![]() ![]() ![]() If any bolded field is left blank, your application will be Statement Must Be Signed By Owner, Agent or LienholderI certify, under penalty of perjury in the second degree, that the title for this vehicle will be issued to me as:(Check One) Owner Agent Lienholderand the original title has been lost or destroyed, has not been assigned or transferred, and is subject only to lien(s) shown on State Motor Vehicle records. ![]() The individual signing the duplicate title …ġ Duplicate Title/Lien Request and 42-6-125, 42-6-126, 42-6-135, 42-6-137 Sections in bold text represent required information. must be signed by the owner, lienholder, or authorized agent by power of attorney of the vehicle listed on this form. I understand that this Duplicate title will be the only valid certificate of title and the original and any previously issued Duplicate title(s) will be Name as it Appears on Identification of Owner, Agent, or Lienholder (include firm name if applicable)Signature of Owner, Agent, or LienholderDateIdentification of individual signing above: Colorado DL Colorado ID Other ID #ExpiresDOBW itness Signature (required).ĭuplicate Title/Lien Request and Receipt. Example: quiz answers Search Duplicate Title/Lien Request and Receiptĭuplicate Title/Lien Request and 42-6-125, 42-6-126, 42-6-135, 42-6-137 Sections in bold text represent required information. ![]()
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