KAREN INFANTE ALLEN Clerk of Courts, Trumbull County, Ohio POWER
OF ATTORNEY - ONE TRANSACTION ONLY NOTICE: The making of false statement under oath
or affirmation is in violation of Section 2921.13 of the Revised Code and is punishable by six months imprisonment or a fine up to one thousand dollars, or both.
KNOWN ALL MEN BY THESE PRESENT, that I, the undersigned, do hereby make, constitute and appoint
________________________________________________________________________ presently residing at _____________________________________________________________ as my true and lawful attorney-in-fact
to execute and sign such papers, including affidavits respecting representations herein, as are necessary under laws of the State of Ohio to make assignment of an Ohio Certificate
of Title in my name for the following motor vehicle or to apply on my behalf for my behalf for an Ohio Certificate of Title in my name covering the following motor vehicle or to
apply for a Duplicate Title or Memorandum Title in my name for:
Year___________ Mfg. Serial Number __________________________________________
Make ______________ Body Type _____________________ Model __________________
I, ________________________________________________ STATE THAT THE ODOMETER (of the vehicle described below) NOW READS ____________ (no tenths) MILES
AND TO THE BEST OF MY KNOWLEDGE THAT IT REFLECTS THE ACTUAL MILEAGE OF THE VEHICLE DESCRIBED BELOW, UNLESS ONE OF THE FOLLOWING IS CHECKED:
(1) I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE ODOMETER REFLECTS THE AMOUNT OF MILEAGE IN
EXCESS OF ITS MECHANICAL LIMITS. (2) I HEREBY CERTIFY THAT THE ODOMETER IS NOT THE ACTUAL MILEAGE. (WARNING - ODOMETER
DISCREPANCY)
_______________________________________________________________________________ SIGNATURE OF PERSON GIVING POWER OF
ATTORNEY
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STATE OF COUNTY OF
}SS:
Before me, a Notary Public in and for said State, personally appeared, _________________________________________________________ the Grantor of
this Power of Attorney, and Acknowledged that he/she did sign the within instrument and that the signing of same is of his/her own act and deed. Subscribed
and affirmed to before me, a Notary Public in and for the County, this _______ day of ___________, 20 __.
_____________________________________________ CLERK - DEPUTY CLERK - NOTARY PUBLIC