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How to fill out Connecticut A-83

The only document in the Connecticut seller's set that needs anybody else in the room. If you cannot be at the DMV - or cannot sign the paperwork yourself - this appoints somebody who can, for motor vehicle registration and title business and for nothing else. It takes your signature, two witnesses and an officer authorised to take acknowledgments, and it is returned to you rather than kept by the department.

Written against A-83 (Rev 6-2008), issued under Conn. Gen. Stat. s. 45a-175(b) for the accounting provision, executed as an acknowledged instrument before a notary public, justice of the peace or commissioner of the Superior Court. This form is from 2008 and its acknowledgment block still assumes a Connecticut county. It works, but do not add anything to it - a special power of attorney that has been amended by hand is a document an examiner has to decide about, and the whole point of using the department's own form is that it does not have to.

Two documents, and they are not the same thing. Take the blank A-83 from the portal.ct.gov copy so you get the revision that is current today.

Filled in

What a completed one looks like

This is the actual A-83, rendered from the PDF the Connecticut Department of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.

A completed Connecticut Special Power of Attorney, form A-83. The principal is printed as Marguerite T. Oberlander and the agent as Julien P. Oberlander. The witness clause carries the date, written as the fourth day of August, 20 26, and the acknowledgment block below names Marguerite T. Oberlander as the person who personally appeared, with the same date. The principal signature line, the two witness signature lines and the notary signature line are shown as ruled lines rather than filled boxes.
Filled in for a seller who cannot get to a DMV office and is appointing an adult child to do it. Rendered from the department's own PDF: the four signature lines carry no fillable boxes because they are printed rules, which is exactly what a document requiring wet signatures should look like. Every name and date here is invented for the sample.
Field by field

Every line, in the order you meet it

  1. 1
    You fill this in

    Print your full name

    The principal. Printed above the line that reads Print your full name above.

    Watch out: Use the name that appears on the title and the registration. This document has to match the record it will be used against.

  2. 2
    You fill this in

    Print the full name of your agent

    One named person. The grant will not stretch to anybody else.

    Watch out: Naming a dealership rather than a person is a common mistake. The form appoints an attorney-in-fact, and an attorney-in-fact is somebody who can sign.

  3. 3
    You fill this in

    The date in the witness clause

    Day, month and year, on the line beginning IN WITNESS WHEREOF.

    Watch out: This date and the date in the acknowledgment block below should be the same day, because the acknowledgment is of a signature made in front of the officer.

  4. 4
    You fill this in

    The name in the acknowledgment block

    Your name again, this time as the person who personally appeared before the officer taking the acknowledgment.

    Watch out: It has to be the same name as the principal at the top. The whole block is the officer's record that the person who signed is the person named.

  5. 5
    Somebody else fills this in

    The acknowledgment date, and the four signatures around it

    Day, month and year in the acknowledgment. Around them sit four printed rules with no boxes behind them - your signature marked (L.S.), two witness lines, and the officer's line above their commission expiry.

    Watch out: Do not sign at home. The clause reads attested and subscribed in the presence of the Principal and subsequent to the Principal subscribing same - you sign first, in front of the two witnesses and the officer. A notary public, a justice of the peace or a commissioner of the Superior Court will all do, and banks and law offices are the usual places to find one at short notice.

At a glance

What goes where

On the formWhat to put in it
Know all persons by these presents, that I, [print your full name above]The principal. The person whose authority is being delegated.
do hereby appoint [print full name of your agent above], as my attorney-in-factThe agent. One named person, and the power cannot be used for anybody else's transaction.
The grantTo act in my name, place and stead in any way which I myself could do, as if I were personally present, to the full extent permitted by law to act as an agent, to make, to complete, and to execute any application or other written document or form that is required to be filed with the Commissioner of Motor Vehicles ... in connection with the registration of any motor vehicle or the certificate of title to any motor vehicle.
The limitThis Special Power of Attorney is granted and is valid only for the express purposes stated herein, and may not be used for any transaction involving any other person or party who is not named herein.
In witness whereof, I have hereunto signed my name below on this ___ day of ___, 20___Three date boxes on one line.
Principal: ____ (L.S.)The principal's signature, with the letters L.S. beside it - locus sigilli, the place of the seal.
Two witness signature linesAttested and subscribed in the presence of the Principal and subsequent to the Principal subscribing same. Two separate lines side by side.
State of Connecticut, County of ____, SS:The acknowledgment block.
Personally appeared [full name of principal], signer and sealer of the foregoing Power of Attorney, who acknowledged the same as his or her free act and deed, before me, this ___ day of ___, 20___The acknowledgment itself, with its own three date boxes.
Notary Public / Justice of Peace / Commissioner of the Superior Court, My commission expires ____The officer's signature line and the seal area.

What gets this one rejected

Rules that decide whether it is accepted

Every line here was read off A-83 (Rev 6-2008) itself — the PDF is here — and off the Connecticut Department of Motor Vehicles pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

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