Free power of attorney 10
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Release of Interest/ Power of Attorney
Vehicle license plate/ Vessel registration number
Year

Vehicle Identification or Hull Identification number (VIN or HIN)

Make

Series/ Body type

Title number

Lienholder’s release of interest – Requires notarization/certification, unless a business entity and release is
submitted with Certificate of Ownership. Must be accompanied by Certificate of Ownership or completed, notarized/certified,
Affidavit of Loss of Title form TD-420-040.
I/We release all interest in the above described vehicle/vessel.
TYPE or PRINT lienholder/business/company name
TYPE or PRINT lienholder/business/company name

Title for business/company
Title for business/company

X

X

Please sign here after printing this form.

Signature of person releasing interest
Please sign here after printing this form.

Signature of person releasing interest

Registered owner’s release of interest – Requires notariz