Colorado Dr 2395 Form PDF Details

The Colorado Dr 2395 form is used to report and document the loss of a firearm. This form must be filled out and submitted to the local law enforcement agency within 72 hours of discovering the loss. The purpose of this form is to help law enforcement agencies track firearms that have been lost or stolen. The information collected on this form can be used to investigate crimes involving firearms. Anyone who loses a firearm should complete this form as soon as possible.

We have gathered some quick facts about the colorado dr 2395 form. Our suggestion is that you check out this info before you begin fiddling with the file.

QuestionAnswer
Form NameColorado Dr 2395 Form
Form Length2 pages
Fillable?Yes
Fillable fields99
Avg. time to fill out20 min 22 sec
Other namescolorado car title, colorado title, colorado title vehicle, colorado application for title

Form Preview Example

DR 2395 (09/17/21)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLORADO DEPARTMENT OF REVENUE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Division of Motor Vehicles

 

 

Application For Title and/or Registration

 

 

 

 

 

 

DMV.Colorado.gov

 

 

 

 

 

 

 

 

 

Title Section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C.R.S. 42-3-105, 42-3-304(25)(c), 42-6-107, 42-6-116, 42-6-117

 

 

 

 

 

 

 

 

 

Any Alteration or Erasure may Void this Document

 

 

 

 

 

 

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fuel Type*:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*If electric, is it plug-in electric?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

 

 

Body

 

 

Model

 

 

 

 

Color

 

 

CWT

 

 

 

 

Off-

Highway Vehicle

Snowmobile

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

Yes

No

 

Dealer #

Date Purchased

 

 

 

 

 

Commercial Use

 

MSRP

 

 

 

 

 

 

 

Size (W x

L)

Bus Cap.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adult

Juvenile

 

 

Legal Name(s) as it Appears on Identification*

 

 

Lease

 

 

 

 

 

 

Legal Name(s) as it Appears on Identification

 

 

and Address of Owner(s) or Entity

 

Buy-Out

 

 

 

 

 

 

 

 

 

and Physical Address of Lessee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Indicate Alternate Address Here if The Registration Renewal Should be Sent to a Different Address

* DR 2421 Attached

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Lienholder Name and Address or ELT E- Number

 

 

 

 

 

 

 

 

 

 

Second Lienholder Name and Address**

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lien Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lien Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Indicate Alternate Address Here if The Title Should be Sent to a Different Lienholder Address

Indicate Alternate Address Here if The Title Should be Sent to a Different Lienholder Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*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 application/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-compli-

ance 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.

After obtaining a registration, you will be required to sign an affirmation clause indicating compliance with insurance requirements.

 

 

 

 

 

 

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.

 

 

Owner or Agent Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Printed name of Owner/Agent as it appears on Identification:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Secure and Verifiable ID of Owner/Agent:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Colorado DL

 

Colorado ID

 

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID#

 

 

 

 

 

 

 

 

 

 

 

 

 

Expires

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

Witness Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

County Use Only (Dealers/Lienholders: Do Not Write Below this Line)

 

 

 

 

 

 

 

Previous Title Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Accepted

Purchase Price

 

 

Odometer Reading & Indicator

GVWR

 

 

 

 

 

 

 

Fleet #

 

 

 

 

Unit #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Lienholder #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Second Lienholder #

 

 

 

 

 

 

 

Lien File No.

 

 

Lien Amount

 

Maturity Date

 

Date of Lien

Lien File No.

 

 

 

 

 

Lien Amount

 

Maturity Date

Date of Lien

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Taxes Paid:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filing Fees:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Comments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

________________________________________________________________________________________________________________________

___________________________________________________________________________________ Clerks Initials __________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DR 2395 (09/17/21)

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

Title Section

DMV.Colorado.gov

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

 

I _________________________________ (print name) request the Colorado Certificate of Title for the Vehicle

<![endif]>One

described above be issued in:

 

 

Joint Tenancy With Rights of Survivorship

Tenancy in Common

<![endif]>Owner

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

<![endif]>Two

described above be issued in:

 

 

Joint Tenancy With Rights of Survivorship

Tenancy in Common

<![endif]>Owner

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

 

 

 

<![endif]>Three

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

 

<![endif]>Owner

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

 

 

 

<![endif]>Four

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

<![endif]>Owner

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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