9/26/2020 Free Mississippi Motor Vehicle Power of Attorney Form - PDF | eForms – Free Fillable Forms

Mississippi Motor Vehicle Power of Attorney Form

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Mississippi Motor Vehicle Power of Attorney Form is a written tool used when appointing someone to
assign, sell or transfer your motor vehicle in Mississippi. This is a type of limited, or specialized POA that
is only for a specifically defined purpose – namely to sell or transfer your vehicle to another person or
entity.

How to Write
1 – Open The Appointment Form On This Page

Make sure you have the Grantor, Agent, and Vehicle Information where you may easily reference it. All
the requested items on this form must be reported accurately. This form may be opened using a PDF,
Word, or ODT editing program. In the absence of such software, you may open the PDF file with a
current browser then, printing the document. You may open and download the appropriate file using the
buttons labeled “PDF,” “ODT,” or “Word.”

2 – Document Grantor Information

Before we begin, enter the County whose laws apply to the Vehicle on the first blank line on this page
(just after the words “County of”).

The Grantor of Power is the Vehicle Owner who is appointing an Agent with the same Principal Authority
he or she has over the Vehicle being discussed. This individual’s information will be the first to be
requested. Enter the Grantor of Power’s Name on the blank line following the words “That I.”

Further this identification of the Grantor by entering his or her Address on the blank line labeled
“Address.” Make sure this is the Physical Address of the Grantor’s Residence.

The blank space between the terms “…Of The County Of” and “…the State of Mississippi” must have the
Name of the County where the Grantor lives documented.
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9/26/2020 Free Mississippi Motor Vehicle Power of Attorney Form - PDF | eForms – Free Fillable Forms

3 – Record Agent Information

The Agent is the individual who will be permitted to assume and wield Principal Authority over the Vehicle
as a result of this form’s execution. You must enter this Agent’s Full Name on the first blank space
following the term “…Constitute And Appoint”

Enter the Agent’s Complete Residential Address on the second blank space after the phrase “…
constitute and appoint.”

On the last blank line of this paragraph, enter the Mississippi County where the Agent resides.

4 – Report Vehicle Information

Once the task of identifying both the Granting Vehicle Owner and the Agent, we must make sure to
clearly define the Vehicle at the focus of this document. To begin, locate the blank line after the words “…
Assign The Motor Vehicle Described As Follows To Wit: Make,” then enter the Make of the Vehicle on it.

On the blank space labeled “V.I.N.,” enter the Vehicle Identification Number of the Vehicle.

Next, enter the Year and Body Type of the Vehicle on the blank lines labeled “Year” and “Body Type”
respectively.

Finally, report the Title Number of the Vehicle on the last empty line.

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