Texas Specific Power of Attorney (Retrieval of Motor Vehicle by Lien Holder) Form
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TEXAS DEPARTMENT OF LICENSING AND REGULATION
COMPLIANCE DIVISION/Tow Truck/Vehicle Storage Program
P.O. Box 12157, Austin TX 78711
Email: [email protected] Website Address: www.tdlr.texas.gov
800/299-1700
SPECIFIC POWER OF ATTORNEY
Retrieval of Motor Vehicle by Lien Holder
The undersigned representative of ___________________________, (the Company) with it principle place of business
at __________________________________________ (street address, city and state) do hereby swear or certify that
the Company is the owner of the motor vehicle described herein. The Company establishes ownership of the vehicle
under an:
___ unrecorded lien holder with a right of possession, or
___ lien holder with an affidavit of repossession (a copy of which is attached hereto)
to the following described motor vehicle:
Vehicle Year, Make and Model: __________________________
Vehicle Identification Number: __________________________
State of Registration: __________________________________
As the authoriz