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.
Question | Answer |
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Form Name | Form Dr 2701 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | dr2701, colorado dmv form dr 2701, scooter form, dr 2701 |
DR 2701 (05/21/15) |
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Department Use Only |
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COLORADO DEPARTMENT OF REVENUE |
Decal # |
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Registration Application |
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Registration Section |
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Division of Motor Vehicles |
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www.colorado.gov/revenue |
C.R.S. |
THIS FORM IS TO BE USED BY INDIVIDUAL OWNER APPLYING DIRECTLY TO THE STATE REGISTRATION SECTION FOR
Vehicle Identiication Number (VIN) |
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Purchase Date |
Color |
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Year |
Make |
Model |
Fuel Type |
CC’s |
CC’s or Wattage |
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Wattage |
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Afidavit of
The following afidavit must be completed to register a
•A
•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
•I swear or afirm in accordance with section
Signature of Owner (required)
Printed Name of Owner
Date
Owner/Applicant Information
Owner/Applicant Name |
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Daytime Phone Number |
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Additional Owner/Applicant Name(s) |
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Legal Address (PO Boxes are not permitted) |
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City |
State |
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ZIP |
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Mailing Address (If different from Legal Address) |
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City
Printed Name as it appears on Identiication
State
ZIP
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ID# |
Expires |
DOB |
Colorado DL |
Colorado ID |
Other_______________________ |
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The undersigned witness afirms that the named owner of the vehicle identiied in this document presented the identiication described above. |
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Witness Signature |
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Witness Printed Name |
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Date |
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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
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: |
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Colorado Department of Revenue |
Colorado Department of Revenue |
Division of Motor Vehicles |
Division of Motor Vehicles, |
PO Box 173350 |
Vehicle Services Unit |
Denver, CO |
1881 Pierce Street |
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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