This form is to be used when a trailer is brought into Colorado from a state that does not title or register
small trailers.
Name
Address (Street, City, State, Zip)
VIN or Serial Number Year Make Body Weight
List Price Date Purchased
Trailer Purchased From State Where Purchased
Address (Street, City, State, Zip)
I certify, under penalty of perjury in the second degree, that I am the lawful owner of the trailer described
above and the above statements are true and accurate to the best of my knowledge.
Signature Date
DR 2374
(06/08/05)
COLORADO DEPARTMENT OF REVENUE
DIVISION OF MOTOR VEHICLES
TITLE SECTION
www.revenue.state.co.us
STATEMENT OF TRAILER OWNERSHIP
State of Colorado