| INSTRUCTIONS
1. MUST HAVE POWER OF ATTORNEY AND AFFIDAVIT, SIGNED AND IT MUST BE NOTARIZED. ONE PER CAR. IN PERSONS NAME WHO WILL BE ON THE REGISTRATION. 2. MUST HAVE COPY OF CURRENT INSURANCE CARD GOOD FOR AT LEAST 60 DAYS. IT MUST LIST THIS VEHICLE. 3. MUST HAVE COPY OF YOUR DRIVERS LICENSE. 4. YOU MUST HAVE BILL OF SALE MADE OUT TO YOU AS BUYER AND IT MUST HAVE YOUR ADDRESS AND MUST INCLUDE SELLERS ADDRESS. IT MUST BE NOTARIZED. IT MUST INCLUDE , YEAR, MAKE, MODEL, VIN# DATE, "NO EXCEPTIONS" WE HAVE A BLANK BILL OF SALE ON THE WEB IF NEEDED. Click Here For Bill Of Sale. 5. VEHICLES WILL ONLY BE TITLED IN INDIVIDUALS NAMES, NO BUSINESS NAMES. 6. WE TAKE Personal Checks, MONEY ORDERS, CASHIERS CHECKS, 7. MAKE PAYABLE TO: Tina Eller 111 Reagan St. West Monroe, Louisiana 71292 affidavit and power of attorney both required. Affidavit 1. I, the undersigned do hereby represent that the vehicle described below is legitimately owned by me, that it is not stolen or financially encumbered, salvaged, custom construction, or fraudulently acquired, and that it is not my intention to use the services of Antique Vehicle State Title Service, and any of their affiliates or associates for any illegal or fraudulent purposes. 2.Value stated in sale price is actual price i paid for the vehicle or have invested in vehicle. 3.I am not using Antique Vehicle State Title Service or any of its affiliates to avoid paying taxes i owe on the vehicle. 4.I am not using your service to avoid any saftey or pollution laws. 5.I am only using your service to help me acquire legal title to a vehicle i own. 6.I do hereby release Antique Vehicle State Title Service and their affiliates or associates from any liability arising from my misstatement of any fact contained herin or any fraudulent use of this document. By signing i also acknowledge i have read the accompanying information and understand what i will recieve. 7.To the best of my knowledge, This vehicle is not a flood vehicle. 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 Sign:_______________________________ Commision Expires:________________________________ Power Of Attorney Date:______________________________ Known to all men by these presents, that (1)__________________________________(name of individual) gives to Joe Matlock for an indefinite period the power of attorney to act in behalf in the state of Louisiana, This power of attorney acts as our agreement to have any and all work pertaining to the license of any and all papers pertaing to dealings with the motor vehicle department in the state of louisiana. For this service we agree to pay all mutually agreed fees.This power of 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:(2)_____________________________________(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 Sign:_____________________________________ Comission Expires:_____________________________ This power of attorney only gives Joe Matlock the right to sign their names where yours would appear when needed. It does not allow them to sell, lease, trade, or in any other way, utilize or dispose of your vehicles. They cannot sign registration/title documents representing you unless the P.O.A is on file. Completed paper to mailed to this address; Name; _______________________________________ Address; ______________________________________ City,State,Zip; _________________________________________ Method of Payment; __ Check __ Money Order __Cashiers Check Where did you learn of our services? __________________________ Name Title To Be Issued To: Last Name_________________________ First Name:_________________________ Middle Initial:__________ ___________________________________ Street ________________________________________________________________________ City, State, Zip Code _____________________________________________________________________ Phone, Cell Phone, _____________________________________________________ Email, YEAR ______________ MAKE _______________________________ MODEL__________________________________ BODY/STYLE_____________________ COLOR ____________________________ NO. OF CYLINDERS _______ MILEAGE ______________ SERIAL (VIN) NUMBER _____________________________________________________________________________________________ PLEASE REWRITE OR TYPE VIn#__________________________________________________________________________ IT MUST BE VERY CLEAR. IF MOTOR HOME "Length" ___________________ / IF MOTORCYCLE "CC'S" _______________ IF TRUCK, G.V.W. WEIGHT _________________ Check Your Options: __2 Wheel Drive(light duty trucks) __Fifth Wheel(Trucks) __4 Wheel Drive(heavy duty trucks) __Heavy Duty Suspension(Trucks) __3rd Seat __Leather Seats __Antilock Brakes __Plow Package(Light Duty Trucks) __4 Wheel Disc Brakes __Power Brakes __Traction Control __Power Door Locks __Alloy Wheels __Power Seats __AM-FM Stereo __Power Steering __Cassette __Power Windows __Premium Sound System __Rear Step Bumper(Light Duty Trucks) __Compact Disc Player __Sliding Rear Window __Tilt Wheel __CB Radio __Air Conditioning __Tinted Glass __Air Ride Suspension(Trucks) __Flip Up Sun Roof __Automatic Transmission __T-Top Roof __Cruise Control __Electric Sun Roof __Bedliner(Trucks) __Manual Sun Roof __Dual Wheels(Light Duty Trucks) __Roof Rack __Electric Defogger __Gas Engine __Engine Brakes(Trucks) __Diesel Engine Items We Must Have NO EXCEPTIONS! 1.Copy of your Drivers License. 2.Copy of Insurance Card "Listing this Vehicle" 3.This Page Completed "All Vehicles must have Year,Make,Model,Vin#, Please Include a Photo or Tracing of Vin #. 4.Our Affidavit & power of Attorney Signed and Notarized. 5.Payment. YOU WILL RECEIVE A REGISTRATION IN YOUR NAME AND LICENSE PLATE, YOUR CAN THEN TRANSFER EITHER OF THESE INTO YOUR STATE AND GET A TITLE. |
| 318-801-9750 |