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Get CO DR 2098 2015-2021

DR 2098 05/29/15 COLORADO DEPARTMENT OF REVENUE Division Of Motor Vehicles Title Section www. colorado. gov/dmv Business License Repair Shop Registration Colo Acct Name of Repair Shop FEIN Business Hours Name of Applicant Business Address City State ZIP E-Mail Address Telephone Number Fax Number Name of Storage Facility Storage Address Owner/Operator conducting operation as Individual Partnership Corporation Limited Liability Company If operation is conducted by an individual please list the individual s name and address Agent What state is the corporation incorporated in What is the address of the principal office within Colorado In which state is the LLC organized My signature below acknowledges my understanding that searches and information obtained from the Colorado Division of Motor Vehicles shall be used only to process vehicles abandoned at my repair shop in accordance with C. R*S* 38-20-116 2. 5 a. I certify under penalty of perjury in the second degree that the above facts are true and correct to the best of my knowledge. gov/dmv Business License Repair Shop Registration Colo Acct Name of Repair Shop FEIN Business Hours Name of Applicant Business Address City State ZIP E-Mail Address Telephone Number Fax Number Name of Storage Facility Storage Address Owner/Operator conducting operation as Individual Partnership Corporation Limited Liability Company If operation is conducted by an individual please list the individual s name and address Agent What state is the corporation incorporated in What is the address of the principal office within Colorado In which state is the LLC organized My signature below acknowledges my understanding that searches and information obtained from the Colorado Division of Motor Vehicles shall be used only to process vehicles abandoned at my repair shop in accordance with C. R*S* 38-20-116 2. 5 a. I certify under penalty of perjury in the second degree that the above facts are true and correct to the best of my knowledge..

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