New York Motor Vehicle Power of Attorney
This Power of Attorney document authorizes another person (your agent) to make decisions concerning the ownership, operation, or disposal of your motor vehicle in New York State. The New York Vehicle and Traffic Law govern the execution of this document.
Principal Information:
- Name: ____________________________________
- Address: _________________________________
- City, State, ZIP: __________________________
- Telephone Number: _________________________
Agent Information:
- Name: ____________________________________
- Address: _________________________________
- City, State, ZIP: __________________________
- Telephone Number: _________________________
Vehicle Information:
- Make: _____________________________________
- Model: ____________________________________
- Year: _____________________________________
- VIN (Vehicle Identification Number): _________
- License Plate Number: _____________________
This document grants the agent the authority to perform the following acts on my behalf:
- Registration of the vehicle.
- Title transfers and applications.
- Application for a duplicate title.
- Application for a new or replacement license plate.
- Authorization to sell, purchase, or lease vehicles.
- Handling of any claims for or against the vehicle, including insurance claims.
This power of attorney will remain in effect until:
- Date of Termination: _______________________
- Or, when the principal revokes the power of attorney document in writing.
I, the undersigned principal, affirm that the power of attorney granted by this document reflects my wishes and I act under my own free will.
Principal's Signature: ___________________________ Date: _______________
Agent's Signature: _____________________________ Date: _______________
State of New York
County of ___________________
On this day, _______________, before me, __________________________(name of notary), personally appeared the above-named principal and agent, known or satisfactorily proven to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that he/she/they executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Public Signature: _________________________
My Commission Expires: _________________________