Mississippi Motor Vehicle Power of Attorney
This Power of Attorney grants certain powers to an agent for matters concerning the transfer of ownership, registration, and titling of motor vehicles in the State of Mississippi, in accordance with the Mississippi Motor Vehicle Title Act.
Principal Information
- Name: ___________________________________________
- Physical Address: ___________________________________________
- City, State, Zip: ___________________________________________
- Phone Number: ___________________________________________
- Driver's License Number: ___________________________________________
Agent Information
- Name: ___________________________________________
- Physical Address: ___________________________________________
- City, State, Zip: ___________________________________________
- Phone Number: ___________________________________________
- Relationship to Principal: ___________________________________________
This document appoints the above-named agent to act on the principal's behalf in the following matters concerning motor vehicles:
- Application for title or registration
- Transfer of title
- Application for Mississippi Motor Vehicle License Plate
- Payment of fees and taxes related to the motor vehicle
- Representation in all matters related to the motor vehicle with the Mississippi Department of Revenue and other related entities
Vehicle Information
- Make: ___________________________________________
- Model: ___________________________________________
- Year: ___________________________________________
- VIN (Vehicle Identification Number): ___________________________________________
This Power of Attorney is effective as of _____/_____/_____ and will remain in effect until _____/_____/_____, unless it is revoked earlier by the principal in writing.
Signed this ____ day of ____________, 20____.
___________________________________________
Principal's Signature
State of Mississippi
County of ____________________
Subscribed and sworn before me this ____ day of ____________, 20____.
___________________________________________
Notary's Signature
My commission expires: ________________