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AUTHORIZATION TO RENEW

MOTOR VEHICLE/TRAILER LICENSE


I GIVE,
NAME OF REGISTERED OWNER NAME OF PERSON AUTHORIZED
PERMISSION TO RENEW LICENSE ON THE FOLLOWING MOTOR
VEHICLE/TRAILER:

YEAR MAKE LICENSE PLATE# VEHICLE I.D. #

NAME, ADDRESS & NAME, ADDRESS &


PHONE NUMBER OF PHONE NUMBER OF
REGISTERED OWNER PERSON AUTHORIZED

NAME NAME

ADDRESS ADDRESS

CITY, STATE & ZIP CITY, STATE & ZIP

PHONE NUMBER PHONE NUMBER

SIGNATURE OF REGISTERED OWNER SIGNATURE OF AUTHORIZED PERSON

DATE SIGNED DATE SIGNED

NOTE:
IT IS MANDATORY THAT A COPY OF THE REGISTERED
OWNER’S PHOTO IDENTIFICATION CARD (e.g. DRIVER’S
LICENSE, DPS IDENTIFICATION, OR MILITARY ID) ACCOMPANY
THIS FORM. LICENSE WILL NOT BE GIVEN WITHOUT
COMPLETED FORM AND IDENTIFICATION.

CASH OR CHECK IN REGISTERED


OWNER’S NAME REQUIRED
Word/F/Motor Vehicle/Forms/Authorization Letter

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