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.
| Question | Answer |
|---|---|
| Form Name | Statement Of Repossession Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | dr2393 statement, statement of repossession, statement repossession, vehicle colorado repossession |
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 |
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Amount of lien |
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Agents name |
Date received |
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Filing Number |
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County iled in |
Delinquent date |
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Possession date |
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Vehicle Identiication Number (VIN) |
Year |
Make |
Body |
Model |
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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 |
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CERTIFICATION OF EXTENSION OF CHATTEL MORTGAGE
C.R.S.
Vehicle Identiication Number (VIN) |
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Year |
Make |
Body |
title number |
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Date received |
Original amount of |
lien |
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County iled in |
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Date extension iled |
Amount of secured unpaid debt |
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Lien extended to |
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lienholder name |
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owner |
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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 |
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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