Form 4054 PDF Details

The purposes for which the attorney-in-fact can act on behalf of the vehicle owner include: trasferring ownership and making title and registration application for the described unit.

The form requires the vehicle owner(s) to appoint an individual as their attorney-in-fact, providing the full authority to sign on the owner's behalf for all papers and documents necessary for the appointment. If the power of attorney is being assigned to an insurance company due to a total loss, the insurance company name and date of total loss must be provided.

The form also contains a section for notary information and the owner's signature. However, notarization is not required if the owner is signing electronically, which is permissible only when assigning power of attorney to an insurance company due to a total loss.

QuestionAnswer
Form Name Missouri Form 4054
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names form 4054, missouri vehicle poa

Form Preview Example

Form

4054

Power of Attorney

 

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

__ __ /__ __ /__ __ __ __

r Transferring ownership for the following described unit: r Making application for title for the following described unit:

r Making 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/

P.O. Box 100

E-mail: mvbmail@dor.mo.gov

for additional information.

Jefferson City, MO 65105-0100

 

 

How to Edit Missouri Form 4054 Online for Free

Making use of the online editor for PDFs by FormsPal, you'll be able to fill in or modify form 4054 here. Our team is continuously endeavoring to improve the editor and ensure it is much faster for people with its multiple functions. Enjoy an ever-evolving experience today! Getting underway is effortless! All you need to do is adhere to the following basic steps below:

Step 1: First, access the pdf tool by clicking the "Get Form Button" above on this site.

Step 2: The tool will allow you to work with PDF files in various ways. Enhance it by including personalized text, correct what is already in the document, and place in a signature - all at your disposal!

When it comes to blanks of this precise PDF, this is what you should know:

1. Complete the form 4054 with a selection of necessary blanks. Gather all the information you need and ensure not a single thing left out!

Filling out segment 1 in MISSOURI

2. Once the last array of fields is done, you're ready insert the needed details in Owners Printed Name, Owners Signature, Date MMDDYYYY, Note License Office notary service, Embosser or black ink rubber stamp, Subscribed and sworn before me this, State, day of, year, County or City of St Louis, My Commission Expires MMDDYYYY, Notary Public Signature, Notary Public Name Typed or Printed, n o i t a m r o f n, and y r a t o N so that you can proceed further.

How you can fill in MISSOURI portion 2

Always be very careful when completing Owners Signature and Subscribed and sworn before me this, as this is where a lot of people make errors.

Step 3: Once you've reviewed the details in the document, press "Done" to conclude your document creation. Make a 7-day free trial option at FormsPal and obtain instant access to form 4054 - downloadable, emailable, and editable from your personal cabinet. We do not share or sell the details that you type in when completing forms at FormsPal.