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HEARNAP — Part 41
Page 99
99 / 365
rer me tL
FiReTt
the undersigned do hereby duly appoint the following named person,
TO ACT AS MY ATTORNEY IN FACT, TO SIGN PAPERS ANO DOCUMENTS THat
MAY BE NECESSARY IN ORDER TO SECURE CALIFORNIA REGIGTRATION OF OR
TO TRANSFER MY INTEREST IN TRE ABOVE DESCRIBED VEHICLE.
THE UNDERSIGNED CERTIFIEG THAT THE TRANSFER OF TH!6 VEHICLE 38
NOT IN VIOLATION OF ARTICLE 8. OIVISION 7, OF THE VEHICLE COOE
RELATING TO THE SUSPENSION OF REGISTRATION OF MOTOR VEHICLES
INVOLVED IN ACCIDENTS.
{1 FURTHER AGREE TO GUARANTEE AND BAVE THE STATE OF CALIFOR.
NIA, THE REGISTRAR OF MOTOR VEHICLES, AND THE DIRECTOR OF MOTOR
VEHICLES FROM ALL RESPONSIBILITY WHIC
1GBUANCE OF CALIFORNIA REGISTRATION OR TRANSFER ON 6UCH VEHICLE.
NOTE: AN ATTORNEY IN FACT CANNOT MAKE AN AFFIDAVIT OR CERTIFI.
CATE OF THE TRUT FACTS, UNKN TO HIM.
PIGNEO
THis _—__________DAY or ——__—_——'9
bay MONTH YEAR
SUBSCRIGING WITKESS (NAME)
GYAELY ADDRESS
city STAT“ rip
ee rrr | nn
This form MUST be witnessed!
MO. 146—RIO £60 (REV B/70) LAW PAIMTING CO . LOS ANGELES. GURLINGANE
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