Limited Power of Attorney

I, the undersigned
(Full legal name) ______________________________
(Identity / Social Security number) ______________________________ residing at
(Address) ____________________________________
____________________________________
appoint
(Full legal name) ________________________________
(Identity / Social Security number) ______________________________ residing at
(Address) ____________________________________
____________________________________
as my Attorney-in-Fact (Agent) w
If my Agent is unable or unwilling to serve for any reason, I designate
(Full legal name) ________________________________
(Identity / Social Security number) ______________________________ residing at
(Address) ____________________________________
____________________________________
as substitute Agent.
This document shall be construed and interpreted as a limited power of attorney and my Agent
shall have full authority to act on my behalf only in relation to the matters specified below:
1. Prepare, sign and file vehicle registration forms to include initial registration with the California
DMV and renewal as required by law
2. Settle accounts, claims and disputes between me and any other party pertaining to vehicles
in my name and to demand, sue for, collect, adjust, settle or write-off any debts owed to me and
pertaining to vehicles in my name in any manner as he / she may deem fit.
3. Open, maintain or close vehicle insurance coverage.
4. Arrange for maintenance, repair and upgrades for vehicles in my name as necessary and to
settle related costs as he / she may deem fit.
5. Obtain documents and information pertaining to vehicles in my name from any relevant
governmental or commercial agency.
I indemnify and hold harmless my Agent from any loss that results from an error made in good
faith save for willful misconduct or the willful failure to act in good faith.
I indemnify any third party from any claims which may arise against the third party because of
reliance on this power of attorney.
My Agent shall provide accurate records of all transactions completed on my behalf and shall
provide accounting records if I so request.
If I am unable to review the records and accounting, they must be submitted to:
(Full legal name) ________________________________
(Identity / Social Security number) ______________________________ residing at
(Address) ____________________________________
____________________________________
My Agent shall be entitled to coimbursement of all reasonable expenses in his / her duties as
my Agent.

This limited power of attorney shall become effective on the _____ day of
________________________20____ and shall expire on the ____ day of
______________________20____ or at an earlier date if revoked by me in writing.
Executed this ______ day of __________________20 ____
at ______________________________________
Signature: ________________________________
in the presence of the undersigned witnesses:
Witness 1.
Name: ______________________
Address: _____________________________________________
Signature: ________________________
Witness 2.
Name: ______________________
Address: _____________________________________________
Signature: ________________________
Acknowledgement
This document was acknowledged before me on this ______day of
____________________20__ by ________________________(Principal's Full legal name)
Signature of Notary Public ______________________
Full legal Name ______________________________
My commission expires ________________________
State of ________________________
County of ______________________