Colorado Form Dr 2701 Details

Form Dr 2701 is a short, simple form that asks for your name, address and contact information. It's used to collect demographic data for planning and research purposes. You may be required to fill out this form if you're participating in a survey or study. The information on Form Dr 2701 is confidential and will not be shared with any third party without your consent. Completed forms should be returned to the researcher or mailed to the address listed on the form.

This table includes details about form dr 2701. You may look at it before writing the gaps.

QuestionAnswer
Form NameForm Dr 2701
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdr2701, colorado dmv form dr 2701, scooter form, dr 2701

Form Preview Example

DR 2701 (05/21/15)

 

Low-Power Scooter

Department Use Only

COLORADO DEPARTMENT OF REVENUE

Decal #

Registration Application

Registration Section

 

 

Division of Motor Vehicles

 

 

 

www.colorado.gov/revenue

C.R.S. 42-3-102(48.5), 42-2-103, 42-3-105, 42-3-311 and Code of Colorado Regulation 1 CCR 204-10 Rule 40. Low Power Scooter

THIS FORM IS TO BE USED BY INDIVIDUAL OWNER APPLYING DIRECTLY TO THE STATE REGISTRATION SECTION FOR LOW-POWER SCOOTER REGISTRATION

Low-Power Scooter Information

Vehicle Identiication Number (VIN)

 

 

Purchase Date

Color

Year

Make

Model

Fuel Type

CC’s

CC’s or Wattage

 

 

 

 

 

 

 

 

 

Wattage

 

Afidavit of Low-Power Scooter Compliance

The following afidavit must be completed to register a Low-Power Scooter. The Low-Power Scooter listed above meets the following criteria:

A self-propelled vehicle designed primarily for use on roadways with not more than three wheels in contact with the ground.

Has no manual clutch.

Has either of the following (check one):

A cylinder capacity not exceeding ifty cubic centimeters (50 cc’s) if powered by internal combustion; or

A wattage not exceeding four thousand four hundred seventy-six (4,476) if powered by electricity.

I swear or afirm in accordance with section 24-12-102, C.R.S., under penalty of perjury that I now have in effect a complying policy of motor vehicle insurance including an operator’s policy pursuant to part 6 of article 4 of title 10, C.R.S., or a certiicate of self-insurance to cover the vehicle or operator of the vehicle for which this registration is issued, and I understand that such insurance must be renewed so that coverage is continuous. Noncompliance is a misdemeanor trafic offense, that the minimum penalty for such offense is a ive-hundred-dollar ine, and that the maximum penalty for such offense is one year’s imprisonment and a one-thousand-dollar ine. Owner’s shall be required as a condition of obtaining a registration card to sign an afirmation clause that appears on the registration.

Signature of Owner (required)

Printed Name of Owner

Date

Owner/Applicant Information

Owner/Applicant Name

 

Daytime Phone Number

 

 

(

)

 

 

 

 

 

 

Additional Owner/Applicant Name(s)

 

 

 

 

 

 

 

 

 

Legal Address (PO Boxes are not permitted)

 

 

 

 

 

 

 

 

City

State

 

ZIP

 

 

 

 

 

Mailing Address (If different from Legal Address)

 

 

 

 

City

Printed Name as it appears on Identiication

State

ZIP

 

 

 

 

ID#

Expires

DOB

Colorado DL

Colorado ID

Other_______________________

 

 

 

 

 

 

 

 

The undersigned witness afirms that the named owner of the vehicle identiied in this document presented the identiication described above.

Witness Signature

 

 

Witness Printed Name

 

Date

 

 

 

 

 

 

 

Low-Power Scooter owner should complete this form in its entirety. Incomplete forms may be rejected.

1.Submit photocopies of your ownership document(s) (i.e., bill of sale, invoice etc…) along with this form. The ownership document must list you as the owner and the name must match your Secure and Veriiable Identiication. If your name is different, please complete the DR 2421 Statement of One in the Same and provide with this form as well as providing proof of insurance for this Low-Power Scooter. Do not send originals.Photocopy will not be returned.

3.Enclose a check for the Total Amount Due.

4.Mail this form, photocopy of ownership document, photocopy of proof of insurance and check to the address listed below.

MAIL TO:

WALK-IN:

Colorado Department of Revenue

Colorado Department of Revenue

Division of Motor Vehicles

Division of Motor Vehicles,

PO Box 173350

Vehicle Services Unit

Denver, CO 80217-3350

1881 Pierce Street

 

Lakewood, CO 80214

NO REFUNDS WILL BE GRANTED

MAKE CHECKS PAYABLE TO: Colorado Department of Revenue

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insuficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

LIABILITY CODE 5750

TOTAL AMOUNT DUE

$5.85

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