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PERMISSION TO PROCESS TRANSACTION - …

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 _____.

PERMISSION TO PROCESS TRANSACTION . I _____ do hereby give permission for . Printed Name _____ to process my transaction with

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Transcription of PERMISSION TO PROCESS TRANSACTION - …

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 _____.

2 This form IS NOT a power of attorney and the above named person cannot sign my name to any documents. Date Owner's Signature Owner's Driver's License Number


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