Transcription of Branded Title Disclosure Statement - Colorado
1 Branded Title Disclosure StatementDR 2710 (12/24/14) Colorado DEPARTMENT OF REVENUED ivision of Motor VehiclesTitle Revised Statute requires any owner or dealer to disclose any Title brand prior to sale or trade of a motor Vehicle is Subject to One or More BrandsVehicle Identification Number (VIN)YearMakeBodyTitle NumberThis vehicle has the following brand(s) (check all that apply):State that Branded vehicle:*Type of Damage: Collision Weather Water Interior Vandalism Undercarriage Theft/Stripped Fire Other (explain) Flood Non-Repairable Other (list brand) Salvage* rebuilt from Salvage*I certify, under penalty of perjury in the second degree, that the above statements are true and accurate to the best of my Owner (Seller)Printed NameSignatureAddressCityStateZIPDatePros pective Buyer (I have read and understand this Disclosure and I have received a copy of this Disclosure .)
2 Printed NameSignatureAddressCityStateZIPDate*It is a misdemeanor for each owner, seller, or transferor to fail to provide each prospective buyer with this Disclosure on a vehicle rebuilt from salvage. []