State Of Indiana Power Of Attorney Form
State Of Indiana Power Of Attorney Form – The Indiana Vehicle Power of Attorney (Form 01940) is a form by which the owner of a motor vehicle or vessel may designate a person to represent him in matters relating to the registration and ownership of the vehicle owner’s vehicle before the Bureau for Indiana motor vehicles. This is a type of limited permit that applies only to vehicles and boats and is valid for 90 days.
You can download the required BMV form using the PDF button on the right. Each vehicle owner must submit a separate form, so two forms are provided on this page. If there is only one owner of a vehicle, only one of these forms needs to be completed.
State Of Indiana Power Of Attorney Form
The first blank line of this form, between ‘I’ and ‘reside/located at’, must bear the full name of the vehicle owner’s sponsoring body.
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This report for the principal owner of the vehicle will continue with his/her county and state name provided in the next two items.
The full name of the agent appointed by the principal authority for the vehicle must be shown in the last blank of this statement.
The vehicle information will be listed in the table below the original declaration. The first row will contain a row of boxes. Each box must have a number. Record the “Vehicle or Chassis Identification Number”.
The next line will have three fields where you can enter the ‘Vehicle/Vessel Make’, ‘Year’ and ‘Title Number’ of the respective vehicle. If the title number is unknown, you can look up more information with the BMV. Otherwise, you can leave this element blank.
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The last line is provided so that the owner of the vehicle can confirm the identity of the named dealer and the vehicle information as correct by signing his name in the field entitled “Customer Signature”. The next field will ask for ‘Customer Printed Name’. Finally, the last field must be accompanied by the date of the signature.
The section labeled “Notarized Certificate” will require a lot of information, including a notary stamp and notary signature. This section can only be completed by the notary who supervises the signature.
Find the blank line below the title, then enter the full name of the principal or authority provider.
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The body paragraph will also need the referrer’s full name. Be sure to enter it in the first blank line.
To positively identify the Trustee or Trustees, enter the complete address (including the city or county) where the Trustee resides in the second blank line of this paragraph.
The full name of the proxy must then be entered in the blank immediately after the words “…appoints”.
The next two blanks in this paragraph will also seek to further identify the power of attorney by listing the address and state of residence (in that order).
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2 – The personal approval of the principal must be given for every power and action available to the agent.
Section I will have a list of sixteen paragraphs. The principal must read each of these and then initiate the blank line containing a description of the principal powers he wishes to confer on the agent.
The first paragraph, labeled item “1”, will allow the Agent to make and collect payments on behalf of the Principal. The Principal must initial the blank line before the digit “1” to grant the Agent the powers specified in this paragraph.
The second paragraph provides for the possibility of acquiring, renting and selling the personal property of the prosecutor’s authorizer, after it has been initialed by the authorizer.
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The third point sets out the power of attorney from the Authority to exercise the main powers in relation to the immovable property of the principal only if initialed by the principal.
The attorney will be appointed with the principal’s administrative powers (in respect of any property of the principal) when the fourth item is initialed by the principal.
The director may choose to appoint an authority over his banking affairs to the prosecutor. If so, then he must initial the fifth paragraph.
If the director chooses to appoint the attorney under his motor vehicle principal, then he must initial the sixth item.
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The director’s authority to make decisions and act on tax matters will be vested in the attorney general with the initials of the chief in the paragraph headed “Taxation Powers.”
The principal’s safes may be accessed and acted upon by the attorney when the principal initials the eighth paragraph.
The attorney will be appointed with power to make gifts in the ninth paragraph if the Administrator initials the blank line.
The principal grants the attorney the ability to lend and borrow on his/her behalf by initialing the tenth paragraph.
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Contacts may be entered by the attorney, on behalf of the principal, if the principal initials the eleventh statement.
The attorney will be authorized to make health decisions regarding the director’s health if the director initials the twelfth paragraph in this section.
The attorney will be appointed with power and authority to represent the principal under the Health Insurance Portability and Accountability Act if the principal initials the blank line before the number 13.
The right to hire and pay for services on behalf of the Principal and on behalf of the Principal will vest in the Agent after the Principal initials the fourteenth paragraph.
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If the Principal allows the Attorney to determine and collect compensation (for his services) from the Principal, the most appropriate paragraph must be initialed by the Principal.
The Principal may elect to authorize the Agent with authority to sue third parties who fail to act in accordance herewith, acknowledging the Agent’s primary authority in the matters specified and approved by the Principal above. If so, the director should initial the sixteenth paragraph in this section.
The seventeenth paragraph “Others” will enable the designation and assignment of additional powers to the prosecutor by specifying them on the blank lines after the word “Others” and by initialing the blank line before the number 17.
The next section that requires attention is labeled “Effective and Termination Date.” This area will be divided into two separate parts. The first will indicate when the attorney can begin to exercise the powers specified in that form. If this start date is immediately after the principal’s signature, then tick the first option. If the action of this document is to take effect at a future date, then tick the second option and enter the start date using the blank lines provided in this statement.
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The second area will need a statement of when (or if) the core powers set out in this document. If this document expires automatically on a specific date, check the first option and enter the date on this statement. If this document only expires when the director issues a written withdrawal, then tick the second option. The third option would name the document to expire when the director is diagnosed (by a medical practitioner) as incapacitated or disabled.
In the section titled Reliance on Third Parties, the director should read the paragraph provided. Below this there will be a statement with three blank boxes where the director must enter the date on which he signed this form.
Under the words “Director’s Signature” and “Director’s Name Form,” the Responsible Sponsor must sign and print his name on the blank lines provided.
Just below the principal’s signature will be an “Acceptance of Appointment” statement for the prosecutor to notice. In the first blank line, the lawyer should print his name. The lawyer must then sign and print his name below the declaration.
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Note that Indiana signature requirements require the Principal to sign either before a notary public or before two (2) witnesses. Therefore, the following steps are only applicable to the option selected by the master.
If the director chooses two witnesses, said witnesses will witness the director sign this document. Each Witness must read the testimony and then provide an affirmative signature and home address on the blank lines provided.
If a notary is requested, the notary will provide a “Notarial Acknowledgment” with his requirements only after that
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