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