Nebraska Motor Vehicle Power of Attorney Template
This Motor Vehicle Power of Attorney is designed for use in the state of Nebraska. It allows you to designate someone to act on your behalf in matters related to your motor vehicle. Please fill in the blanks with your information where indicated.
Principal Information:
Name: ____________________________
Address: ____________________________
City: ____________________________
State: ____________________________
Zip Code: ____________________________
Phone Number: ____________________________
Agent Information:
Name: ____________________________
Address: ____________________________
City: ____________________________
State: ____________________________
Zip Code: ____________________________
Phone Number: ____________________________
Vehicle Information:
Make: ____________________________
Model: ____________________________
Year: ____________________________
VIN (Vehicle Identification Number): ____________________________
Grant of Authority:
I, the undersigned Principal, hereby appoint the above-named Agent to act on my behalf in all matters relating to my motor vehicle, including but not limited to:
- Transferring ownership of the vehicle
- Applying for title and registration
- Obtaining duplicate titles
- Signing any necessary documents
This Power of Attorney is effective immediately and shall remain in effect until revoked in writing by me.
Signature: ____________________________
Date: ____________________________
By signing this document, I affirm that I am of sound mind and that I understand the powers I am granting to my Agent.
Notary Acknowledgment:
State of Nebraska
County of ____________________________
Subscribed and sworn to before me this _____ day of __________, 20__.
Notary Public Signature: ____________________________
My Commission Expires: ____________________________