Bond Statement Guide & in Lieu of Bond Affidavit

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DR 2394 (02/01/22)

COLORADO DEPARTMENT OF REVENUE


Division of Motor Vehicles
Vehicle Services Section
DMV.Colorado.gov

Bond Statement Guide & In Lieu of Bond Affidavit


C.R.S. 38-29-119, 42-6-115
Statement Guide is for:
Title or Salvage Title Established by Surety Bond (refer to DR 2922);
In Lieu of Bond for Motor Vehicle 25 Years Old or Older (refer to DR 2462)
In Lieu of Bond for Manufactured Home 25 Years Old or Older (refer to DR 2463)

Vehicle Description
Fuel Type*:
Vehicle Identification Number (VIN)
*If electric, is it plug-in electric? Yes No
Year Make Body Model Color CWT Off-Highway Vehicle Snowmobile
Yes No Yes No
Dealer # Date Purchased Commercial Use MSRP Size (W x L) Bus Cap.
Yes No Adult Juvenile
Applicant's Name

Address

City State ZIP

Reason Title Not Available

If more space is needed, please continue on back.


Vehicle purchased from: Bill of Sale Attached Date Purchased Price
Yes No
State your efforts to have the SELLER establish title:

State your attempts to contact OWNER OF RECORD to insure they have no interest in the vehicle:

Present condition of the vehicle Are there any LIENS against this vehicle?
Roadworthy Yes
Not Roadworthy No
Name of Lienholder

I certify, under penalty of perjury in the second degree that all documents submitted in this title application are true
and accurate to the best of my knowledge and that I understand that if any person suffers any loss or damage by
reason of the filing of this certificate of title as provided in C.R.S. Title 42, Section 6, they shall have the right of action
against myself as the Applicant.
Signature Date
DR 2394 (02/01/22)
COLORADO DEPARTMENT OF REVENUE
Division of Motor Vehicles
Vehicle Services Section
DMV.Colorado.gov

Bond Statement Guide & In Lieu of Bond Affidavit


C.R.S. 38-29-119, 42-6-115

Name

Vehicle Identification Number Year Make Title Number

Statement

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

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