VERIFICATION OF VEHICLE IDENTIFICATION NUMBER
C.R.S. 24-32-3323, 38-29-122, 42-3-105(l)(c), 42-6-107(l)(b)
ANY ALTERATION OR ERASURE MAY VOID THIS DOCUMENT
Type of Vehicle
Passenger
SUV
Truck
Tractor
Bus
Trailer
Motor Home
Special Mobile Machinery
Manufactured Home
Motorcycle
Off-Highway Vehicle
VEHICLE INFORMATION
Vehicle Identication Number
(VIN)
Year Make Body Model Width Length
Color CWT GVWR Print Fuel Type
License Plate Number State Expiration Date
Temporary Tag Number State Expiration Date
Additional
Vehicle Identication Number
Motor Number __________________________________
Coach Number ____________________________________
Reason for Inspection: Veried by:
Out of State
Title correction
Other
(Explain)
Manufactured Home Dealer
Licensed Colorado Dealer
Dealer Number
Licensed Colorado Emission
Station Number
County Assessor (at their discretion)
County Clerk (at their discretion)
Colorado Law Enforcement
Other
*
Name of Business or Agency
Address City State ZIP Code
I certify, under penalty of perjury in the second degree, that I have completed a physical inspection of the vehicle/manufactured home
described above and the information is true and correct to the best of my knowledge.
Printed First and Last Name of Inspector Date
Signature of Inspector Title
COLORADO DEALER STATEMENT CONCERNING AN OUT OF STATE VEHICLE
C.R.S. 42-6-119(3)
Dealer Dealer Number
I certify, under penalty of perjury in the second degree, that the vehicle as described above met the following conditions at the time of sale:
Was free and clear of all liens and encumbrances,
Was not stolen,
The dealership has a sure and adequate title to the vehicle; and
The dealership has the right and authority to sell and transfer this vehicle.
Dealer Agent (printed name)
Dealer Agent Signature Date
(*Out of state law enforcement, military police or commanding ofcer)
DR 2698 (06/15/18)
COLORADO DEPARTMENT OF REVENUE
DIVISION OF MOTOR VEHICLES
Vehicle Services Unit
www.colorado.gov/dmv