Anthony Joseph
VIA MAIL/FACSIMILE
To: {DMV Director Name & Address or the like}
Fiduciary Appointment.
I, ___________________________, on behalf of
SMITH ANTHONY J
DL or Tax ID # 12345495959595
c/o _____, hereinafter "the Driver"
I do hereby:
* authoritatively appoint you fiduciary for settling and closing the accounting associated with any and all cases or proceedings in the State of ___ which involve the Driver;
* accept and return any and all charges being made against the Driver by any agent or officer of the State of _______________.
Signature of the Driver: {
Antony Joseph) for SMITH ANTHONY J