ARIZONA DEPARTMENT OF TRANSPORTATION
MOTOR VEHICLE DIVISION

POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS, That the undersigned
 
Of the County of , State of , Being the Buyer, Seller or Owner
 
Of the following described Motor Vehicle:  Make Year
 
Body Style , VIN
 
Does hereby make, constitute and appoint
 
Address City State
 
County of True and lawful attorney in fact to sign in the name, place and stead of the
undersigned any Certificate of Ownership issued by the Arizona Department of Transportation, Motor Vehicle
Division, State of Arizona, covering the motor vehicle described above, in whatever manner necessary to transfer any registration of said motor vehicle.
 
Granting and giving unto said attorney in fact full authority and power to do and perform any and all acts necessary or incident to the execution of the powers herein expressly granted with power to do and perform all acts authorized hereby, as fully to all interests and purposes as the grantor might, or could do if personally present, with full power of substitution.
 
IN TESTIMONY WHEREOF, the Undersigned Hereto set hand this Day of
 
(Seal) _____________________________________________
  SIGNATURE
  _____________________________________________
  SIGNATURE
Subscribed and sworn to before me this day of
 
  _____________________________________________
  NOTARY PUBLIC
  _____________________________________________
  COMMISSION EXPIRES