DR 2009 (07/26/2016)
COLORADO DEPARTMENT OF REVENUE
Division of Motor Vehicles
Title Section
www.colorado.gov/dmv
State of Colorado Transfer of Title Upon Death
Designated Beneciary Form
C.R.S. 42-6-110.5
Upon death of the owner(s) of the motor vehicle, the beneciary must present the death certicate(s) which must be
accompanied by the DR 2009 Transfer of Title Upon Death Designated Beneciary form and the DR 2395 Application for
Title and/or Registration.
Name of Owner and Co-Owner
Transfer on death to
Year Make Model VIN
Signature of Owner Date
Signature of Co-Owner Date
Notary Seal
Subscribed and afrmed, or sworn to, before me this _____ day of _________,
20__, in the county of_____________________, State of Colorado.
Notary Signature_________________________________________________