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 Beneciary Form
C.R.S. 42-6-110.5
Upon death of the owner(s) of the motor vehicle, the beneciary must present the death certicate(s) which must be
accompanied by the DR 2009 Transfer of Title Upon Death Designated Beneciary 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 afrmed, or sworn to, before me this _____ day of _________,
20__, in the county of_____________________, State of Colorado.
Notary Signature_________________________________________________