Appointed Representative Form – Loudoun County, VA

FillingPDF is not affiliated with, endorsed by, or connected to the Loudoun County Commissioner of the Revenue. Get the official form from the Loudoun County Commissioner of the Revenue website.

Appointed Representative Form – Loudoun County, VA

The Appointed Representative Form (PPA3-0626) is a Loudoun County Office of the Commissioner of the Revenue form for giving vehicle personal property information for another owner. Fill it out online on FillingPDF and download or print the PDF.
2 pages
Page 1 of 2
Page 2 of 2
Click a highlighted field to fill it in. Your data is deleted after 7 days.

The Appointed Representative Form is a Loudoun County Office of the Commissioner of the Revenue (COR) form, printed with the title Appointed Representative Statement, that lets a person authorized by a vehicle owner supply information about that owner's vehicle personal property. It is one of the Loudoun County property tax forms, and it records transactions such as a vehicle sale, purchase, move or change of address. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the county publishes the original on its website.

Last updated

What is PPA3-0626?

The Appointed Representative Form, printed on the PDF as Appointed Representative Statement, is the Loudoun County Office of the Commissioner of the Revenue form that a person authorized by a vehicle owner uses to give the office information about the owner's vehicle personal property.

The county's instructions say to use it to provide information about personal property owned by another person. The person giving the information must be authorized to do so by the legal owner or by a court that has jurisdiction over the matter.

The form has four blocks: Vehicle Owner Information, Transaction Type, Representative Information and a Certification. By signing the certification, the representative states that the information is complete and accurate and that tax records may be changed based on it. The representative also affirms authorization from the legal owner or a court of competent jurisdiction, and agrees to supply supporting documentation as needed. The certification cites Virginia Code §58.1-11, under which it is a misdemeanor to sign a tax return you do not believe is true and correct.

The PDF carries the code PPA3-0626 in its footer. A final "Office Use Only" block (account numbers, accepted by, notes) is reserved for COR staff and is not completed by you.

Who needs to file PPA3-0626?

The main group is a person who has been authorized to deal with someone else's vehicle personal property record in Loudoun County and needs to give the Commissioner of the Revenue information about it. The authorization must come from the legal owner of the vehicle or from a court that has jurisdiction over the matter.

On the form, that person is the "representative." The form asks for the representative's relationship to the owner, and it asks whether the representative holds a power of attorney or a court order. If the answer is yes, a copy must be provided.

The form covers these transactions: vehicle sale or disposal, vehicle moved, vehicle purchase or acquisition, change of mailing address, change of location address within Loudoun County, and other transactions, which you describe in the space provided.

The form itself is about property owned by another person. The legal owner is the person named in the Vehicle Owner Information block; the representative's own details go in the Representative Information block.

When to file PPA3-0626

Submit the form when you need to give the Commissioner of the Revenue information about a vehicle owner's personal property: a vehicle sale or disposal, a vehicle move, a purchase or acquisition, a change of mailing address, a change of location address within Loudoun County, or another transaction you describe on the form. The form prints no separate due date, so it goes in with the supporting documentation for the transaction it reports. For timing questions about a particular vehicle account, contact the Vehicle Personal Property team at [email protected] or 703-777-0260.

Documents you need

  • Supporting documentation for the transaction you select, such as a vehicle registration or a bill of sale; the instructions say to attach it.
  • A copy of any documentation that supports that you are the vehicle owner's appointed representative.
  • A copy of the power of attorney or court order, if you answer Yes to the question about having one.

How to fill out PPA3-0626

  1. Enter the vehicle owner's information

    Under Vehicle Owner Information, write the owner's Full Legal Name, SSN, Mailing Address, City/State/Zip, Loudoun Street Address and City/State/Zip. If the legal owner no longer has access to a phone or email account, enter N/A for Email or Phone.

  2. Select the transaction type

    Check one box under Transaction Type: Vehicle sale or disposal, Vehicle Moved, Vehicle purchase or acquisition, Change of mailing address, or Change of location address within Loudoun County.

  3. Describe other transactions

    If none of the listed types fits, check Other (describe) and write the description on the line provided.

  4. Enter the representative's information

    Under Representative Information, write your Full Legal Name, Relationship to Owner, Mailing Address, City/State/Zip, Email and Phone.

  5. Answer the power of attorney question

    Check Yes or No for Do you have power of attorney or a court order? If you check Yes, provide a copy with the form.

  6. Read and sign the certification

    Read the Certification, then sign on the Authorized Signature line and enter the Date. Sign only if you are authorized by the legal owner or a court of competent jurisdiction.

  7. Leave the Office Use Only block blank

    Account Number(s), Accepted By and Notes are completed by COR staff.

  8. Review and download the completed PDF

    Check that the owner and representative blocks are complete and that you have the supporting documents. Download or print the completed PDF from FillingPDF and submit it through the channels described under How to submit.

How to submit PPA3-0626

You can submit the completed form in person, by upload or by mail.

  • In person: bring the form and supporting documents to Leesburg (1 Harrison St. SE, 1st Floor) or Sterling (46000 Center Oak Plaza). Staff are available Monday through Friday, 8:30 AM to 5:00 PM, closed federal holidays. The county encourages scheduling an appointment to reduce your wait.
  • Upload: loudoun.gov/COR-Upload. The county's forms page says completed forms that contain sensitive personal identifying information should go through the secure Document Upload Portal. This form asks for the owner's SSN.
  • By mail: COR/Personal Property, PO Box 8000, Leesburg, VA 20177-9804.

Attach the supporting documentation for the transaction and any power of attorney or court order. For help, email [email protected] or call 703-777-0260. The form names no fee. FillingPDF lets you fill out and download the PDF; submission follows the channels above.

Common mistakes to avoid

  • Sending the form without supporting documentation for the transaction, such as a vehicle registration or a bill of sale.
  • Entering the representative's own details in Vehicle Owner Information; that block is for the legal owner of the vehicle.
  • Leaving the owner's phone or email blank when the owner no longer has access to one, instead of writing N/A.
  • Checking Yes for power of attorney or court order without providing a copy.
  • Choosing a transaction type that does not fit instead of using Other and describing it.
  • Signing the certification without authorization from the legal owner or a court of competent jurisdiction.
  • Mailing the form to a street address instead of COR/Personal Property, PO Box 8000, Leesburg, VA 20177-9804.
  • Skipping the date next to the authorized signature.

Frequently asked questions

What is the Appointed Representative Form in Loudoun County?

It is a Loudoun County Office of the Commissioner of the Revenue form, printed as Appointed Representative Statement, for giving the office information about vehicle personal property owned by another person. The person submitting it must be authorized by the legal owner or a court.

Who can sign the Appointed Representative Form?

Only a person authorized by the legal owner or by a court of competent jurisdiction. The certification has the signer affirm that authorization, and the form asks for the signer's relationship to the owner and whether a power of attorney or court order exists.

Do I need a power of attorney to use this form?

The form asks whether you have a power of attorney or a court order; if you answer Yes, you must provide a copy. The instructions also ask for a copy of any documentation you have that supports your role as appointed representative.

What documents do I attach to the Appointed Representative Form?

Attach supporting documentation for the transaction, such as a vehicle registration or a bill of sale. Also include a copy of any documentation showing you are the appointed representative, and a copy of the power of attorney or court order if you checked Yes.

Where do I submit the Appointed Representative Form?

In person at the Leesburg office (1 Harrison St. SE, 1st Floor) or the Sterling office (46000 Center Oak Plaza), by upload at loudoun.gov/COR-Upload, or by mail to COR/Personal Property, PO Box 8000, Leesburg, VA 20177-9804.

Can I fill out the Appointed Representative Form online?

You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of Loudoun County and does not submit the form; you deliver it to the Commissioner of the Revenue by one of the county's channels.

What transactions does the form cover?

Vehicle sale or disposal, vehicle moved, vehicle purchase or acquisition, change of mailing address, and change of location address within Loudoun County. For anything else, check Other and describe it on the line provided.

Who can help me complete the form?

The Vehicle Personal Property staff at the Commissioner of the Revenue: email [email protected] or call 703-777-0260, Monday through Friday during County business hours. The form also says you can request language assistance or a disability accommodation through [email protected].

Ready to fill out PPA3-0626?

Fill out PPA3-0626 now