collected through this form* With few exceptions you are entitled to be informed about the information we collect* Under Sections 552. 021 and 552. 023 of the Texas Government Code you are also entitled to receive and review the information* Under Section 559. 10. Any person who knowingly makes a false entry in or false alteration of a governmental record is guilty of a felony of the third degree punishable by confinement in jail for any term of not more than 10 years or less than 2 years and punishable by a fine not to exceed 10 000. I hereby certify that all statements in this document are true and correct to the best of my knowledge and belief* Printed Name Signature of Owner The owner s signature must be notarized* Forms without notary will not be accepted* Subscribed and sworn to before me this day of month year. I hereby certify that all statements in this document are true and correct to the best of my knowledge and belief* Printed Name Signature of Owner The owner s signature must be notarized* Forms without notary will not be accepted* Subscribed and sworn to before me this day of month year. Signature of Notary Notary Stamp/Seal County State of Texas Texas Parks and Wildlife Department maintains the information collected through this form* With few exceptions you are entitled to be informed about the information we collect* Under Sections 552. Signature of Notary Notary Stamp/Seal County State of Texas Texas Parks and Wildlife Department maintains the information collected through this form* With few exceptions you are entitled to be informed about the information we collect* Under Sections 552. 021 and 552. 023 of the Texas Government Code you are also entitled to receive and review the information* Under Section 559. .

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