
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 Afdavit
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
Vehicle Identication Number (VIN)
Fuel Type*:
*If electric, is it plug-in electric? Yes No
Year Make Body Model Color CWT
Off-Highway Vehicle
Yes No
Snowmobile
Yes No
Dealer # Date Purchased
Commercial Use
Yes No
MSRP Size (W x L)
Bus Cap.
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
Yes No
Date Purchased Price
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
Roadworthy
Not Roadworthy
Are there any LIENS against this vehicle?
Yes
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 ling of this certicate 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