(a)

1. (1) A person who exercises a power of attorney under both 4 CAR §§ 10-109 and 110 must complete a certification that:

   1. (A) He or she has disclosed on the title document the mileage as it was provided to him or her on the power of attorney form; and
   2. (B) Upon examination of the title and any reassignment documents, the mileage disclosure he or she has made on the title pursuant to the power of attorney is greater than that previously stated on the title and reassignment documents.

2. (2) This certification shall:

   1. (A) Be under part C of the same form as the power of attorney executed under 4 CAR §§ 10-109 and 110; and
   2. (B) Include:

(i) The signature and printed name of the person exercising the power of attorney;

1. (ii) The address of the person exercising the power of attorney; and

   1. (iii) The date of the certification.