Wyoming Power of Attorney for a Motor Vehicle or Mobile Home Form
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POWER OF ATTORNEY
FOR A MOTOR VEHICLE OR MOBILE HOME
State of Wyoming
County of Natrona

I, ___________________________________________________hereby name,
constitute and appoint, ______________________________________, to be
my true and lawful attorney in-fact, to act for me, in applying for an original or
duplicate certificate of title, to register, transfer title to the motor vehicle or
mobile home described below, and to print my name and sign their name, in
my behalf.
CHECK ONE: □ MOTOR VEHICLE
YEAR:

□ MOBILE HOME

MAKE:

BODY TYPE:

TITLE NUMBER:

VIN NUMBER:

_________________________________________________________________
(SIGNATURE OF OWNER(S))

_________________________________________________________________
STREET ADDRESS

_________________________________________________________________
CITY

STATE

ZIP

Subscribed and sworn to before me by _______________________________________
This ________________ day of ______________________________20 ________.

_______