
DR 2438 (07/15/15)
COLORADO DEPARTMENT OF REVENUE
Division of Motor Vehicles
Title Section
www.colorado.gov/revenue
Storage Lien Bond Statement Guide
C.R.S. 38-20-116, 38-20-116 (2.5) (a)
A Surety Bond is a one-time, non-refundable, instrument that allows the issuance of a new title.
Check box if completing Abandonment of Motor Vehicle at a Repair Shop process.
Vehicle Description
Year Make Body Model Fuel
Odometer Indicator CWT Length Width
Type of Business
Address City State ZIP
Was there a verbal agreement?
YES
If yes, state terms of agreement:
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Copy of contract/agreement attached
YES
Date vehicle was left with you Storage fees or money owed
State your efforts to contact person who made the agreement:
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State your attempts to contact OWNER/LIENHOLDER OF RECORD to insure they have no interest in the vehicle, if different from the person who
made the agreement.
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I have not heard from the person who left the vehicle for over 30 days and in good faith I believe the person has abandoned the vehicle.
YES
Vehicle is roadworthy
YES
YES
I certify under penalty of perjury that all documents submitted in this title application are true and correct and that I
Signature Date