Virginia Motor Vehicle Power Of Attorney Form VSA 70

Information you will need

• Owner Name
• Co Owner Name
• Owner Street Address
• Owner City
• Owner State
• Owner ZIP Code
• Co Owner Street Address
• Co Owner City
• Co Owner ZIP Code
• Attorney in Fact Last Name
• Co Owner State
• Attorney in Fact First Name
• Attorney in Fact Middle Name
• Attorney in Fact Suffix
• Attorney in Fact Street Address
• Attorney in Fact State
• Attorney in Fact ZIP
• Vehicle Make
• Vehicle Body Type
• Vehicle Model Year
• Vehicle Identification Number
• Vehicle Title Number
• Customer # / Employer Federal ID #
• Signing Date

…and 1 more field in the PDF.

Completed by the employer and the customer.