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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                                   SS#

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     

My Commission Expires_________________________

Erasures and alterations void this form

Trumbull County Title Dept. Web Form