Form Dr 2468 – Fill Out and Use This PDF

DR 2468 (11/06/19)

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

Vehicles Services Unit

www.colorado.gov/dmv

Late Fee Review And Refund Request

C.R.S. 42-3-112 and Code of Colorado Regulation 1 CCR 204-10 Rule 44. Late Fee Exemption

If a vehicle subject to taxation under this article is not registered when required by law, the vehicle owner shall pay a late fee of twenty-five dollars for each month or portion of a month following the expiration of the registration period, or, if applicable, the expiration of the grace period described in C.R.S. 42-3-114 for which the vehicle is unregistered; except that the amount

of the late fee shall not exceed one hundred dollars. The late fee is due when the vehicle is registered.

When a late fee exemption is denied, the customer must pay the late fee and may submit a request for further review to the Executive Director of the Department of Revenue within 30 days from the payment date of the late fee.

Vehicle Owner Information

Date Late Fee Paid ______________________ Total Late Fee Amount $ ______________________ County Paid To ______________________

Statement of details and facts that prevented the timely titling, registration, temporary registration permit, or renewal of the vehicle registration (supporting documents attached):

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(complete statement on back of this form if needed)

The Department reserves the right to validate all statements, facts, and details and may contact you for additional information. False or misleading statements, facts, or details may result in penalty of perjury.

I certify, under penalty of perjury, that the above statements are true and accurate to the best of my knowledge.

This form and all supporting documents shall be submitted to the Executive Director of the Department of Revenue within 30 days from the payment date of the late fee. Receipt outside of the 30 days will result in a denial of the refund. Incomplete forms will not be accepted.

Department Use Only