Transcription of CERTIFICATION OF EXTENSION OF CHATTEL MORTGAGE …
1 DR 2393 (03/28/19)COLORADO DEPARTMENT OF REVENUEDIVISION OF MOTOR VEHICLESTITLE OF REPOSSESSIONThis form has been combined to include the: DR 2412 Statement of Repossession DR 2417 Certificate of EXTENSION of CHATTEL MORTGAGE DR 2004 Floor Plan Declaration (Reverse side)Lienholder nameDate of lienAmount of lienAgents nameDate receivedDelinquent datePossession dateVehicle Identification Number (VIN)YearMakeBodyModelI certify, under penalty of perjury in the second degree, that the above CHATTEL MORTGAGE is in arrears and lienholder/agent is in possession of the SignatureDateCERTIFICATION OF EXTENSION OF CHATTEL 38-29-133, 42-6-127 Vehicle Identification Number (VIN)YearMakeBodyTitle NumberDate receivedOriginal amount of lienCounty filed inDate EXTENSION filedAmount of secured unpaid debtLien extended toLienholder NameOwnerI certify, under penalty of perjury in the second degree, that the above EXTENSION of CHATTEL MORTGAGE was filed in the appropriate 2393 (03/28/19)
2 COLORADO DEPARTMENT OF REVENUEDIVISION OF MOTOR VEHICLESTITLE OF REPOSSESSIONFLOOR PLAN DECLARATIONThis form has been combined to include the: DR 2004 Floor Plan Declaration DR 2412 Statement of Repossession (Reverse side) DR 2417 Certificate of EXTENSION of CHATTEL MORTGAGE (Reverse side) This Floor Plan Declaration must be accompanied by all documents of ownership; Manufacturer s Statement of Origin or Title properly assigned to defaulting dealer. If the lienholder is a licensed Colorado dealer, they may transfer this vehicle using a Colorado Dealer s Bill of Sale (DR 2407). If the lienholder is not a licensed Colorado dealer, they must establish title in their name before transferring is to declare thatLienholderIS THE OWNER AND HOLDER OF A NOTE SECURED BY A CHATTEL MORTGAGE EXECUTED ONDateUCC Filing Numberagainst the following dealer:Dealer s NameDealer Number the note and CHATTEL MORTGAGE is a valid and existing lien against the vehicles held under agreement; the following described motor vehicle is included in that agreement:Vehicle Identification Number (VIN)YearMake the note and CHATTEL MORTGAGE described above is in default; in accordance with the provisions of the CHATTEL MORTGAGE , the undersigned has taken possession of the above described vehicle; and, the vehicle is now in his/her possession.
3 I certify, under penalty of perjury in the second degree, that the above statements are true and accurate to the best of my SignatureDat
