Colorado Non-Use of Vehicle Or Out of State Insurance Affidavit Form
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This form is provided by Colorado Department of Revenue.
non-use of vehicle
out of state insurance affidavit
DR 2303 (07/22/10)
colorado department of revenue
DIVISION OF MOTOR VEHICLES
Last NameFirst NameMiddle Initial
Date of BirthDriver License Number
Vehicle Identication Number (VIN)Plate Number
period of non-use
Vehicle is not being operated by the owner and the owner shall not
permit any other person to operate the vehicle during the following
CANNOT EXCEED 12 MONTHS
You must have insurance coverage on another vehicle that you
own in compliance with §42-3-105(1)(d)(I)
Insurance CompanyPolicy NumberEffective Date
out of state insurance
I am a resident of Colorado temporarily residing outside
of Colorado and have purchased insurance for the above
vehicle from a company located in the state in which I am
Insurance CompanyStatePolicy NumberEffective Date
Please attach proof of temporary out of state residency (i.e.
Student Identication Card, Utility Bill, etc.)
I certify, under penalty of perjury, that the above statements are true and accurate to the best of my knowledge.
NOTE: This afdavit must be completed annually.
Please return this form to the County Clerk in the county of your permanent residence.
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