EXPORT POWER OF ATTORNEY
Date
I hereby name and appoint ____________________________________ of _____________________________ to be my lawful attorney-in-fact to act on my behalf to conduct all transactions, necessary with the United States Customs and Border Protection from any ports in USA for the proper exportation of the below stated vehicle, which is described as:
YEAR
MAKE
MODEL
COLOR
BODY
VEHICLE IDENTIFICATION NUMBER (VIN)
TITLE NUMBER
and to do all things necessary to ensure compliance with all the requirements pursuant to 19CFR192.
_______________________
SIGNATURE OF OWNER
OWNER'S NAME
_______________________
SIGNATURE OF CO-OWNER
CO-OWNER'S NAME
Home address of owner
City/State/Country
Zip Code
Sworn to and subscribed before me this
day of
20
_______________________
Signature of Notary Public
Commission Expires
Presently known to me
Produced Identification
Type of identifications Produced
(Notary Stamp)