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DR 2283 (09/15/23)
COLORADO DEPARTMENT OF REVENUE
Division of Motor Vehicles
Vehicle Services Section
DMV.Colorado.gov
Lost or Stolen License Plate / Permit Affidavit
C.R.S. 42-3-205
Owner 1
Last Name First Name
Daytime Phone Number License Plate Number/Permit Number
Vehicle Make Vehicle Model Plate Type
Owner 2
Last Name First Name
The plate listed above has been:
Lost (Copy of filed Police report may be required)*
Stolen (Copy of filed Police report may be required)*
Destroyed, Mutilated, or Illegible
Other
I certify, under penalty of perjury in the second degree, that the above statements are true and accurate
to the best of my knowledge and that I own the vehicle to which these plates were registered.
Owner 1 Signature Date (MM/DD/YY)
Owner 2 Signature Date (MM/DD/YY)
County/State Stamp
County/State
Agent Initials
(Submit form to the County or State office in which the plate was last registered.)
* I understand that if I replace my lost/stolen personalized plate with the same configuration, I risk being pulled over as
having a lost/stolen plate.
