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Regulation 12-6-104 - Disclosures Required As Part Of A Motor Vehicles Sales Contract Page 3

REGULATION 12-6-108 (1)(b) Compensation Disclosures.

1. Whenever a used motor vehicle dealer negotiates the sale, exchange, or lease of a motor vehicle or used motor

vehicle not owned by the used motor vehicle dealer, the following form will be deemed adequate to satisfy the

disclosure requirements of section 12-6-108 (1)(b), C.R.S., for the used motor vehicle dealer. This form is an

example of adequate disclosure; nothing herein shall be construed to limit permissible disclosure to the informa-

tion shown.

COMPENSATION DISCLOSURES

Pursuant to Colorado law, __________________________ hereby discloses to ______________ and to

(used m.v. dealer)

(consumer)

___________________________.

(owner)

1. My dealership will receive compensation from the consumer. (Check one)

___ Yes

___ No

2. My dealership will receive compensation from the owner of the vehicle if a sale, exchange or lease is con-

cluded. (Check one)

___ Yes

___ No

3. My dealership will receive the following compensation from the consumer:

$______

4. My dealership will receive the following compensation from the owner of the vehicle:

$______

_______________________ __________

________________________ _________

Used Motor Vehicle Dealer

Dealer #

Authorized Dealer Signature

Date

I have been provided a copy of the above disclosure.

______________________

___________________________

_________

Signature of Consumer

Printed Name

Date

(1 C.C.R. 205-1)(effective 11/30/98)

Regulation 12-6-104 - Disclosures Required As Part Of A Motor Vehicles Sales Contract Page 3