
FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
POWER OF ATTORNEY FOR A MOTOR VEHICLE, MOBILE HOME, VESSEL or VESSEL with TRAILER
HSMV 82053 (Rev. 06/16/22)
Please submit this form to your local tax collector office or license plate agent.
http://www.flhsmv.gov/locations/
As of today, ___/___/_____, I/we hereby name and appoint, _________________________________,
(Full Legibly Printed Name is Required)
to be my/our lawful attorney-in-fact to act for me/us, in applying for an original or duplicate certificate of
title, to register, transfer title, or record a lien to the motor vehicle, mobile home, vessel, or vessel with a
trailer described below, and to print my/our name and sign their name, in my/our behalf. My attorney-in-
fact can also do all things necessary to the application or any other related instrument and to bind me/us
in as sufficient a manner as I/we or myself/ourselves could do, were I/we personally present and signing
the same.
With full power of substitution and revocation, I/we hereby ratify and confirm whatever my/our said
attorney-in-fact may lawfully do or cause to be done in the virtue hereof.
Please check only one of the following options:
Vessel with an Untitled Trailer
(Trailers less than 2,000 pounds)
Vessel with a Titled Trailer
(Trailers 2,000 pounds or more)
Year Make/Manufacturer
Title Number
Vehicle Identification Number (VIN)/
Hull Identification Number (HIN)
NOTICE TO OWNER(S): Please complete this form in its entirety prior to signing.
Under penalties of perjury, I/we declare that I/we have read the foregoing document and that the
facts stated in it are true.
Legibly Printed Name of Owner (“Grantor”)
Signature of Owner (“Grantor”)
Driver License, Identification Card or FEID Number of Owner
Date of Birth of Owner, if applicable
Legibly Printed Name of Co-Owner (“Grantor”), if applicable
Signature of Co-Owner (“Grantor”)
Driver License, Identification Card or FEID Number of Co-Owner
Date of Birth of Co-Owner, if applicable
This non-secure power of attorney form may be used when an individual or entity appointed as the attorney-in-
fact will be completing the odometer disclosure statement as the buyer only or the seller only. However, this
form cannot be used to allow an individual or entity (such as a dealership) to sign as both buyer and seller for
the purpose of disclosing the odometer reading. This may be accomplished only with the secure power of
attorney (HSMV 82995) when:
(
a)
t
he title is physically being held by the lienholder; or
(b) the title is lost.
A licensed dealer and his/her employees are cons
idered a single entity. The Owner and/or Co-owner must be the
same for ALL vehicles, mobile homes, vessels, or vessels with a trailer listed above.