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Get IN Form 1940 2019-2024

Reset Form LIMITED POWER OF ATTORNEY VEHICLE AND WATERCRAFT TRANSACTIONS State Form 1940 R5 / 7-19 INDIANA BUREAU OF MOTOR VEHICLES INSTRUCTIONS 1. 3. The Limited Power of Attorney form must be notarized to be valid. SECTION ONE CUSTOMER AND VEHICLE INFORMATION Customer Name first middle initial last or company name Telephone Number Address number and street City State ZIP Code Vehicle or Hull Identification Number Make of Vehicle / Watercraft Year Title Number if known SECTION TWO ATTORNEY-IN-FACT INFORMATION Attorney-in-Fact Name first middle initial last SECTION THREE AFFIRMATION I hereby authorize the attorney-in-fact to complete transactions involving the certificate of title and/or registration for the vehicle or watercraft listed above. Complete in blue or black ink. If more than one customer s signature is required each customer must complete their own Limited Power of Attorney section below. 2. Individuals must enter their residential address companies must enter their principal place of business. SECTION FOUR AUTHORIZING SIGNATURE Signature of Customer Requiring Representative Printed Name Date mm/dd/yyyy SECTION FIVE NOTARY CERTIFICATE STATE OF SS SEAL COUNTY OF Sworn to before me a Notary Public in and for said County this day of 20. Complete in blue or black ink. If more than one customer s signature is required each customer must complete their own Limited Power of Attorney section below. 2. Individuals must enter their residential address companies must enter their principal place of business. .

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Keywords relevant to IN Form 1940

  • affirmation
  • authorizing
  • notary
  • requiring
  • transactions
  • expires
  • residential
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