POWER OF ATTORNEY

____________________, the "principal," of ______________________,

herewith appoints _____________________ of

_______________________, as their attorney in fact, to act in the

place and stead and with the same authority as Principal would

have to transfer the following motor vehicle, and to take any

other necessary steps to transfer title the following motor

vehicle:

Make: ___________

Model: ______________

Year: ___________

Body: ____________

Vehicle identification number: ________________________

IMPORTANT: Federal regulations require this statement to be given

to purchasers on sales of vehicles. An inaccurate or untrue

statement may make you liable for damages to the buyer and there

may also be civil or criminal penalties.

The odometer described above now reads ______________ miles.

Certify one of the following-- please "XXX" the appropriate line

before the correct statement:

___________ I (we) certify that to the best of my (our) knowledge

the odometer reading as stated above reflects the actual mileage

of the vehicle described below.

___________ I (we) certify that to the best of my (our) knowledge

the odometer reading as stated above reflects the amount of

mileage in excess of designed mechanical limits of 99,999 miles of

the vehicle described below.

___________ I (we) certify that to the best of my (our) knowledge

the odometer reading as stated above is NOT the actual mileage of

the vehicle described below, and should not be relied upon.

Certify one of the following-- please "XXX" the appropriate line

before the correct statement:

__________ I (we) certify that the odometer of the vehicle

described above was not altered, set back, or disconnected while

in my (our) possession, and I (we) have no knowledge of anyone

else doing so.

__________ I (we) certify that the odometer was altered for repair

or replacement purposes while in my (our) possession, and that

the mileage registered on the repaired or replaced odometer is

identical to that before such service.

__________ I (we) certify that if the repaired or replacement

odometer was incapable of registering the same mileage, that it

was reset to zero, and that the mileage on the original odometer

or the odometer before repair was __________________ miles.

The sales price of the vehicle is: $ _________________

(________________________ & ____/100 dollars)

___________________________________________________

____________________

STATE OF __________________

COUNTY OF __________________

____________________ personally appeared before me and

acknowledged the execution of this power of attorney for the

purposes set forth therein.

Dated: _______________________________

__________________________________________

Notary Public