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After completing and submitting this application, please fax a Power of Attorney to 770-850-9077. It is important that you print the POA on your company's letterheaed.

Power of Attorney for Maggard (if not previously submitted)

If you have already submitted a POA, please disregard the above instructions.

When finished with this form, click the submit button below. To create multiple forms, click the back button on your browser and change the vehicle information, then click the submit button.



Vehicle Description
VIN  
Year  
Make  

 
Owner Information
Name  
Date of Birth: (mm/dd/yyyy)    
Address  
Zip Code  
City  
State  
Daytime Phone  

 

Check below all that apply:




Reference Number
Name of person submitting form  
Daytime Phone  
Email Address    

THIS TRANSACTION OR SERVICE IS ALSO AVAILABLE, AT NO CHARGE, DIRECTLY FROM THE OFFICIAL DEPARTMENT OF MOTOR VEHICLES WEBSITE AT WWW.NYSDMV.COM