Dpsmv 4254 Form PDF Details

The DPSMV 4254 form is a critical document for dealers in Louisiana, facilitating a secure way to grant power of attorney in motor vehicle transactions. Designed by the Louisiana Department of Public Safety and Corrections, Office of Motor Vehicles, this application allows authorized representatives of dealerships to handle vehicle transactions with the assurance and backing of official documentation. It requires meticulous completion, including the dealer's name, address, city, and zip code, along with the signature of the authorized representative. Also, an essential step in the process involves the payment of fees, including a set cost for the forms and an additional handling fee, all of which must be submitted to a local motor vehicle office alongside a check or money order payable to the Department of Public Safety & Corrections. With its precise requirements and the necessity for in-person submission, the DPSMV 4254 form underscores its integral role in streamlining the delegation of authority in vehicle dealings, establishing a clear, official pathway for representatives to act on behalf of dealers.

QuestionAnswer
Form NameDpsmv 4254 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdpsweb dps louisiana gov dpsforms nsf, MVCA, REMITTANCE, DPSMV

Form Preview Example

LOUISIANA DEPARTMENT OF PUBLIC SAFETY AND CORRECTIONS

OFFICE OF MOTOR VEHICLES

APPLICATION FOR SECURE POWER OF ATTORNEY FORM

PLEASE TYPE OR PRINT

NAME OF DEALER

_______________________________________________________________________________________

ADDRESS

_______________________________________________________________________________________

CITYZIP CODE

_______________________________________________________________________________________

SIGNATURE OF AUTHORIZED REPRESENTATIVE

_______________________________________________________________________________________

APPLICATION AND FEES MUST BE TAKEN TO YOUR LOCAL MOTOR VEHICLE OFFICE ALONG WITH A CHECK OR MONEY ORDER MADE PAYABLE TO THE DEPARTMENT OF PUBLIC SAFETY & CORRECTIONS.

 

# OF SETS

TOTAL:

 

No. of sets @ $5.00 per set of 10 forms

 

$

 

 

 

 

An $8.00 handling fee is required on all orders.

 

$

8.00

 

 

TOTAL REMITTANCE:

 

 

$

 

FOR DEPARTMENT USE ONLY

DO NOT WRITE IN SPACES BELOW

BEGINNING NUMBER:

ENDING NUMBER:

________________________________________

________________________

Signature of MVCA

Date

DPSMV 4254 (R 03/06)

 

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