Transcription of ACT OF DONATION - AutoTitle.com
1 ACT OF DONATION DATE: _____ I/We, the undersigned, DONATE to _____ Address: _____ Relationship: _____ The following described vehicle: VIN: _____ Year: _____ Make:_____ Model:_____ Body: _____ I/We (donor) hereby donate the above-mentioned vehicle, and declare that there was no consideration involved. The value of the vehicle is: $_____ Furthermore, I/We (donor) appoint _____ as my/our attorney-in-fact to sign all documents in our name necessary to dispose of said vehicle and/or obtain a marketable title for the same. Furthermore, I/We (donee) appoint _____ as my/our attorney-in-fact to sign all documents in our name necessary to dispose of said vehicle and/or obtain a marketable title for the same. I/We (donee) hereby authorize the State of Louisiana to mail the title to the following: _____ _____ _____ Witness Signature Donor Signature _____ _____ Witness Printed Name Donor Printed Name _____ _____ Witness Signature Donee Signature _____ _____ Witness Printed Name Donee Printed Name Donor warrants that there are no mortgages, liens, or encumbrances of any kind against the movable property or any accessories attached thereon.
2 Signed on _____ day of _____, 20___. _____ Notary Signature _____ Notary Printed Name & ID #
