Virginia Motor Vehicle Power of Attorney Form
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POWER OF ATTORNEY TO SIGN FOR OWNER

VSA 70 (12/01/2010)

WHEN REGISTERING AND/OR TRANSFERRING OWNERSHIP OF A MOTOR VEHICLE

VEHICLE OWNER(S):

OWNER NAME (last, first, middle)

CO-OWNER NAME (last, first, middle)

OWNER STREET ADDRESS
CITY

CO-OWNER STREET ADDRESS
STATE

FULL LEGAL NAME (last)

ZIP

CITY

POWER OF ATTORNEY GRANTED TO:
(first)

STREET ADDRESS

VEHICLE MAKE

STATE

(middle)

CITY

BODY TYPE

VEHICLE INFORMATION

MODEL YEAR

VEHICLE IDENTIFICATION NUMBER (VIN)

ZIP

(suffix)
STATE

ZIP

TITLE NUMBER

CERTIFICATION

I/We, being the owner(s) of the motor vehicle described above, by these presents do make, constitute, and appoint the person named above true and lawful
attorney-in-fact to sign in my/our name, place, and stead any Certificate of Title, or other supporting papers, covering said motor vehicle, in whatever manner
necessary to register and/or transfer ownership of said motor vehicle; and I/we do hereby grant unto said attorney-in fact full authority and power to