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MVT 5-13
1/13

ALABAMA DEPARTMENT OF REVENUE
MOTOR VEHICLE DIVISION

THIS FORM MAY
BE REPRODUCED

www.revenue.alabama.gov/motorvehicle/forms.html

Power of Attorney
VEHICLE IDENTIFICATION NUMBER (VIN)

YEAR

*

BODY TYPE

MAKE

MODEL

LICENSE PLATE NUMBER

STATE OF ISSUANCE

Taxpayer Information

Representative(s): Hereby appoint(s) the following representative(s)

Taxpayer Name(s) and Address (Please Type or Print)

Name and Address (Please Type or Print)

Email Address**___________________________________________________
Telephone Number** (_______)___________________
Fax Number**

(_______)___________________

As my attorney-in-fact to sign my name and do all things necessary for the purpose(s) of:


Title application, transfer or lien filing

IFTA transaction(s)

register and purchase license plate(s),

other purpose, describe:_________________________________________________________________________________________,

for my motor vehicle described above.
ACTS AUTHORIZED
T