Fillable DR2283 2 DR 2283

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DR2283 2 DR 2283

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Lost or Stolen License Plate / Permit Afdavit
C.R.S. 42-3-205
DR 2283 (10/30/14)
COLORADO DEPARTMENT OF REVENUE
Division of Motor Vehicles
Registration Section
www.colorado.gov/revenue
Owner(s) Name
Daytime Phone Number
License Plate Number/Permit Number
Vehicle Make Vehicle Model Plate Type
The plate listed above has been:
Lost (Copy of led Police report required for Depot & Transporter Plates)
Stolen (copy of led police report required)
Destroyed
Other
___________________________
_______________________________
_____________________________
I certify, under penalty of perjury in the second degree, that the above statements are true and accurate to the best
of my knowledge and that I
own the vehicle to which these plates were registered.
Owner (1) Signature Date
Owner (2) Signature Date
County Agent Printed Name Date
County Agent Signature Date
(Submit form to the County in which the plate was last registered.)
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DR2283 2 DR 2283

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Completed 27 April 2020

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