| Mail Form & A Copy of Your Drivers Lisence. Make Payment Out To: Tina Burnette 111 Reagan St. West Monroe,La. 71292 |
| Instructions
1. Must Have Power of Attorney Below and it must be notarized.In Persons Name that will be on Registration. 2. Must Have Copy of Current Insurance Card. 3.Must Have Copy of Drivers Lisence. 4. You Must Have Bill of Sale Made Out To You as Buyer and it must have your address and it must be notarized. It must include year, make, model, vin #, date, your name and address no exceptions. 5. Vehicles will only be titled in individuals names, No Business Names. 6. We Take Money Orders, Cashiers Checks, Personal Checks. 7. Make Payment To; Tina Burnette 111 Reagan st. West Monroe, La. 71292 ______________________________ _______________________________________ Signature: / Date: |
| Power Of Attorney
Date; _____________________ Known To All Men By These Presents, That, (1.)__________________________________ (Name Of Individual) Gives To Tina Burnette For An Indefinite period of time and until canceled in writing, The Power Of Attorney, To Act in its behalf, In the state of Louisiana, on all matters pertaining to the registering of semi-trailers. This Power of Attorney acts as our agreement to have any and all work pertaining to the license of any and all papers pertaining to dealings with Motor Vehicle Department of the state of Louisiana. For This Service We agree to Pay all Mutually agreed fees. This Power OPf Attorney Also Applies to the registration and/or Titling of Vehicles in the state of Louisiana. This Power Of Attorney applies to any and all Vehicles. Signed By;_________________________________________(Owner) Date Of Birth;_____________________________ Personally Appeared the above named owner has acknowledged the foregoing instrument to be his/her free act and deed In his/her said capacity. Before Me; _________________________________________ (Notary) *Note: A Notary Public for statesa other then maine must note when there commision expires. This Power of Attorney only gives Tina Burnette the right to sign their names where yours would appear when needed. It Does Not Allow them to Sell, Trade, Lease, or in any other way, Utilize or Dispose of your Vehicles. They Can Not sign Registration / Title Documents representing you unless the POA is on. |
| Mail Form & A Copy of Your Drivers Lisence. 318-801-9750
Make Payment Out To: Tina Burnette 111 Reagan St. West Monroe,La. 71292 Completed paper to mailed to this address; Name; _______________________________________ Address; ______________________________________ City,State,Zip; _________________________________________ Daytime Phone; (_ _ _) _______________________________ Email; ______________________________________________ Name title to be issued to; ________________________________ Address; ___________________________________ City,State,Zip; ________________________________________ Method of Payment; __ Check __ Money Order Where did you learn of our services? __________________________ Please Check the options that apply to your vehicle; __2 Wheel Drive (Lt. Duty Trucks) __Power Brakes __Cassette __Power Door Locks __Bedliner (Trucks) __Power Seats __4 wheel Drive ( Lt. Duty Trucks) __Power Steering __Premium Sound System __Power Windows __Dual Wheels (Lt. DutyTrucks) __Rear Step Bumper ( Lt. Duty Trucks) __3rd Seat __Sliding Rear Window __Compact Disc Player __CB Radio __Electric Defogger __Tinted Glass __Anti-lock Brakes __Flip Up Sun Roof __Tilt Wheel __T-Top Roof __Engine Brakes (Trucks) __Electric Sun Roof __4 Wheel disc brakes __Manual Sun Roof __Air Conditioning __Roof Rack __Fifth Wheel (Trucks) __Gas Engine __Traction Control __Diesel Engine __Air Ride Suspension (Trucks) __Heavy Duty Suspension (Trucks) __Alloy Wheels __Automatic Transmission __Leather Seats __A/M F/M Stereo __Cruise Control __Plow Package (Lt. Duty Trucks) Year;____________ Make; ____________________ Model; ________________ Body; ____________________ Color; ______________ # of Cylinders; _________ Mileage; ________________ Serial (VIN) Number; ____________________________________ Rewrite or type Vin; ______________________________ (Must be clear) Price; $________________ If Motor Home Length;_________________ If Motorcycle CC'S; ______________________ If Truck Weight; _____________ Drivers Lisence Number; _____________________________________ |