Form 4054 PDF Details

The Form 4054, often referred to as the Power of Attorney, serves a crucial role in delegating authority in matters related to vehicle ownership and documentation processes. Through this form, an individual or multiple persons can appoint someone as their attorney-in-fact, entrusting them with considerable powers to act on their behalf. This includes the ability to transfer ownership, apply for a title, and register a specified vehicle, among other responsibilities. The form requires specific information such as the date of a total loss, if applicable, particularly when an insurance company is involved due to a vehicle being declared a total loss. Additionally, it meticulously outlines the need for the owner's signature, printed name, and the date, alongside notary information to validate the form's authenticity. A notable aspect of the 4054 form is its accommodation for electronic signatures, specifically when an insurance company is designated as the attorney-in-fact following a total loss scenario, which simplifies the process by eliminating the requirement for notarization. This flexibility underscores the form's design to streamline the transfer and registration processes for vehicles, ensuring that owners and their agents can efficiently manage their affairs even in the wake of challenges like total loss claims.

QuestionAnswer
Form NameMissouri Form 4054
Form Length1 pages
Fillable?Yes
Fillable fields21
Avg. time to fill out4 min 31 sec
Other namesmissouri form 4054, SUBSCRIBED, EXPIRES, EMBOSSER

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Form

 

4054

Power of Attorney

 

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I (we) hereby appoint, __________________________________________________ as my (our) attorney-in-fact for the

(If insurance company involving total loss, complete boxes immediately below.)

Insurance Company Name

purpose of:

Date of Total Loss

__ __ /__ __ /__ __ __ __

rTransferring ownership for the following described unit:

rMaking application for title for the following described unit:

rMaking application for registration for the following described unit:

Year (YYYY)

Make

Identification Number

with the full authority to sign on my (our) behalf all papers and documents and to do all that is necessary to this appointment.

Signature

Owner’s Printed Name

Owner’s Signature*

Owner’s Printed Name

Owner’s Signature*

Owner’s Printed Name

Owner’s Signature*

Date (MM/DD/YYYY)

__ __ /__ __ /__ __ __ __

Date (MM/DD/YYYY)

__ __ /__ __ /__ __ __ __

Date (MM/DD/YYYY)

__ __ /__ __ /__ __ __ __

Notary Information

Note: License Office notary service - $2.00

Embosser or black ink rubber stamp seal*

Subscribed and sworn before me, this

 

 

 

day of

year

 

State

County (or City of St. Louis)

My Commission Expires (MM/DD/YYYY)

 

 

 

__ __ /__ __ /__ __ __ __

 

Notary Public Signature

 

 

 

 

 

 

Notary Public Name (Typed or Printed)

 

 

 

 

 

*Owner(s) electronic signature is permissible ONLY when assigning power of attorney to an insurance company due to total loss. Notarization is not required if signing electronically.

Form 4054 (Revised 08-2019)

Motor Vehicle Bureau

Phone: (573) 526-3669

Visit http://dor.mo.gov/motorv/

 

 

for additional information.

How to Edit Missouri Form 4054 Online for Free

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EXPIRES blanks to fill in

Include the required details in the Owners Printed Name, Owners Signature, Owners Printed Name, Owners Signature, Owners Printed Name, Owners Signature, Date MMDDYYYY, Date MMDDYYYY, Date MMDDYYYY, Note License Office notary service, Embosser or black ink rubber stamp, Subscribed and sworn before me this, State, County or City of St Louis, and My Commission Expires MMDDYYYY box.

part 2 to completing EXPIRES

You can be required some key details so you can submit the Notary Public Name Typed or Printed, y r a t o N, Owners electronic signature is, Motor Vehicle Bureau, Phone, Visit httpdormogovmotorv for, and Form Revised field.

EXPIRES Notary Public Name Typed or Printed, y r a t o N, Owners electronic signature is, Motor Vehicle Bureau, Phone, Visit httpdormogovmotorv for, and Form  Revised blanks to fill

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