8/12/2019 Power of Attorney to Transfer Title for the State of Idaho

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TD 3368 (Rev. 08-10) Power of Attorneyupply # 01-957150-4

Idaho Transportation Department

See Page 2 for Inst ructions -

Vehicle or Hull Identification Number (VIN/HIN) Title Number

Year Make Model

Power of Attorney Given ToName of Business or Individual Representing Vehicle Owner

Address City State Zip

By my signature below, I hereby appoint the business or individual shown above as my/our attorney to endorse,

release, or transfer all registration and ownership documents required by Idaho statutes for the above-described

vehicle; and to give full discharge for same, granting to said attorney full power of substitution and revocation,

hereby ratifying and confirming all that said attorney or his substitute shall do or cause to be done by virtue hereof

Grantors Signature: If this power of attorney will be used to apply for a duplicate title, it must be notarized.

If grantor is an individual, complete the followingIndividual's Full Legal Name (Printed Last, First, Middle) Individuals Idaho Drivers License No. or SS

Address of Owners Current Legal Residence City State Zip+4

Mailing Address (if different) City State Zip+4

Individuals Signature See *Note for duplicate titl e application Date Daytime Phone Number

X

If grantor is a business, complete the followingAuthorizing Business Name Authorized Representative's Name (Printed) Business's EIN

Business Current Legal Address City State Zip+4

Mailing Address (if different) City State Zip+4

Authorized Representatives Signature See*Note for duplicate titl e application Date Daytime Phone Number

X

*Note:If this form is used to grant powerof attorney when applying for a duplicate

title, the grantors signature must benotarized.

Subscribed and sworn before me this

day of . year

County of , State of

SEAL

My Commission Expires

Notary Publics orITD Agents Signature

itd.idaho.gov/

8/12/2019 Power of Attorney to Transfer Title for the State of Idaho

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Instructions for Using a Power of Attorney onVehicle Title and/or Registration Documents

The power of attorney must be exercised by the person or firm named as representative on this form. Toproperly exercise the power of attorney, write the name of the owner followed by the representativessignature.Example: Sharon Smith by

Sharon Smith is the owner and Jane Doe is the person named as representative on the power of attorney.

f the named representative is a company, an authorized individual of that company must sign the docume

Example: Sharon Smith by

Note: The power of attorney must be exercised on the title or document for which the authority wasgranted.

This Power of Attorney must be notarized if given for application of a duplicate title.

Jane Doe, POA

George Morrison, POAMorrisons Garage