Pennsylvania Motor Vehicle Power of Attorney
This Power of Attorney form is designed for use in the state of Pennsylvania. It allows you to designate someone to act on your behalf in matters related to your motor vehicle. This document conforms to Pennsylvania state laws.
Principal Information:
- Full Name: ___________________________
- Address: ___________________________
- City, State, Zip Code: _______________
- Phone Number: _______________________
- Email: _____________________________
Agent Information:
- Full Name: ___________________________
- Address: ___________________________
- City, State, Zip Code: _______________
- Phone Number: _______________________
- Email: _____________________________
Powers Granted:
The undersigned principal hereby grants the above-named agent the authority to perform the following acts relating to my motor vehicle:
- Transfer of ownership or registration of motor vehicles.
- Obtain or sign documents related to registration and title.
- Conduct transactions with the Pennsylvania Department of Transportation.
- Represent me in matters concerning vehicle inspections and emissions.
Duration:
This Power of Attorney shall remain in effect until revoked or until the following date: ____________.
Signature:
The principal must sign and date below to confirm the authority granted in this document:
______________________________ Signature of Principal
Date: __________________________
Notary Acknowledgment:
On this ____ day of _______________, 20__, before me, a notary public, personally appeared ____________________________ (Principal's Name) and proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same.
Notary Public Signature: ____________________________
My commission expires: ____________