Form Dr 2393 Details

The statement of repossession form is a document that evidences the fact that an individual or organization has taken possession of property. This form can be used to provide written notice to the party who owns the property that it is being repossessed. The statement of repossession form should be completed in a clear and concise manner, and any pertinent information should be included. It is important to note that this form should not be used as a substitute for legal advice. If you have any questions about the statement of repossession form, please contact an attorney.

We have gathered some interesting information about the statement of repossession form. It could be useful to learn its size, the average time to prepare the form, the blanks you will have to fill in, and so forth.

QuestionAnswer
Form NameStatement Of Repossession Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdr2393 statement, statement of repossession, statement repossession, vehicle colorado repossession

Form Preview Example

DR 2393 (06/24/09)

COLORADO DEPARTMENT OF REVENUE Division of MotoR vehicles

title section

www.colorado.gov/revenue

STATEMENT OF REPOSSESSION

this form has been combined to include the:

DR 2412 Statement of Repossession

DR 2417 Certiicate of Extension of Chattel Mortgage

DR 2004 Floor Plan Declaration (Reverse side)

lienholder name

Date of lien

 

Amount of lien

 

 

 

 

 

 

Agents name

Date received

 

Filing Number

 

 

 

 

 

 

County iled in

Delinquent date

 

Possession date

 

 

 

 

 

 

Vehicle Identiication Number (VIN)

Year

Make

Body

Model

 

 

 

 

 

I certify, under penalty of perjury in the second degree, that the above Chattel Mortgage is in arrears and lienholder/agent is in possession of the vehicle.

Agent Signature

Date

 

 

 

 

 

 

 

 

 

CERTIFICATION OF EXTENSION OF CHATTEL MORTGAGE

C.R.S. 38-29-133, 42-6-127

Vehicle Identiication Number (VIN)

 

Year

Make

Body

title number

 

 

 

 

 

 

Date received

Original amount of

lien

 

County iled in

 

 

 

 

 

 

Date extension iled

Amount of secured unpaid debt

 

Lien extended to

 

 

 

 

 

 

 

lienholder name

 

 

 

 

 

 

 

 

 

 

 

owner

 

 

 

 

 

I certify, under penalty of perjury in the second degree, that the above extension of Chattel Mortgage was iled in the appropriate county.

Signature

Date

 

 

DR 2393 (06/24/09)

COLORADO DEPARTMENT OF REVENUE Division of MotoR vehicles

title section

www.colorado.gov/revenue

STATEMENT OF REPOSSESSION

FLOOR PLAN DECLARATION

this form has been combined to include the:

DR 2004 Floor Plan Declaration

DR 2412 Statement of Repossession (Reverse side)

DR 2417 Certiicate of Extension of Chattel Mortgage (Reverse side)

This Floor Plan Declaration must be accompanied by all documents of ownership; Manufacturer’s Statement of Origin or Title properly assigned to defaulting dealer.

if the lienholder IS a licensed Colorado dealer, they may transfer this vehicle using a Colorado Dealer’s Bill of Sale (DR 2407).

if the lienholder IS NOT a licensed colorado dealer, they must establish title in their name before transferring ownership.

THIS IS TO DECLARE THAT

lienholder

IS THE OWNER AND HOLDER OF A NOTE SECURED BY A CHATTEL MORTGAGE EXECUTED ON

Date

UCC Filing Number

AGAINST THE FOLLOWING DEALER:

Dealer’s name

Dealer number

THE NOTE AND CHATTEL MORTGAGE IS A VALID AND EXISTING LIEN AGAINST THE VEHICLES HELD UNDER AGREEMENT; THE FOLLOWING DESCRIBED MOTOR VEHICLE IS INCLUDED IN THAT AGREEMENT:

Vehicle Identiication Number (VIN)

Year

Make

THE NOTE AND CHATTEL MORTGAGE DESCRIBED ABOVE IS IN DEFAULT;

IN ACCORDANCE WITH THE PROVISIONS OF THE CHATTEL MORTGAGE, THE UNDERSIGNED HAS TAKEN POSSESSION OF THE ABOVE DESCRIBED VEHICLE;

AND,

THE VEHICLE IS NOW IN HIS/HER POSSESSION.

I CERTIFY, UNDER PENALTY OF PERJURY IN THE SECOND DEGREE, THAT THE ABOVE STATEMENTS ARE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.

lienholder

Agent Signature

Date