CDOT Form 453 "Relocation Determination" - Colorado

What Is CDOT Form 453?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2008;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 453 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 453 "Relocation Determination" - Colorado

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COLORADO DEPARTMENT OF TRANSPORTATION
Project Code:
Sheet 1
Parcel No:
Project No:
RELOCATION DETERMINATION
Location:
Name of displaced person(s)
Address of subject property
City
Zip
Displacement Type:
Business,
Farm or
Non-profit organization
Owner
Tenant
Dwelling or
Mobile home
Owner
Tenant
Personal Property Move Only
Owner
Tenant
PAYMENT FOR ACTUAL REASONABLE MOVING AND RELATED EXPENSES:
Moves from a Dwelling/Mobile Home (based on one or a combination of the following options):
1)
Commercial Move ..................................................................................................................................... $
2)
Self Move
a) Fixed Residential Moving Cost Schedule ............................................................................................. $
Rooms in dwelling
+ rooms in storage
=
rooms
Rooms in storage include:
b) Actual Cost Move (receipted bills for labor and equipment; hourly rates should not
exceed those paid by commercial movers for labor and equipment rental) ....................................... $
Note: A self move based on the lower of two bids or estimates is not eligible
Moves from a business, farm or nonprofit organization (based on one or a combination of the following methods:
1) Commercial Move (based on the lower of two bids or estimates) ............................................................. $
2) Self Move (based on one or a combination of the following):
a) Lower of two bids .................................................................................................................................. $
b) Supported by receipted bills for labor and equipment. Hourly rates should not exceed those paid
by commercial movers for labor and equipment rental ...................................................................... $
Personal Property Move Only (eligible expenses for a person who is required to move personal
property from real property but is not required to move from a dwelling, business, farm or nonprofit
organization) 49 CFR Part 24.301 (g)(1) – (g)(7) and (g)(18) .......................................................................... $
Eligible Actual Moving Expenses for a Business, Farm, or Nonprofit Organization:
Searching for a replacement location (not to exceed $2,500) ......................................................................... $
Storage of the personal property for a period not to exceed 12 months ........................................................... $
$
$
$
$
Related Nonresidential Eligible Expenses:
Connection to available nearby utilities from the right of way to improvements at the replacement site. ........ $
Professional Services performed prior to the purchase or lease of a replacement site. .................................. $
Impact fees or one time assessments for anticipated heavy utility usage. ....................................................... $
Reestablishment expenses – Nonresidential Moves (not to exceed $10,000) ................................................ $
Fixed Payment for Moving Expenses – Nonresidential Moves (Not less than $1,000 nor more than $20,000):
Fixed payment in lieu of the payments for actual moving and related expenses and actual reasonable
reestablishment expenses. ............................................................................................................................... $
REPLACEMENT HOUSING PAYMENTS
180 Day Homeowner Occupant (may not exceed $22,500):
Price Differential (Comparable replacement less the acquisition cost of the displacement) ............................ $
Increased mortgage interest costs .................................................................................................................... $
Incidental expenses .......................................................................................................................................... $
Rental Assistance Payment for 180-Day Homeowner ..................................................................................... $
90-Day Occupant (Owner or Tenant) (may not exceed $5,250):
The payment will be computed using the lesser of the three:
Rent and average utility costs;
30% of the total monthly gross household income for a qualified low income tenant; or
The total amount designated for shelter and utilities for a tenant receiving government assistance
Rent Differential (Comparable rent and average monthly utility cost less the above scenario) ........................ $
Downpayment assistance (including incidental closing costs) ......................................................................... $
Replacement Housing of Last Resort ............................................................................................................... $
180 Day Homeowner Occupant
90 Day Occupant (Owner or Tenant)
Less than 90 Day Occupant
I certify that to the best of my knowledge and belief the statements contained in the determination are true, and the
information upon which the determination is based is correct, subject to any limiting conditions herein set forth.
Determination has been made in conformity with state laws, regulations, policies and procedures applicable to the Uniform
Act. I have no direct or indirect, present, or contemplated future personal interest in such determination or in any benefit
from the value herein set forth.
Determination date:
Real Estate Specialist signature
I approve the above determination: (Statewide Acquisition/Relocation Unit Leader)
Date:
cc: Region ROW
CDOT Form #453
Previous editions are obsolete and may not be used
10/08
COLORADO DEPARTMENT OF TRANSPORTATION
Project Code:
Sheet 1
Parcel No:
Project No:
RELOCATION DETERMINATION
Location:
Name of displaced person(s)
Address of subject property
City
Zip
Displacement Type:
Business,
Farm or
Non-profit organization
Owner
Tenant
Dwelling or
Mobile home
Owner
Tenant
Personal Property Move Only
Owner
Tenant
PAYMENT FOR ACTUAL REASONABLE MOVING AND RELATED EXPENSES:
Moves from a Dwelling/Mobile Home (based on one or a combination of the following options):
1)
Commercial Move ..................................................................................................................................... $
2)
Self Move
a) Fixed Residential Moving Cost Schedule ............................................................................................. $
Rooms in dwelling
+ rooms in storage
=
rooms
Rooms in storage include:
b) Actual Cost Move (receipted bills for labor and equipment; hourly rates should not
exceed those paid by commercial movers for labor and equipment rental) ....................................... $
Note: A self move based on the lower of two bids or estimates is not eligible
Moves from a business, farm or nonprofit organization (based on one or a combination of the following methods:
1) Commercial Move (based on the lower of two bids or estimates) ............................................................. $
2) Self Move (based on one or a combination of the following):
a) Lower of two bids .................................................................................................................................. $
b) Supported by receipted bills for labor and equipment. Hourly rates should not exceed those paid
by commercial movers for labor and equipment rental ...................................................................... $
Personal Property Move Only (eligible expenses for a person who is required to move personal
property from real property but is not required to move from a dwelling, business, farm or nonprofit
organization) 49 CFR Part 24.301 (g)(1) – (g)(7) and (g)(18) .......................................................................... $
Eligible Actual Moving Expenses for a Business, Farm, or Nonprofit Organization:
Searching for a replacement location (not to exceed $2,500) ......................................................................... $
Storage of the personal property for a period not to exceed 12 months ........................................................... $
$
$
$
$
Related Nonresidential Eligible Expenses:
Connection to available nearby utilities from the right of way to improvements at the replacement site. ........ $
Professional Services performed prior to the purchase or lease of a replacement site. .................................. $
Impact fees or one time assessments for anticipated heavy utility usage. ....................................................... $
Reestablishment expenses – Nonresidential Moves (not to exceed $10,000) ................................................ $
Fixed Payment for Moving Expenses – Nonresidential Moves (Not less than $1,000 nor more than $20,000):
Fixed payment in lieu of the payments for actual moving and related expenses and actual reasonable
reestablishment expenses. ............................................................................................................................... $
REPLACEMENT HOUSING PAYMENTS
180 Day Homeowner Occupant (may not exceed $22,500):
Price Differential (Comparable replacement less the acquisition cost of the displacement) ............................ $
Increased mortgage interest costs .................................................................................................................... $
Incidental expenses .......................................................................................................................................... $
Rental Assistance Payment for 180-Day Homeowner ..................................................................................... $
90-Day Occupant (Owner or Tenant) (may not exceed $5,250):
The payment will be computed using the lesser of the three:
Rent and average utility costs;
30% of the total monthly gross household income for a qualified low income tenant; or
The total amount designated for shelter and utilities for a tenant receiving government assistance
Rent Differential (Comparable rent and average monthly utility cost less the above scenario) ........................ $
Downpayment assistance (including incidental closing costs) ......................................................................... $
Replacement Housing of Last Resort ............................................................................................................... $
180 Day Homeowner Occupant
90 Day Occupant (Owner or Tenant)
Less than 90 Day Occupant
I certify that to the best of my knowledge and belief the statements contained in the determination are true, and the
information upon which the determination is based is correct, subject to any limiting conditions herein set forth.
Determination has been made in conformity with state laws, regulations, policies and procedures applicable to the Uniform
Act. I have no direct or indirect, present, or contemplated future personal interest in such determination or in any benefit
from the value herein set forth.
Determination date:
Real Estate Specialist signature
I approve the above determination: (Statewide Acquisition/Relocation Unit Leader)
Date:
cc: Region ROW
CDOT Form #453
Previous editions are obsolete and may not be used
10/08