Form Number Title ; POA and Disclosure Forms : 01-5414 : Office of Administrative Hearings Supplemental Power of Attorney: POA and Disclosure Forms : 285 : General Disclosure/Representation Authorization Form: POA and Disclosure Forms : 285-I
Power of Attorney (POA) / Disclosure Forms. A taxpayer may use Arizona Form 285 to authorize the department to release confidential information to the taxpayer’s Appointee.
This is the federal form although your State may have its own Odometer Disclosure Statement that is provided by the Department of Motor Vehicles (DMV). Federal Law – 49 U.S. Code Chapter 327 (Odometers) Odometer Disclosures – By State
Odometer Disclosures – By State AL – Form MVT 5-5 AK – Form 839 AZ – Use Federal Form AR – Included in Bill of Sale CA – Form REG 256 CO – Use Federal Form CT – Use Federal Form DE – Use Federal Form FL – Form HSMV 82042 GA – Form GA-25 HI – Included in Bill of Sale ID – Use Federal Form IL – Form VSD 333.4 IN – Form 43230 IA – Form 411077
FOR PHYSICIAN USE ONLY. For a physician to report to MVD a condition that will affect a driver's ability to safely operate a motor vehicle.
To declare that a license plate has been lost, destroyed or stolen. Or, to release interest in a plate back to MVD or to another owner. Or, to release credited fees to another owner, when a vehicle is sold. (Also known as affidavit of plate destruction.)
To appoint another person to sign all documents required to obtain and transfer a vehicle title.
To appoint another person to receive information and sign all documents required for motor carrier tax matters.
To authorize an agent to act on behalf of a taxpayer regarding fuel tax matters.
For private party to private party sales, for the seller to authorize the buyer to obtain a title and disclose the odometer reading.
To provide information regarding the suppression of motor vehicle record information for private citizens with a court order of protection/injunction against harassment.
An odometer disclosure statementis a required attachment to a Vehicle Bill of Saleat the time of purchase for all vehicles below 16,000 pounds and under 10 years of age. The document is required by federal law in all 50 States to be filed in order for the finalization of the sale and allows the buyer of the vehicle to apply for registration (along with the titleand bill of sale and any other required forms).
Next, the Seller must define the accuracy of the Odometer. There will be two selections provided below the introductory statement for this purpose.
If the Odometer Reading does not display the actual number of miles driven by the vehicle then mark the checkbox for choice “(2).”