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that I am the person authorized to act under this Power of Attorney and that I am not aware the Power of Attorney has been revoked or that the Grantor of the Power of Attorney has died.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).
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