Pwd 1055 Form PDF Details

The Limited Power of Attorney Form (PWD 1055) plays a critical role in the management and administration of vessels and outboard motors within the legal and regulatory framework put forth by the Texas Parks and Wildlife Department. This form requires the provision of detailed identification information, including driver’s license number, date of birth, or Federal Employer Identification Number, which is indispensable for new titling, transfer of ownership, or renewal of registrations as stipulated under the Code of Federal Regulations, Title 33, Part 174.17. By completing the PWD 1055 form, an individual or entity is authorized to appoint another party as their true and lawful attorney to execute all necessary paperwork related to the sale, transfer, or registration of a vessel and/or outboard motor. The document notably insists on the inclusion of comprehensive vessel and outboard motor descriptions, alongside a stern warning against the falsification of information under the Texas Penal Code Chapter 37, Section 37.10, which categorizes such an act as a felony punishable by significant fines and imprisonment. The form underscores the importance of truthfulness and accuracy by requiring a notarized signature, ensuring that all declarations made are under oath and verified, thus underscoring the Texas Parks and Wildlife Department's commitment to upholding integrity and legality in the processing and handling of these important documents.

QuestionAnswer
Form NamePwd 1055 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespwd power online, texas parks and wildlife power of attorney, pwd a0900, pwd 1055 pdf

Form Preview Example

Limited Power of Attorney (PWD 1055)

For Vessels and/or Outboard Motors

Identification information, such as driver’s license number and date of birth, or Federal Employer Identification Number, is required on applications associated with new titling, transfers of ownership, or renewal of registration. Code of Federal Regulations, Title 33, Part 174.17.

This is to certify that I,

Company Name (if applicable):

 

 

Name:

 

 

 

Address:

 

 

 

City, State, Zip:

 

 

 

Phone Number:

 

 

(Day time)

 

do hereby appoint, as my true and lawful attorney,

 

 

Company Name (if applicable):

 

 

Name:

 

 

 

Address:

 

 

 

City, State, Zip:

 

 

 

Phone Number:

 

 

(Day time)

 

to sign and execute for me any and all papers in connection with the sale, transfer, or registration specifically limited to the vessel and/or outboard motor listed below:

Vessel Description (complete all):

 

TX # or Title #:

Year Built:

Hull ID/Serial #:

 

 

Make:

Outboard Motor Description (complete all):

 

Horse Power:

Year Built:

Serial #:

 

 

Make:

WARNING: Falsifying information on documents is a punishable offense – Texas Penal Code Chapter 37, Section 37.10. Any person who knowingly makes a false entry in, or false alteration of a governmental record is guilty of a felony of the third degree, punishable by confinement in jail for any term of not more than 10 years or less than 2 years and punishable by a fine not to exceed $10,000. I hereby certify that all statements in this document are true and correct to the best of my knowledge and belief.

Company Name (if applicable):

Printed Name:

Signature:

(The signature must be notarized. Forms without notary will not be accepted.)

Subscribed and sworn to before me this

 

day of

 

(month),

 

(year).

 

Signature of Notary:

 

 

 

 

 

 

 

 

 

 

 

 

Notary Stamp/Seal

Printed Name of Notary:

 

 

 

 

 

 

 

 

 

 

 

County, State of Texas

Texas Parks and Wildlife Department maintains the information collected through this form. With few exceptions, you are entitled to be informed about the information we collect. Under Sections 552.021 and 552.023 of the Texas Government Code, you are also entitled to receive and review the information. Under Section 559.004, you are also entitled to have this information corrected.

PWD 1055–A0900 (4/16)

Texas Parks and Wildlife Department • 4200 Smith School Road, Austin, TX 78744 • www.tpwd.texas.gov