VTR-271 Rev 12/15 Online form at www.TxDMV.gov Limited Power of Attorney for Eligible Motor Vehicle Transactions Instructions All sections of this form must be properly completed in black or blue ink in order for this to be an acceptable document. The signature must be in black or blue ink. No alterations are allowed on the form. This completed and signed form grants the grantee (or to anyone the grantee may substitute) full power and authority to do and perform all and every act necessary to purchase, transfer, and assign the legal title to the motor vehicle described on behalf of the grantor. This power of attorney cannot be used in a dealer transaction to complete a title assignment on a motor vehicle subject to federal odometer disclosure. Federal law specifies a motor vehicle is subject to odometer disclosure if it is self- propelled, less than 10 years old, and has a gross vehicle weight of 16,000 pounds or less. In compliance with federal law, you must use the secure Power of Attorney for Transfer of Ownership to a Motor Vehicle, Form VTR-271-A, when use of a power of attorney is permitted by the applicable regulations for a vehicle subject to federal odometer disclosure. If a power of attorney is used to apply for title, initial registration, or a certified copy of title, the grantor (person signing this form) and the grantee (person signing the application) must include a photocopy of their photo identification, as required by state law. Vehicle Information Year Make Vehicle Identification Number Body Style Model License Plate State and Number (if any) Title / Document Number Suffix (if any) County Address City State Zip Grantor Information Last Name Middle Name First Name (or Entity Name) Last Name Middle Name Suffix (if any) First Name (or Entity Name) County Address City State Zip Grantee Information Certification - State law makes falsifying information a third degree felony I, the above listed grantor of the above listed county and state, owner of the above described motor vehicle, certify that I do make, constitute, and appoint the above listed grantee of the above listed county and state, my true and lawful attorney, for me and in my name, place and stead to title, and to allow my attorney the authority to substitute, as it pertains to the motor vehicle described above. Grantor Signature Date

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Page 1: Limited Power of Attorney for Eligible Motor Vehicle ... · VTR-271 Rev 12/15. Online form at . Limited Power of Attorney for Eligible Motor Vehicle Transactions. Instructions. All

VTR-271 Rev 12/15 Online form at www.TxDMV.gov

Limited Power of Attorney for Eligible Motor Vehicle Transactions

InstructionsAll sections of this form must be properly completed in black or blue ink in order for this to be an acceptable document. The signature must be in black or blue ink. No alterations are allowed on the form. This completed and signed form grants the grantee (or to anyone the grantee may substitute) full power and authority to do and perform all and every act necessary to purchase, transfer, and assign the legal title to the motor vehicle described on behalf of the grantor. This power of attorney cannot be used in a dealer transaction to complete a title assignment on a motor vehicle subject to federal odometer disclosure. Federal law specifies a motor vehicle is subject to odometer disclosure if it is self-propelled, less than 10 years old, and has a gross vehicle weight of 16,000 pounds or less. In compliance with federal law, you must use the secure Power of Attorney for Transfer of Ownership to a Motor Vehicle, Form VTR-271-A, when use of a power of attorney is permitted by the applicable regulations for a vehicle subject to federal odometer disclosure. If a power of attorney is used to apply for title, initial registration, or a certified copy of title, the grantor (person signing this form) and the grantee (person signing the application) must include a photocopy of their photo identification, as required by state law.

Vehicle InformationYear MakeVehicle Identification Number Body Style Model

License Plate State and Number (if any) Title / Document Number

Suffix (if any)

County

Address

City State Zip

Grantor InformationLast NameMiddle NameFirst Name (or Entity Name)

Last NameMiddle Name Suffix (if any)First Name (or Entity Name)

County

Address

City State Zip

Grantee Information

Certification - State law makes falsifying information a third degree felonyI, the above listed grantor of the above listed county and state, owner of the above described motor vehicle, certify that I do make, constitute, and appoint the above listed grantee of the above listed county and state, my true and lawful attorney, for me and in my name, place and stead to title, and to allow my attorney the authority to substitute, as it pertains to the motor vehicle described above.

Grantor Signature Date