Form RT5 "Power of Attorney" - Illinois

Form RT5 or the "Form Rt5 "power Of Attorney" - Illinois" is a form issued by the Illinois Secretary of State.

The form was last revised in July 1, 2010 and is available for digital filing. Download an up-to-date Form RT5 in PDF-format down below or look it up on the Illinois Secretary of State Forms website.

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Download Form RT5 "Power of Attorney" - Illinois

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Secretary of State
This space for use by
Secretary of State
Power of ttorney
Secretary of State
Vehicle Services Department
501 S. Second St.
Springfield, IL 62756
www.cyberdriveillinois.com
,
Name of individual appointing power of attorney
whose address is
,
does hereby make, constitute and appoint
,
whose address is
,
as the lawful attorney in fact, to sign all papers and documents required to secure Illinois title and/or registration of, or
transfer interest in, the following described vehicle:
Vehicle Make:
Model Year:
Vehicle Model:
Body Type:
Vehicle Identification Number (VIN):
Complete the following (if applicable):
Purchaser’s Name:
Address:
Date of Sale:
Granting to the aforesaid attorney in fact full power to do all acts as the principal might or could do if personally present;
and hereby ratifying and confirming all that said attorney in fact shall lawfully do or cause to be done by virtue of the
authority herein given for this purpose.
Such authority shall in no way reflect upon the State of Illinois, Secretary of State, or the Director of the Vehicle Services
Department.
Signed
Date Signed
Printed on recycled paper. Printed by authority of the State of Illinois. July 2010 — 100M — RT 5.10
Print
Reset
Save
Secretary of State
This space for use by
Secretary of State
Power of ttorney
Secretary of State
Vehicle Services Department
501 S. Second St.
Springfield, IL 62756
www.cyberdriveillinois.com
,
Name of individual appointing power of attorney
whose address is
,
does hereby make, constitute and appoint
,
whose address is
,
as the lawful attorney in fact, to sign all papers and documents required to secure Illinois title and/or registration of, or
transfer interest in, the following described vehicle:
Vehicle Make:
Model Year:
Vehicle Model:
Body Type:
Vehicle Identification Number (VIN):
Complete the following (if applicable):
Purchaser’s Name:
Address:
Date of Sale:
Granting to the aforesaid attorney in fact full power to do all acts as the principal might or could do if personally present;
and hereby ratifying and confirming all that said attorney in fact shall lawfully do or cause to be done by virtue of the
authority herein given for this purpose.
Such authority shall in no way reflect upon the State of Illinois, Secretary of State, or the Director of the Vehicle Services
Department.
Signed
Date Signed
Printed on recycled paper. Printed by authority of the State of Illinois. July 2010 — 100M — RT 5.10
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