DR 2698 (11/04/10)
COLORADO DEPARTMENT OF REVENUE
DIVISION OF MOTOR VEHICLES
TITLE SECTION
VERIFICATION OF
VEHICLE IDENTIFICATION NUMBER
C.R.S. 24-32-3323, 38-29-122, 42-3-105(l)(c), 42-6-107(l)(b)
ANY ALTERATION OR ERASURE MAY VOID THIS DOCUMENT
Type of Vehicle
Passenger
Bus
Manufactured Home
SUV
Trailer
Motorcycle
Truck
Motor Home
Tractor
Special Mobile Machinery
Vehicle Identification Number (VIN)
I
Year
Make
Body
Model
Width
Length
N
V
F
E
O
Odometer
Color
CWT
GVWR
Print Fuel Type
H
R
I
M
A
C
L
T
License Plate Number
State
Expiration Date
E
I
O
N
Temporary Tag Number
State
Expiration Date
___________________________________________________________
Additional Vehicle Identification Number (VIN)
Motor Number _______________________________
Coach Number ____________________________________
Reason for Inspection:
Verified by:
Manufactured Home Dealer
County Assessor
Out of State
Licensed Colorado Dealer
County Clerk (at their discretion)
Dealer Number __________________
Title correction
Colorado Law Enforcement
Licensed Colorado Emission
Other (Explain) ________________
Other ____________________
*
Station Number __________________
Name of Business or Agency
Address
City
State
ZIP Code
I certify, under penalty of perjury in the second degree, that I have completed a physical inspection of the vehicle/manufactured home
described above and the information is true and correct to the best of my knowledge.
Printed First and Last Name of Inspector
Date
Signature of Inspector
Title
COLORADO DEALER STATEMENT CONCERNING AN OUT OF STATE VEHICLE
C.R.S. 42-6-119(3)
Dealer
Dealer Number
I certify, under penalty of perjury in the second degree, that the vehicle as described above met the following conditions at the time of sale:
•
Was free and clear of all liens and encumbrances,
•
Was not stolen,
•
The dealership has a sure and adequate title to the vehicle; and
•
The dealership has the right and authority to sell and transfer this vehicle.
Dealer Agent (printed name)
Dealer Agent Signature
Date
*
(
Out of state law enforcement, military police or commanding officer)