1 PERMISSION TO PROCESS TRANSACTION . I _____ do hereby give PERMISSION for Printed Name _____ to PROCESS my TRANSACTION with Printed Name the Department of Motor Vehicles. The TRANSACTION to be performed is: ____ Renewal or Replacement of License Plate ____ Obtain a Duplicate Registration Certificate ____ PROCESS a transfer of Ownership (new owner must have DPSMV. 1799 form completed and signed). ____ Surrender a License Plate ____ Other _____. on the following described vehicle: YEAR MAKE MODEL VIN NUMBER. ____ Clear a Flag or Suspension on My Driving Record ____ Obtain a Copy of My Official Driving Record ____ Other _____. This form IS NOT a power of attorney and the above named person cannot sign my name to any documents.
2 Date Owner's Signature Owner's Driver's License Number