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STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
POWER OF ATTORNEY
I

do hereby appoint as my attorney-in-fact
(Printed Name)
(Printed Name)

to sign any and all documents relating to title and registration for the following vehicle:
Serial # (VIN)

Year

Make

This form must be completed in full (in ink) and must be surrendered with the Application for Title and
Registration (812) or the Vehicle Transaction Application (821). Only the ORIGINAL, notarized
document is acceptable.
/
Signature
Subscribed And Sworn To Before Me This

day of

Notary or Alaska DMV Representative (AMVC & Office Location)

ADL or Other ID Number

,
Month

Form 847 (Rev. 02/2012)

/ 20

Date

20
Year

My Commission Expires

Alaska.gov/dmv

(SEAL)