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DR 2438 07/15/15 COLORADO DEPARTMENT OF REVENUE Division of Motor Vehicles Title Section www. colorado. gov/revenue Storage Lien Bond Statement Guide C. R.S. 38-20-116 38-20-116 2. 5 a A Surety Bond is a one-time non-refundable instrument that allows the issuance of a new title. DR 2438 07/15/15 COLORADO DEPARTMENT OF REVENUE Division of Motor Vehicles Title Section www. colorado. gov/revenue Storage Lien Bond Statement Guide C. R*S* 38-20-116 38-20-116 2. 5 a A Surety Bond is a one-time non-refundable instrument that allows the issuance of a new title. Check box if completing Abandonment of Motor Vehicle at a Repair Shop process. Vehicle Description Vehicle Identification Number VIN Year Make Body Model Fuel Odometer Indicator CWT Length Width Applicant s Name and/or Business Name Type of Business Address Was there a verbal agreement City YES NO State ZIP If yes state terms of agreement Name of person who made agreement Copy of contract/agreement attached Date vehicle was left with you Storage fees or money owed State your efforts to contact person who made the agreement State your attempts to contact OWNER/LIENHOLDER OF RECORD to insure they have no interest in the vehicle if different from the person who made the agreement. I have not heard from the person who left the vehicle for over 30 days and in good faith I believe the person has abandoned the vehicle. Vehicle is roadworthy Are there any LIENS against this vehicle Name of lienholder if applicable I certify under penalty of perjury that all documents submitted in this title application are true and correct and that I understand that if any person suffers any loss or damage by reason of the filing of this certificate of title as provided in C. R*S* Title 42 Section 6 they shall have the right of action against myself as the applicant. Signature Date. gov/revenue Storage Lien Bond Statement Guide C. R*S* 38-20-116 38-20-116 2. 5 a A Surety Bond is a one-time non-refundable instrument that allows the issuance of a new title. Check box if completing Abandonment of Motor Vehicle at a Repair Shop process. Vehicle Description Vehicle Identification Number VIN Year Make Body Model Fuel Odometer Indicator CWT Length Width Applicant s Name and/or Business Name Type of Business Address Was there a verbal agreement City YES NO State ZIP If yes state terms of agreement Name of person who made agreement Copy of contract/agreement attached Date vehicle was left with you Storage fees or money owed State your efforts to contact person who made the agreement State your attempts to contact OWNER/LIENHOLDER OF RECORD to insure they have no interest in the vehicle if different from the person who made the agreement. Check box if completing Abandonment of Motor Vehicle at a Repair Shop process. Vehicle Description Vehicle Identification Number VIN Year Make Body Model Fuel Odometer Indicator CWT Length Width Applicant s Name and/or Business Name Type of Business Address Was there a verbal agreement City YES NO State ZIP If yes state terms of agreement Name of person who made agreement Copy of contract/agreement attached Date vehicle was left with you Storage fees or money owed State your efforts to contact person who made the agreement State your attempts to contact OWNER/LIENHOLDER OF RECORD to insure they have no interest in the vehicle if different from the person who made the agreement. I have not heard from the person who left the vehicle for over 30 days and in good faith I believe the person has abandoned the vehicle.