Fillable Certication of Equipment Compliance for Homemade and In (Colorado DORA)

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Certication of Equipment Compliance for Homemade and In (Colorado DORA)

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The Certication of Equipment Compliance for Homemade and In (Colorado DORA) form is 1 page long and contains:

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  • 4 check-boxes
  • 18 other fields

Country of origin: US
File type: PDF

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Colorado Department of Regulatory Agencies (DORA) is responsible for professional licensing and consumer protection in Colorado USA.

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The following documents must be submitted with this completed form:
•
AcompletedDR2704ColoradoCertiedVINInspection
•
CompletedColoradoRoadworthyTrailerChecklistbyCertiedVINInspector(below)
•
ProofofOwnership(oneofthefollowing):
Registrationfromstatethatdoesnottitletrailers(Whentransferringownership,acurrentregistrationisrequired.)
CompletedDR2374StatementofTrailerOwnership(fortrailersbroughtintoColoradofromastatethatdoesnot
titleorregistertrailers);
CompletedDR2409StatementofAssemblyofaHomemadeTrailer;
•
Kit Trailers
MSO properly assigned to the applicant and/or
InvoiceindicatingKITtrailerwaspurchasedbytheapplicantor
Billofsaleforkittrailer(NotarizedorSignedUnderPenaltyofPerjury.
Acashregisterreceiptwillonlybeaccepted,ifitindicatesthatthekittrailerwaspurchasedbytheapplicant
Note:whennoneoftheaboveownershipdocumentsareavailable,youmustcompletetheInLieuofBondingforTrailers
2000poundsorlessprocedure(seechecklistDR2908).
Completed by Applicant:Thefollowingtraileriseligibleforhighwayuse.Theequipmentlistedonthisformispresent
andinproperworkingorderonthistrailer.
Make Year Model EstimatedWeight
VehicleIdenticationNumber(VIN)
I certify, under penalty of perjury in the second degree, that the above statements are true and accurate to the best of my knowledge.
OwnerPrintedName PrintedName Signature
Address Date
City State Zip
Colorado Roadworthy Trailer Checklist Vercation by Certied Vin Inspector
C.R.S.42-6-102(15)“Roadworthy”vehiclehassufcientpowerandisttooperateontheroadsandhighways.Vehicle
isequippedwithallitsmajorpartsandsystemsandallotherequipmentrequiredbyColoradoLaw.
C.R.S.42-4-206(1)Tail Lamps and Reectors
C.R.S.42-4-208(1)Stop Lamps
C.R.S.42-4-506(3)Safety Chains
C.R.S.42-3-202Number of Plates To Be Attached
Weightsliprequiredasdeterminedbytheinspectorforvericationthatthetraileris2000poundsorless:
YES NO
I hereby certify under penalty of perjury that I personally examined the trailer listed above, and veried that this
trailer is roadworthy.
PrintedFirstandLastNameofCertiedVINInspector Agency
Inspector’sSignature Date
Additional Comments/Explanations
State of Colorado
Certication of Equipment Compliance
for Homemade and In Lieu of Bond Trailers
C.R.S. 42-1-102 (14), (58), (105), (111), (112), 42-5-202, 42-6-102 (10), (15), (23) and 42-6-115
DR2697(05/27/15)
COLORADO DEPARTMENT OF REVENUE
DivisionofMotorVehicles
Title Section
www.colorado.gov/revenue
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Certication of Equipment Compliance for Homemade and In (Colorado DORA)

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Completed 19 January 2021

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