Form 4054, Power of Attorney, is the Missouri Department of Revenue (DOR) form on which an owner appoints an attorney-in-fact to sign papers when transferring ownership of a unit or applying for its title or registration. It has signature blocks for three owners, and the form states that notarization is required for all signatures. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the official PDF is published by the DOR at dor.mo.gov/forms/.
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What is 4054?
Form 4054, Power of Attorney, is the Missouri Department of Revenue (DOR) form in which vehicle owners appoint an attorney-in-fact to sign on their behalf when transferring ownership of a unit or applying for its title or registration.
On the form, the owner names the person appointed and checks the purpose: Transferring ownership for the following described unit, Making application for title for the following described unit or Making application for registration for the following described unit. The unit is identified by year (YYYY), make and identification number. The appointment gives the attorney-in-fact full authority to sign on the owner's behalf all papers and documents and to do all that is necessary to this appointment.
Two boxes near the top are reserved for a case involving an insurance company and a total loss: the insurance company name and the date of total loss.
Every signature on the form must be notarized, and the form includes a notary block with the notary's seal, State, County (or City of St. Louis), commission expiration date, signature and printed name. The form is issued through the DOR's Motor Vehicle Bureau, whose phone number is printed at the bottom.
The DOR forms page also lists other documents with similar names, such as Form 2827, Power of Attorney, Form 5086, Secure Power of Attorney, and Form 4318, Military Application with Power of Attorney. Form 4054 is the one that carries the three title, registration and ownership-transfer purposes described above.
Who needs to file 4054?
Owners of a unit who want another person to sign for them in transferring ownership, applying for title or applying for registration use Form 4054 to appoint that person as attorney-in-fact.
- Individual owners. The form has three owner blocks, each with a printed name, signature and date, so up to three owners can appoint on one form.
- Owners assigning power of attorney to an insurance company after a total loss. These owners also complete the insurance company name and date of total loss boxes. This is the only case in which the form allows an owner's electronic signature, and the signature must still be notarized.
- Notaries. The notary completes the notary block; the owner does not fill it in.
The form's purposes are limited to the three boxes it lists: transferring ownership, applying for title and applying for registration of the described unit. Outside the insurance-company total-loss case, the form does not allow electronic owner signatures. Anyone signing for an owner does so as the appointed attorney-in-fact named on the form; the form prints no other rules on who may act for an owner.
When to file 4054
Complete Form 4054 when an owner wants to appoint someone to sign for them in transferring ownership, applying for title or applying for registration of a unit. The form prints no separate due date and no validity period.
If the appointment involves an insurance company and a total loss, have the insurance company's name and the date of total loss ready, because the form asks for both. Because every signature must be notarized, plan to sign with a notary before the form is used; the form notes that a License Office offers notary service. For questions about timing in your transaction, contact the Motor Vehicle Bureau at (573) 526-3669.
How to fill out 4054
Name the attorney-in-fact
In the sentence beginning "I (we) hereby appoint," write the full name of the person you appoint as your attorney-in-fact.
Complete the total-loss boxes if needed
Only if an insurance company is involved in a total loss, enter the Insurance Company Name and the Date of Total Loss in the boxes provided.
Check the purpose of the appointment
Check the box for transferring ownership, making application for title or making application for registration for the described unit. The form lists these as separate boxes.
Describe the unit
Enter the unit's Year (YYYY), Make and Identification Number in the spaces under the purpose boxes.
Print owner names and add dates
For each owner, enter the Owner's Printed Name and the Date in MM/DD/YYYY format. The form has three owner blocks; use only as many as you need.
Sign in front of a notary
Each owner signs on the Owner's Signature line. Notarization is required for all signatures, and the form says an electronic signature is allowed only when assigning power of attorney to an insurance company due to total loss.
Have the notary complete the block
The notary fills in the day and year of the "Subscribed and sworn before me" statement, the State, the County (or City of St. Louis), the commission expiration date, the signature and printed name, and applies an embosser or black ink rubber stamp seal.
Review and download the completed PDF
Check names, unit details and dates, then download or print the completed PDF from FillingPDF so the owners can sign and the notary can complete the notarization.
How to submit 4054
Form 4054 prints no mailing address, portal or appointment rule, so confirm with the DOR where the signed and notarized form goes for your transaction.
- Phone: Motor Vehicle Bureau, (573) 526-3669.
- Website: dor.mo.gov/motorv/ for additional information, as printed on the form.
- Notary: Every signature must be notarized. The form notes that a License Office offers notary service for a fee; ask the Motor Vehicle Bureau for the current amount.
Before you deliver it, check that each owner has printed their name, signed and dated in MM/DD/YYYY format, and that the notary block is complete, including the seal. The owner's signature may be electronic only when power of attorney is assigned to an insurance company due to total loss. FillingPDF lets you fill out and download the PDF; submission follows the agency's channels.
Common mistakes to avoid
- Leaving any owner signature without notarization; the form states that notarization is required for all signatures.
- Using an electronic owner signature outside the one case the form allows: assigning power of attorney to an insurance company due to total loss.
- Leaving the insurance company name and date of total loss blank when the appointment involves an insurance company and a total loss.
- Not checking any purpose box, or not describing the unit with its year (YYYY), make and identification number.
- Entering dates in a different format from the MM/DD/YYYY pattern the owner and notary dates ask for.
- Submitting a notary block without the embosser or black ink rubber stamp seal, State, County (or City of St. Louis) or commission expiration date.
- Leaving an Owner's Printed Name blank next to a signature.
Frequently asked questions
What is Form 4054, Power of Attorney?
Form 4054, Power of Attorney, is a Missouri Department of Revenue form in which owners appoint an attorney-in-fact to sign papers on their behalf. It covers transferring ownership of a unit, applying for its title and applying for its registration. The form describes the unit by year, make and identification number.
Does Form 4054 have to be notarized?
Yes. The form states that notarization is required for all signatures, and it includes a notary block with the notary's seal, county, commission expiration date, signature and printed name. The form notes that a License Office offers notary service for a fee.
Can I sign Form 4054 electronically?
Only in one case. The form says an owner's electronic signature is permissible only when assigning power of attorney to an insurance company due to total loss. In every other situation, the owner signs on the form itself, and the signature must be notarized.
What do I enter if my vehicle is a total loss?
Complete the boxes at the top of the form: the Insurance Company Name and the Date of Total Loss. Then check the purpose box that applies and describe the unit by year, make and identification number. All signatures still require notarization.
How many owners can sign one Form 4054?
The form has three owner blocks, each with Owner's Printed Name, Owner's Signature and Date (MM/DD/YYYY). Up to three owners can therefore appear on the same form. Each owner's signature must be notarized.
Where do I send Form 4054?
The form does not print a mailing address, portal or office. Call the DOR Motor Vehicle Bureau at (573) 526-3669 or visit dor.mo.gov/motorv/ to confirm where to deliver it for your title, registration or ownership transfer.
Can I fill out Form 4054 online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF does not file or notarize the form and is not connected to the DOR; the owners must still sign before a notary and follow the DOR's channels.
How is Form 4054 different from other Missouri power of attorney forms?
The DOR forms page lists separate documents, including Form 2827, Power of Attorney, Form 5086, Secure Power of Attorney, and Form 4318, Military Application with Power of Attorney. Form 4054 covers transferring ownership, title applications and registration applications for a described unit.
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