Use this template/form as a Non-use of Vehicle Or Out Of State Insurance Affidavit in the State of Colorado
Text version of this Form
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DR 2303 (07/22/10)
colorado department of revenue
Division of motoR vehicles
non-use of vehicle
out of state insurance affidavit
last name first name middle initial
city state ZiP
Date of Birth Driver license number
make model Year
Vehicle Identification Number (VIN) Plate number
period of non-use
cAnnot eXceeD 12 months
vehicle is not being operated by the owner and the owner shall not fRom to
month Day Year month Day Year
permit any other person to operate the vehicle during the following
insurance company Policy number effective Date
You must have insurance coverage on another vehicle that you
own in compliance with §42-3-105(1)(d)(i).
out of state insurance
insurance company state Policy number effective Date
i am a resident of colorado temporarily residing outside
of colorado and have purchased insurance for the above
vehicle from a company located in the state in which i am Please attach proof of temporary out of state residency (i.e.
temporarily residing. Student Identification Card, Utility Bill, etc.)
I certify, under penalty of perjury, that the above statements are true and accurate to the best of my knowledge.
NOTE: This affidavit must be completed annually.
Please return this form to the county clerk in the county of your permanent residence.