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X SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYER/OWNER ACKNOWLEDGEMENT State of Ohio County of. Subscribed and sworn to before me a Notary Public in and for said County personally appeared who acknowledged the signing of the foregoing instrument and that such signing is his free act and deed. In Testimony Whereof I have hereunto set my hand and affixed my official seal this in the county of NOTARY PUBLIC My commission expires BMV 3771 4/15 760-1503. Ohio Bureau of Motor Vehicles POWER OF ATTORNEY Know all men by these presents that the undersigned does hereby make constitute and appoint LAST NAME FIRST NAME STREET ADDRESS CITY MI STATE ZIP CODE My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit MAKE YEAR SERIAL NO. And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof* In Witness whereof the undersigned has caused his name to be subscribed hereto this day of. X SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYER/OWNER ACKNOWLEDGEMENT State of Ohio County of. Ohio Bureau of Motor Vehicles POWER OF ATTORNEY Know all men by these presents that the undersigned does hereby make constitute and appoint LAST NAME FIRST NAME STREET ADDRESS CITY MI STATE ZIP CODE My true and lawful attorney-in-fact for me and in my name place and stead to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle to-wit MAKE YEAR SERIAL NO. And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof* In Witness whereof the undersigned has caused his name to be subscribed hereto this day of. And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever requisite necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof* In Witness whereof the undersigned has caused his name to be subscribed hereto this day of. X SIGNATURE OF PERSON GIVING POWER OF ATTORNEY SOCIAL SECURITY NUMBER OF BUYER/OWNER ACKNOWLEDGEMENT State of Ohio County of. .

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