This Louisiana Motor Vehicle Power of Attorney document is designed to provide a third party with the authority to act on your behalf in matters related to the title and registration of your motor vehicle, in accordance with the Louisiana Revised Statutes. By completing this form, you (the principal) authorize the named attorney-in-fact to perform duties on your behalf concerning your vehicle. It is important to provide accurate information and specify the powers being granted to ensure the document’s effectiveness.
1. Principal Information
Full Name: __________________________________
Address: ____________________________________
City, State, ZIP Code: _______________________
Driver's License Number: _____________________
2. Attorney-in-Fact Information
Full Name: __________________________________
Address: ____________________________________
City, State, ZIP Code: _______________________
Relationship to Principal: ___________________
3. Vehicle Information
Make: ______________________________________
Model: _____________________________________
Year: _______________________________________
Vehicle Identification Number (VIN): _________
License Plate Number: ______________________
4. Authority Granted
Please provide specifics on the tasks the attorney-in-fact is authorized to perform on behalf of the principal. Examples include, but are not limited to, applying for a title, registration, or making decisions on the sale or purchase of the vehicle described above.
Specific Authorities Granted: ________________
________________________________________________
5. Duration
This power of attorney shall become effective on Date: ___________ and, unless previously revoked, will terminate on Date: ____________.
6. Acknowledgment and Signature
By signing this document, the principal acknowledges that they are granting the attorney-in-fact authority to act on their behalf in matters related to the motor vehicle described and in accordance with the laws of the State of Louisiana.
Principal’s Signature: ________________________
Date: _______________________________________
Attorney-in-Fact’s Signature: _________________
Date: _______________________________________
7. Notarization (if required)
This section to be completed by a notary public recognizing the signatures above to ensure the authenticity of this power of attorney document.
