New Mexico Motor Vehicle Power of Attorney Form

MVD–11020
REV. 10/10
New Mexico Taxation & Revenue Department, Motor Vehicle Division
LIMITED DURABLE POWER
OF ATTORNEY
I, _________________________________, hereby appoint _________________________________ as my
attorney-in-fact to take all actions I would be required to take or to sign all documents I would be required to sign
to complete any transactions, including a sale, of the vehicle described herein.
Type of transaction ________________________________________________________________
Vehicle make:
Model:
Model Year:
Vehicle identification number (VIN): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
This Power of Attorney shall not be affected by my incapacity but will expire within 30 days or upon my death
unless I have revoked it prior to my death.
_____________________________________________________
Printed name of vehicle owner
_____________________________________________________
Signature of vehicle owner
__________________
Date
SUBSCRIBED AND SWORN to before me this _____ day of ________________ 20__
by _______________________________________________.
_____________________________________________
Notary Public signature
My Commission Expires:
______________________________
I hereby declare under penalty of perjury that I am the person authorized to act under this Power of Attorney and
that I am not aware the Power of Attorney has been revoked or that the Grantor of the Power of Attorney has died.
And I acknowledge my personal liability for any loss to the owner or any other person by my mis-use of this power
of attorney.
_____________________________________________________
Signature of person submitting affidavit
__________________
Date
SUBSCRIBED AND SWORN to before me this _____ day of ________________ 20__
by _______________________________________________.
_____________________________________________
My Commission Expires:
Notary Public signature
______________________________
Warning: Any person who makes any false affidavit, or knowingly swears or affirms falsely to any matter
required by the Motor Vehicle Code is guilty of perjury, which is a fourth degree felony (Sections 66-5-38
and 30-25-1 NMSA 1978).