Massachusetts Motor Vehicle Power of Attorney
This document grants authority to another person to act on your behalf regarding motor vehicle transactions in Massachusetts. It complies with Massachusetts General Laws Chapter 190B, Section 5-501.
Principal Information:
- Name: ______________________________
- Address: ____________________________
- City, State, Zip: ____________________
- Date of Birth: ______________________
Agent Information:
- Name: ______________________________
- Address: ____________________________
- City, State, Zip: ____________________
- Phone Number: ______________________
I, the undersigned Principal, hereby appoint the above-named Agent as my true and lawful attorney-in-fact to represent me in all matters pertaining to my motor vehicle, including but not limited to:
- Transferring ownership.
- Applying for title and registration.
- Signing documents related to my vehicle.
- Obtaining and providing necessary information.
This Power of Attorney is effective immediately and shall remain in effect until revoked by me in writing.
Principal's Signature: ________________________
Date: ________________________
Witness Information:
Signature: ________________________
Name Printed: ________________________
Date: ________________________
Notary Public:
State of Massachusetts
County of: ________________________
Signed and acknowledged before me this ____ day of ____________, 20__.
Notary Signature: ________________________
My Commission Expires: ________________________