Indiana Motor Vehicle Power Of Attorney Form 01940

Information you will need

• Customer Name
• Customer Area Code
• Customer Phone Number
• Customer Address
• Customer City
• Customer State
• Customer ZIP Code
• Vehicle VIN or HIN
• Vehicle Make
• Vehicle Year
• Title Number
• Attorney in Fact Name
• Attorney Area Code
• Attorney Phone Number
• Attorney Address
• Attorney City
• Attorney State
• Attorney ZIP Code
• Customer Signing Date
• State of Certification
• County of Certification
• Notary Only: Signing Day
• Notary Only: Signing Month
• Notary Only: Signing Year

…and 2 more fields in the PDF.

Completed by the customer.

The form includes a notary acknowledgment.