Form BRT-016 "Power of Attorney for Registering/Titling and/or Transferring Ownership of a Vessel" - Virginia

What Is Form BRT-016?

This is a legal form that was released by the Virginia Department of Wildlife Resources - a government authority operating within Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2017;
  • The latest edition provided by the Virginia Department of Wildlife Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form BRT-016 by clicking the link below or browse more documents and templates provided by the Virginia Department of Wildlife Resources.

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Download Form BRT-016 "Power of Attorney for Registering/Titling and/or Transferring Ownership of a Vessel" - Virginia

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DEPARTMENT OF GAME AND INLAND FISHERIES - CLIENT SERVICES
P.O. BOX 9930, HENRICO, VA 23228-9930
TELEPHONE: (866) 721-6911 WEBSITE: WWW.DGIF.VIRGINIA.GOV
P
A
R
/T
OWER OF
TTORNEY FOR
EGISTERING
ITLING
/
T
O
V
AND
OR
RANSFERRING
WNERSHIP OF A
ESSEL
Vessel Registered/Titled Owners:
Owner’s Name:
Co-Owner’s Name:
Address:
Address:
Daytime Telephone: (
)
Daytime Telephone:
(
)
Power of Attorney is Granted To:
Name:
Address:
Daytime Telephone: (
)
To act for me in all matters pertaining to the titling, registration and transferring of interest in and to the following
described vessel:
Registration/Title Number
Make of Vessel
Model Year
Hull Identification Number: ________________________________________________________________
I/We, being the owner(s) of the vessel described above, by these presents do make, constitute, and appoint the person named above
true and lawful attorney-in-fact to sign in my/our name, place and stead any Certificate of Title, or other supporting papers,
covering said vessel, in whatever manner necessary to register/title and/or transfer ownership of said vessel; and I/we do hereby
grant unto said attorney-in-fact full authority and power to do and perform any and all acts necessary or incidents to the execution
of the powers herein expressly granted, as the grantor might or could do if personally present, with full power of substitution.
I/We further certify and affirm that all information presented in this form is true and correct, that any documents I/we have
presented to DGIF are genuine, and that the information included in all supporting documentation is true and accurate. I/We make
this certification and affirmation under penalty of perjury and I/we understand that knowingly making a false statement or
representation on this form is a criminal violation.
X
Date:
X
Date:
Signature of Vessel Owner/Grantor
Signature of Vessel Co-Owner/Grantor
BRT-016 Power of Attorney May 2017
DEPARTMENT OF GAME AND INLAND FISHERIES - CLIENT SERVICES
P.O. BOX 9930, HENRICO, VA 23228-9930
TELEPHONE: (866) 721-6911 WEBSITE: WWW.DGIF.VIRGINIA.GOV
P
A
R
/T
OWER OF
TTORNEY FOR
EGISTERING
ITLING
/
T
O
V
AND
OR
RANSFERRING
WNERSHIP OF A
ESSEL
Vessel Registered/Titled Owners:
Owner’s Name:
Co-Owner’s Name:
Address:
Address:
Daytime Telephone: (
)
Daytime Telephone:
(
)
Power of Attorney is Granted To:
Name:
Address:
Daytime Telephone: (
)
To act for me in all matters pertaining to the titling, registration and transferring of interest in and to the following
described vessel:
Registration/Title Number
Make of Vessel
Model Year
Hull Identification Number: ________________________________________________________________
I/We, being the owner(s) of the vessel described above, by these presents do make, constitute, and appoint the person named above
true and lawful attorney-in-fact to sign in my/our name, place and stead any Certificate of Title, or other supporting papers,
covering said vessel, in whatever manner necessary to register/title and/or transfer ownership of said vessel; and I/we do hereby
grant unto said attorney-in-fact full authority and power to do and perform any and all acts necessary or incidents to the execution
of the powers herein expressly granted, as the grantor might or could do if personally present, with full power of substitution.
I/We further certify and affirm that all information presented in this form is true and correct, that any documents I/we have
presented to DGIF are genuine, and that the information included in all supporting documentation is true and accurate. I/We make
this certification and affirmation under penalty of perjury and I/we understand that knowingly making a false statement or
representation on this form is a criminal violation.
X
Date:
X
Date:
Signature of Vessel Owner/Grantor
Signature of Vessel Co-Owner/Grantor
BRT-016 Power of Attorney May 2017