Fl Hsmv 82995 PDF Details

The FL HSMV 82995 form, issued by the State of Florida's Department of Highway Safety and Motor Vehicles, serves a critical function in the complex process of motor vehicle transactions, especially when it concerns the power of attorney and odometer disclosure. Designed to be utilized in situations where the certificate of title is not readily available because it's either with a lienholder or lost, this form ensures that the transfer of vehicle ownership adheres to legal requirements. Its structure is meticulously crafted to facilitate the seller's disclosure of the vehicle's mileage accurately, an essential step underscored by both federal and state mandates to prevent odometer fraud. The document also permits the appointment of an attorney-in-fact by both the seller and purchaser for title transfer and odometer disclosure, emphasizing the importance of honesty in declaring mileage under the threat of fines or imprisonment for providing false statements. Moreover, it outlines specific scenarios under which it should be used, including the necessary steps dealers, sellers, and purchasers must take to comply with relevant laws. This ensures a seamless transition of ownership while safeguarding all parties involved against potential legal complications. Understanding the FL HSMV 82995 form's purpose, requirements, and proper application is indispensable for individuals navigating the intricacies of vehicle transactions in Florida.

QuestionAnswer
Form NameFl Hsmv 82995
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesflorida form 82995, form 82995, fl hsmv 82995, hsmv 82995 power of attorney

Form Preview Example

HSMV 82995 (REV. 06/21Ϳ^

STATE OF FLORIDA

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

DIVISION OF MOTOR SERVICES

2900 Apalachee Parkway - Tallahassee, 32399-0610

MOTOR VEHICLE POWER OF ATTORNEY/ODOMETER DISCLOSURE

(Instructions on Reverse Side)

This form may be used when title is physically held by lienholder or when the title has been lost. This form must be submitted to the state by the person exercising Powers of Attorney. Failure to do so may result in fines or imprisonment.

VEHICLE DESCRIPTION

 

 

Vehicle Identification Number

Year

Make

 

Model

Body

Title No.

 

 

 

 

 

 

 

PART A. TRANSFEROR (SELLER’S) POWER OF ATTORNEY TO DISCLOSE MILEAGE.

 

 

 

 

 

I/We,

 

 

appoint

 

 

 

 

(Print Seller’s Name)

 

 

 

(Print Name of Dealership/Business)

as of

 

as my/our attorney-in-fact with full authority to transfer title, to satisfy any lien and to disclose the milea ge for the vehicle

(Date)

described above, exactly as stated in the following disclosure.

WARNING: Federal law and State law require that you state the mileage in connection with transfer of ownership . Providing a false stat ement may result in fines or imprisonment.

I/WE STATE THAT THIS DATE READ

5DIGIT OR 6 DIGIT ODOMETER NOW READS,

 

 

,

 

 

 

 

xx (NO TENTHS) MILES,

 

 

 

, AND I/WE HEREBY CERTIFY THAT TO THE BEST OF0<285

.12:/('*(7+(2'20(7(55($',1*

TRANSFEROR

(Seller):

TRANSFEREE

(Purchaser):

1. REFLECTS ACTUAL MILAGE

2. IS IN EXCESS OF ITS MECHANICAL LIMITS.

3. IS NOT THE ACTUAL MILEAGE

WARNING ODOMETER DISCREPANCY

UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.

Seller’s Signature

 

 

Seller’s Printed Name

 

 

 

 

 

Co Seller’s Signature

 

 

Co Seller’s Printed Name

 

 

 

 

 

Seller’s Street Address

 

 

City

 

State

 

Zip

 

Purchaser’s Signature

 

 

Purchaser’s Printed Name

 

 

 

 

 

Purchaser’s Dealership Name

 

Dealer License No.

 

 

 

 

 

 

 

 

 

(Print Name of Dealership/Business)

 

 

 

 

Business Address

 

 

City

 

State

 

Zip

 

PART B. TRANSFEREE (PURCHASER) POWER OF ATTORNEY TO REVIEW TITLE DOCUMENTS AND ACKNOWLEDGE DISCLOSURE. (PART B IS INVALID UNLESS PART A HAS BEEN COMPLETED.)

I/We,

 

 

 

 

 

 

 

 

appoint

 

 

 

 

 

 

 

 

 

 

 

(Print Purchaser’s Name)

 

 

(Print Name of Dealership/Business)

as of

 

 

 

 

 

 

 

as my/our attorney-in-fact for the purpose of and with full authority to apply for title and/or registration, t o file a lien and

 

 

 

 

 

(Date)

 

 

 

 

 

 

 

 

 

 

 

to sign the mileage disclosure on the title for the vehicle described above, only if the disclosure is exactly as the disclos ure completed below.

WARNING: Federal law and State law require that you state the mileage in connection with transfer of ownership. Providing a false stat ement may result in

fines or imprisonment.

 

 

 

 

 

 

 

 

 

 

. xx (NO TENTHS) MILES,

I/WE STATE THAT THIS

 

5DIGIT OR 6 DIGIT ODOMETER NOW READS,

,

DATE READ

 

 

 

 

 

 

 

 

 

 

 

, AND I/WE HEREBY CERTIFY THAT TO THE BEST OF MY/OUR KNOWLEDGE THE ODOMETER READING:

1. REFLECTS ACTUAL MILAGE

2. IS IN EXCESS OF ITS MECHANICAL LIMITS.

3.IS NOT THE ACTUAL MILEAGE WARNING ODOMETER DISCREPANCY

UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.

TRANSFEROR

(Seller):

TRANSFEREE

(Purchaser):

Seller’s Signature

Business Address

Purchaser’s Signature

Co Purchaser’s Signature

Purchaser’s Name

Seller’s Printed Name

 

 

 

 

 

 

(For Dealership / Business)

 

(For Dealership / Business)

 

 

City

 

 

State

 

 

Zip

 

Purchaser’s Printed Name

Co Purchaser’s Printed Name

Street Address

City

 

State

 

Zip

PART C. CERTIFICATION BY ATTORNEY IN FACT (Person completing Part C must be the same person transferring information and signing the title.)

I,

, hereby certify that the mileage I have disclosed on the title document is

(Print Name of Person exercising above power(s) of attorney)

consistent with that provided to me in the above power(s) of attorney. Further, upon examination of the title and any reassignment documents for the vehicle described above, the mileage disclosure I have made on the title pursuant to the power of attorney is the same or greater than that previously stated on the title reassigned documents. This certificate is not intended to create, nor does it create any new or additional liability under Federal or State law.

UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE.

Signature

 

Date

 

 

Printed Name

 

 

 

 

 

 

 

Street Address

 

 

 

 

City

 

 

State

 

Zip

 

 

 

 

 

ORIGINAL:DMS Copy (with Title)

 

GOLD COPY:Dealer/Business

YELLOW COPY:Part A Seller

 

 

 

 

WHO IS AUTHORIZED TO USE THIS FORM?:

OWNERS (SELLERS) TRANSFERRING THEIR OWNERSHIP IN THE MOTOR VEHICLE DESCRIBED ON THIS FORM TO A PURCHASER WHO WILL USE THIS POWER OF ATTORNEY TO MAKE A REQUIRED ODOMETER DISCLOSURE ON BEHALF OF THE SELLER (SELLERS MUST COMPLETE PART A WHEN TITLE IS NOT AVAILABLE FOR ODOMETER DISCLOSURE).

PURCHASERS OBTAINING OWNERSHIP OF THE MOTOR VEHICLE DESCRIBED ON THIS FORM FROM A LICENSED MOTOR VEHICLE DEALER WILL USE THIS POWER OF ATTORNEY TO MAKE A REQUIRED ODOMETER DISCLOSURE ON BEHALF OF THE PURCHASER. (PURCHASER MUST COMPLETE PART B WHEN THE TITLE CERTIFICATE IS NOT AVAILABLE AND PART A HAS BEEN COMPLETED.)

DEALERS LICENSED IN THE STATE OF FLORIDA TO BUY AND SELL MOTOR VEHICLES WILL USE THE POWER(S) OF ATTORNEY TO MAKE REQUIRED ODOMETER DISCLOSURES FOR MOTOR VEHICLE SELLERS AND/OR PURCHASERS. (DEALERS MUST ALWAYS COMPLETE PART C.)

THIS FORM SHOULD BE USED:

WHEN THE CERTIFICATE OF TITLE IS PHYSICALLY HELD BY A LIENHOLDER AND IS NOT AVAILABLE FOR ENDORSEMENT FOR TRANSFER AND ODOMETER DISCLOSURE.

WHEN THE CERTIFICATE OF TITLE HAS BEEN LOST OR DESTROYED AND IS NOT AVAILABLE FOR ENDORSEMENT FOR TRANSFER AND ODOMETER DISCLOSURE.

THIS FORM IS NOT REQUIRED:

WHEN THE MOTOR VEHICLE IS EXEMPT FROM THE ODOMETER DISCLOSURE REQUIREMENTS UNDER FEDERAL AND STATE LAW. THESE EXEMPTIONS ARE:

-MOTOR VEHICLES WITH A MODEL YEAR OF 2011 OR NEWER ARE EXEMPT AFTER TWENTY (20) YEARS AND MOTOR VEHICLES WITH A MODEL YEAR OF 2010 OR OLDER ARE EXEMPT AFTER TEN (10) YEARS.

-MOTOR VEHICLE IS NOT SELF PROPELLED

-MOTOR VEHICLE HAS A GROSS VEHICLE WEIGHT RATING (GVWR) OF MORE THAN 16,000 POUNDS.

NOTE: IF A POWER OF ATTORNEY FORM IS NEEDED FOR AN EXEMPT VEHICLE (SEE ABOVE LIST OF EXEMPTIONS), USE FORM HSMV 82053.

FILING OF COPIES:

ORIGINAL: TO BE ATTACHED TO THE CERTIFICATE OF TITLE WHEN OBTAINED AND IS TO REMAIN WITH THE TITLE UNTIL THE APPLICATION FOR TITLE IS MADE FOR THE PURCHASER.

SECOND COPY: TO BE RETAINED BY THE DEALER FOR A PERIOD OF FIVE (5) YEARS.

THIRD COPY: TO BE GIVEN TO THE SELLER WHO COMPLETED THE POWER OF ATTORNEY IN PART A.

NOTE: IF THE MOTOR VEHICLE IS BEING SOLD TO AN OUT OF STATE PURCHASER OR AN OUT OF STATE DEALER, THE FLORIDA DEALER MUST PHOTOCOPY THE COMPLETED ORIGINAL OF THIS FORM AND MAIL DIRECTLY TO THE DEPARTMENT WITHIN FIVE (5) BUSINESS DAYS AFTER THE CERTIFICATE OF TITLE AND DEALER REASSIGNMENT FORM ARE DELIVERED BY THE DEALER TO ITS PURCHASER.

How to Edit Fl Hsmv 82995 Online for Free

We have applied the hard work of the best developers to make the PDF editor you can make use of. Our application will let you fill out the form 82995 florida form with no trouble and don’t waste time. All you should do is comply with these easy actions.

Step 1: Press the orange "Get Form Now" button on this website page.

Step 2: So, you may modify the form 82995 florida. This multifunctional toolbar makes it possible to include, delete, adjust, highlight, and also conduct similar commands to the text and fields within the file.

The PDF template you plan to prepare will include the following areas:

82995 form spaces to fill out

Type in the requested data in Print Name of DealershipBusiness, Business Address, City, State, Zip, E E R E F S N A R T, r e s a h c r u P, PART B TRANSFEREE PURCHASER POWER, IWe, as of, Date, Print Purchasers Name, Print Name of DealershipBusiness, as myour attorneyinfact for the, and appoint section.

part 2 to finishing 82995 form

You'll need to put down some particulars within the section E E R E F S N A R T, r e s a h c r u P, Co Purchasers Signature, Co Purchasers Printed Name, Purchasers Name, City, Street Address, State, Zip, PART C CERTIFICATION BY ATTORNEY, hereby certify that the mileage I, Print Name of Person exercising, consistent with that provided to, Signature, and Street Address.

part 3 to filling out 82995 form

Step 3: Select the button "Done". Your PDF file can be exported. It is possible to save it to your computer or email it.

Step 4: To protect yourself from any difficulties as time goes on, be sure to create minimally a few copies of your file.

Watch Fl Hsmv 82995 Video Instruction

Fl Hsmv 82995 isn’t the one you’re looking for?

Related Documents

  • Fl412 Form

    "... Continued on attachment petitioner defendant other parent Case number Affidavit constituting Contempt Domestic Violence Custody and Visitation Attachment to Order to Show Cause and an Affidavit For Contempt Form fl410 fl412 An affidavit Of Facts ..."

  • Fl All

    "... The court will order judgment on dissolution of marriage or of domestic partnership. Both petitioners will then be restored to single status effective the date that the petitioner's former names are restored. ..."

  • Fl Miami Liheap Application

    "... Miami Dade Community Action Agency Low Income Home Energy Assistance Program. This application can be used for your office. Please fill in the application fully. If you have ligible credit, your bill will not be ..."

  • Fl Notice Commencement

    "... Rev 10-15 12 After recording, return to permit number Notice of Commencement. The undersigned gives notice that improvements will be made on certain real estate in accordance to chapter 713 florida Statutes. Description of property ..."

Please rate Fl Hsmv 82995

1 Votes

Related Resources

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .