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POWER OF ATTORNEY - Alaska

STATE OF Alaska . 847 DIVISION OF MOTOR VEHICLES. POWER OF ATTORNEY . LICENSE PLATE NUMBER SERIAL NUMBER (VIN). VEHICLE. INFO. YEAR MAKE MODEL BODY STYLE COLOR. I hereby appoint the following person as my ATTORNEY -in-fact to sign any and all documents for the vehicle described above, including but not limited to: Vehicle Purchase Vehicle Sale Application for Title and/or Registration APPOINTMENT INFORMATION. Transfer of Ownership FULL FIRST NAME FULL MIDDLE NAME FULL LAST NAME SUFFIX. PRINTED NAME OF APPOINTER LICENSE / ID NUMBER.

state of alaska division of motor vehicles power of attorney . revision 01/2018. www.alaska.gov/dmv. 847. vehicle in fo. license plate number serial number (vin)

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Transcription of POWER OF ATTORNEY - Alaska

1 STATE OF Alaska . 847 DIVISION OF MOTOR VEHICLES. POWER OF ATTORNEY . LICENSE PLATE NUMBER SERIAL NUMBER (VIN). VEHICLE. INFO. YEAR MAKE MODEL BODY STYLE COLOR. I hereby appoint the following person as my ATTORNEY -in-fact to sign any and all documents for the vehicle described above, including but not limited to: Vehicle Purchase Vehicle Sale Application for Title and/or Registration APPOINTMENT INFORMATION. Transfer of Ownership FULL FIRST NAME FULL MIDDLE NAME FULL LAST NAME SUFFIX. PRINTED NAME OF APPOINTER LICENSE / ID NUMBER.

2 SIGNATURE OF APPOINTER DATE. COMPANY NAME (IF APPLICABLE). Subscribed and Sworn to before me this (SEAL). day of, 20. Signature of Notary Public or DMV Representative (LOGIN ID & Office Location). NOTARY. Commission Expiration: NOTE: A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. This form must be completed in full in ink. Only the original, notarized document is acceptable.

3 Revision 01/2018


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