Form Dr 0070 - Colorado Statement Of Purchase Price Of Motor Vehicle

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DR 0070 (10/02/12)
COLORADO DEPARTMENT OF REVENUE
Taxpayer Service Division
1375 Sherman Street
Denver, CO 80261
Statement of Purchase Price of Motor Vehicle
Name of Purchaser
Address
Phone
(
)
City
State
ZIP
Make of Vehicle
Year
Vehicle Identification Number (VIN)
Body Type
Purchase Price
Date of Purchase
Purchase price means the price to the consumer. Reference §39-26-102(7)(a), C.R.S.
Purchased From
Name
Address
Phone
(
)
City
State
ZIP
I declare, under penalties of perjury in the second degree, that the purchase price noted above was the total price paid by
me for the above vehicle and that there were no other considerations in this matter. I further understand that the Colorado
Department of Revenue is authorized to make further inquiries from the selling party and others as to the selling price.
Purchaser's Signature
Date

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