Colorado Dr 2395 Form – Fill Out and Use This PDF

DR 2395 (03/15/22)

COLORADO DEPARTMENT OF REVENUE

Any Alteration or Erasure may Void this Document

*DR 2421 Statement of One in the Same is required when the owner’s name on the Secure and Verifiable ID differs from the owner’s name on the ap- plication/title. **If more than two lienholders, please attach separate documentation.

Motor vehicle insurance or operator's coverage is compulsory in the State of Colorado. Proof of insurance is required prior to issuance of a registration. Non-com- pliance with this requirement is a misdemeanor traffic offense. Pursuant to 42-4-1409, C.R.S., the penalties for failure to have motor vehicle insurance coverage is a Class 1 Misdemeanor Traffic Offense punishable by a mandatory minimum ten days imprisonment, or three hundred dollar fine, or both or a mandatory maximum one year imprisonment, or one thousand dollar fine, or both shall be imposed by section 42-4-1701(3)(a)(II)(A), C.R.S.; and

a. A minimum mandatory fine of not less than five hundred dollars or greater if imposed by the court; and

b. At the discretion of the court, not less than forty hours of community service, subject to the provisions of section 18-1.3-507, C.R.S.

c. A second or subsequent conviction within a period of five years following a prior conviction, a minimum mandatory fine of not less than one thousand dollars.

Unless a person waives his or her confidentiality, the information contained in the person’s motor vehicle record shall not be used for any purpose other than a purpose authorized by law, pursuant to C.R.S. 42-2-121 (4)(a).

I certify, under penalty of perjury in the second degree, that the ABOVE information is true and accurate to the best of my knowledge.

Witness Signature Required. The undersigned witness affirms that the named owner of the vehicle identified in this document presented the identification described above.

DR 2395 (03/15/22)

COLORADO DEPARTMENT OF REVENUE

Division of Motor VehiclesState Of Colorado Vehicle Services Section

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.

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.