Form Dr 2395 - Title And/or Registration Application Page 2

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DR 2395 (02/22/11)
COLORADO DEPARTMENT OF REVENUE
DIVISION OF MOTOR VEHICLES
TITLE SECTION
State Of Colorado
JOINT TENANCY WITH RIGHTS OF SURVIVORSHIP
ACKNOWLEDGEMENT OF INTENT
C.R.S. 38-11-101
ANY ALTERATION OR ERASURE MAY VOID THIS DOCUMENT
To create joint tenancy with rights of survivorship, there must be specific language declaring such intent, signed under penalty of
perjury in the second degree by all owners. This form is only applicable to multiple owners.
Joint Tenancy with rights of Survivorship is defined as: A form of legal co-ownership of property (also known as survivorship).
At the death of one co-owner, the surviving co-owner becomes sole owner of the property. Transfer of ownership requires copy of
death certificate and signature of survivor.
Tenancy in Common is defined as: The equal or unequal holding of property by two or more persons. At the death of one
co-owner, the deceased share of the property goes to his/her estate and is to be divided according to his/her will or the law in the
absence of a will. Transfer of ownership requires documents appointing a personal representative for the decedent.
Vehicle Identification Number
Year
Make
Model
If any owner chooses Tenancy in Common or if neither box is checked; the Colorado Certificate of Title
will be issued as Tenancy in Common.
I _________________________________ (print name) request the Colorado Certificate of Title for
the Vehicle described above be issued in:
Joint Tenancy With Rights of Survivorship
Tenancy in Common
Per C.R.S. 42-6-116; I certify under penalty of perjury in the second degree that the above information is
true and correct to the best of my knowledge.
Owners Signature_______________________________________________ Date________________________
I _________________________________ (print name) request the Colorado Certificate of Title for
the Vehicle described above be issued in:
Joint Tenancy With Rights of Survivorship
Tenancy in Common
Per C.R.S. 42-6-116; I certify under penalty of perjury in the second degree that the above information is
true and correct to the best of my knowledge.
Owners Signature_______________________________________________ Date________________________
I _________________________________ (print name) request the Colorado Certificate of Title for
the Vehicle described above be issued in:
Joint Tenancy With Rights of Survivorship
Tenancy in Common
Per C.R.S. 42-6-116; I certify under penalty of perjury in the second degree that the above information is
true and correct to the best of my knowledge.
Owners Signature_______________________________________________ Date________________________
I _________________________________ (print name) request the Colorado Certificate of Title for
the Vehicle described above be issued in:
Joint Tenancy With Rights of Survivorship
Tenancy in Common
Per C.R.S. 42-6-116; I certify under penalty of perjury in the second degree that the above information is
true and correct to the best of my knowledge.
Owners Signature_______________________________________________ Date________________________

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