Form 82995- Secure Power of Attorney
Use this form when the title is lost, the title is being held by a lienholder, or it is being held electronically and remaining electronic.
Part A is completed by the owner to the dealership. The owner discloses the odometer reading to the dealership. The owner is giving the dealership Power of Attorney to execute the title when it becomes available.
Part C is completed by a representative of the dealership when the title is received, The person who completes Part C must be the person who executes the title.
Part B can be completed if the car is sold before the title becomes available. In Part B, the dealership (now the seller) discloses the odometer to the purchaser (the customer).
The representative from the dealership who signs in Part A, B, & C does not need to be the same person, but the representative who signs Part C must be the one to transfer information over to the title and sign as Power of Attorney.
Enter the VIN number
Enter the Year
Enter the Make
Enter the Body Type.
Enter the title number here
Part A- Seller’s Power of Attorney to Disclose Mileage
Since the title is unavailable, Part A is used as the Federal Odometer Disclosure between the seller and the purchaser. When the title is received, the information disclosed in Part A will be transferred onto the title.
The seller’s printed name goes in this area.
The dealership’s name goes here.
Date of appointment
Remember- most digital odometers are 6 digits.
The odometer reading goes in these boxes. Make sure the reading is accurate
and there are no cross-outs or write-overs.
Enter the date of the odometer reading.
Complete this row with the seller’s complete address.
A representative from the dealership signs his name.
The same representative prints his name.
The name of the dealership goes here.
Put the dealer license number here.
Put the dealership’s physical address on this row.
Part C Certification By Attorney In Fact
(This Person Signs The Title)
Both Part A and Part C will be completed,
Parts A, B, & C will be completed.
NEVER only Parts B & C.