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  • Fl Hsmv 96440 2017

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HSMV 96440 06/11 Page 2 Federal Identification Number Section 6. Signature of Registrant/Licensee The Power of Attorney is not valid until it is signed and dated by the Registrant/Licensee. Division of Motorist Services Bureau of Commercial Vehicle and Driver Services POWER OF ATTORNEY and Declaration of Representative DMS USE ONLY A photocopy of the Registrant s Driver License must be submitted with this Power of Attorney. PART 1 POWER OF ATTORNEY Section 1. Registrant/Licensee Information* Registrant/Licensee must sign and date this form in section 1 and section 6. See Page 2 Section 6 Registrant/Licensee Name and Address as shown on Cab Card or IFTA License Signature of Applicant Print Name Federal ID No* s SSN FEIN etc Registrant Telephone Number Fax Number Hereby appoints the following representative as attorney-in-fact Section 2. Representative. Representative must sign and date this form* See Page 2 Part II Name and Address of person or company being appointed as Power of Attorn....

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96440 - Florida Highway Safety and Motor Vehicles
registrants/licensees or one of their authorized agents must submit a Change of Address...
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
FL HSMV 96440
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