Michigan Appointment of Agent - Cash 4 Motorcycles

Agent Name

Agents Email(Required)

Agent Address

Street Address Address Line 2 City State ZIP Code

Agent's Driver License Number or ID Card Number

The name above is appointed as my agent to sign my name to legal documents pertaining to the sale, purchase or titling of the unit described below which is required to be titled under Michigan Law.

Year

VIN

Make

License Plate Number (if any)

Vehicle, Watercraft, or mobile Home Owner Information

Owner's Name

Owner's Address

Street Address Address Line 2 City State ZIP Code

Daytime Phone

Owner's Driver License or ID Card Number

Today's Date

A false statement in connection with a title transaction is a crime

NOTE: Owner must provide a photocopy of their valid driver license or state ID card to the agent listed above.

Owner's Signature

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