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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 ________.
________________________________ (seal)
Notary Public My Commission Expires:________________