Form DR2175 "Power of Attorney for Motor Vehicle Only" - Colorado

What Is Form DR 2175?

Form DR 2175, Power of Attorney for Motor Vehicle Only, is a legal document that can be used in situations when individuals or entities want to appoint another individual (or an entity) who will be handling their affairs instead of them. The purpose of the document is to provide the agent (the appointed individual or the appointed entity) with a legal right to represent the grantor (the individual or the entity which appoints the representative).

Alternate Names:

  • Colorado Motor Vehicle Power Of Attorney;
  • Colorado DMV Power Of Attorney.

This form is supposed to be used only in matters connected with motor vehicles. For example, the agent can use this power of attorney to apply for a duplicate Certificate of Title for the vehicle designated in the document. This form was released by the Colorado Department of Revenue (DR) and was last revised on August 21, 2012. A fillable Colorado Motor Vehicle Power Of Attorney is available for download below.

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How to Fill Out a Colorado Motor Vehicle Power Of Attorney?

Form DR 2175 can be vaguely divided into several parts, namely:

  1. The Parties. In the first part of the document, the grantor must state their name and the name of the agent. Each section of the form is accompanied by short notes that are supposed to help fill it out. For example, in the note for this part is stated that both names must be listed as they appear on the identification documents.
  2. The Subject. Here, the grantor is supposed to designate what kind of rights they give to their appointed agent. They are offered several options from which they can choose one or more. By picking a particular option, the grantor can delegate their agent the right to apply for a new registration for their motor vehicle which they have stated above. In addition to this, the grantor is required to indicate the date when this power of attorney will be terminated and can no longer be in use.
  3. Motor Vehicle Information. The grantor must use this section of the form to provide information about their motor vehicle.
  4. Signature and Identification. Before signing this document, the grantor must acknowledge all of the statements the document contains. By singing it, they certify that the information presented in this power of attorney is true and valid. Additionally, the grantor must identify themselves with their Colorado Driver's License or Colorado ID.
  5. The Notary Public. This part of the form must be completed by a Notary Public, who must validate it. To do so, they must sign the power of attorney, seal it, and fill in the gaps.
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Download Form DR2175 "Power of Attorney for Motor Vehicle Only" - Colorado

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ANY ALTERATION OR ERASURE MAY VOID THIS DOCUMENT
DR 2175 (08/21/12)
COLORADO DEPARTMENT OF REVENUE
State of Colorado
Division of Motor Vehicles
Title and Registration Sections
Power of Attorney for Motor Vehicle Only
www.colorado.gov/revenue
C.R.S. 15-14-701 and C.R.S 15-14-705
The purpose of this Power of Attorney is to give the person you designate (your agent) powers to handle your property and affairs, which may
include power to pledge, sell, or otherwise dispose of the motor vehicle described below without any advance notice to you. This form does
not impose a duty on your agent to exercise granted powers, but your agent must use due care to act on your benefit and in accordance with
the provisions of this form and must keep a record of receipts, disbursements, and significant actions taken as agent.
I (Grantor - insert your full name or name of entity if applicable as it appears on identification)
____________________________________
_______________________________________________________________________________________________________________________
Appoint (insert full name or name of entity if applicable as it appears on identification)
__________________________________________
_______________________________________________________________________________________________________________________
as my agent to act for me in any lawful way with respect to the following powers as marked pertaining to only the Motor Vehicle
described below: (PLEASE CHECK ALL APPLICABLE POWERS. YOU MAY CROSS OUT ALL POWERS WITHHELD.)
__
Apply for and Receive a New Registration or New Temporary Registration.*
__
Apply for and Receive Certificate of Title.*
__
Apply for and Receive Duplicate Certificate of Title
(Secure and Verifiable Identification is required only when the original title was issued on or after July 1, 2006)*
__
To transfer ownership and acknowledge odometer reading
__
To record a lien
__
To release a lien
__
To apply for and receive a copy of a motor vehicle record
__
To receive a Persons with Disability Parking Privileges placard
TERMINATION DATE REQUIRED: This Power of Attorney terminates on ____/____/____. The original Power of Attorney must be
surrendered to transfer ownership and acknowledge the odometer reading. Certified copies are acceptable for all other powers. A copy
may be retained by the agent for record keeping purposes.
*(Notice to Grantor: Secure and verifiable identification is required to obtain a title or registration in the State of Colorado)
Vehicle Identification Number(VIN)
Year
Make
Model
I f a power of attorney is used and the individual appointed as the agent will be completing the odometer disclosure statement as the buyer
only or the seller only, this non-secured form may be used. THIS FORM CANNOT BE USED to allow an individual or entity to sign as both
buyer and seller disclosing and acknowledging the odometer reading. This may be accomplished only with the DR 2174, Secure Power
of Attorney form.
NOTICE TO AGENTS: BY EXERCISING POWERS UNDER THIS DOCUMENT, THE AGENT ASSUMES THE FIDUCIARY AND
OTHER LEGAL RESPONSIBILITIES OF AN AGENT UNDER COLORADO LAW.
I agree that any third party who receives a copy of this document may act under it unless a transfer of ownership is occurring.
All transfers of ownership require the original of this document.
I agree to indemnify the third party for any claims that arise against the third party because of reliance on this Power of
Attorney.
I certify, under penalty of perjury in the second degree, that the above information is true and accurate to the best of my
knowledge.
Printed Name as it Appears on Identification of Owner/Co-Owner (Grantor)
Signature of Owner/Co-Owner (Grantor)
Date
Identification of Owner/Co-Owner (Grantor):
Colorado DL
Colorado ID
Other ______________________________________________________________
ID #
Expires
DOB
Subscribed and affirmed, or sworn to before me, in the State of __________________________________ , County
of ____________________________ , this _____________________day of ________________ , 20 _______ , by
________________________________________________________ (Grantor), who executed this form in my presence and presented
the identification described above.
_________________________________________
Notary Public Signature
_________________________________________
Notary Public Printed Name
My Commission Expires _____________________
Notary Seal
ANY ALTERATION OR ERASURE MAY VOID THIS DOCUMENT
DR 2175 (08/21/12)
COLORADO DEPARTMENT OF REVENUE
State of Colorado
Division of Motor Vehicles
Title and Registration Sections
Power of Attorney for Motor Vehicle Only
www.colorado.gov/revenue
C.R.S. 15-14-701 and C.R.S 15-14-705
The purpose of this Power of Attorney is to give the person you designate (your agent) powers to handle your property and affairs, which may
include power to pledge, sell, or otherwise dispose of the motor vehicle described below without any advance notice to you. This form does
not impose a duty on your agent to exercise granted powers, but your agent must use due care to act on your benefit and in accordance with
the provisions of this form and must keep a record of receipts, disbursements, and significant actions taken as agent.
I (Grantor - insert your full name or name of entity if applicable as it appears on identification)
____________________________________
_______________________________________________________________________________________________________________________
Appoint (insert full name or name of entity if applicable as it appears on identification)
__________________________________________
_______________________________________________________________________________________________________________________
as my agent to act for me in any lawful way with respect to the following powers as marked pertaining to only the Motor Vehicle
described below: (PLEASE CHECK ALL APPLICABLE POWERS. YOU MAY CROSS OUT ALL POWERS WITHHELD.)
__
Apply for and Receive a New Registration or New Temporary Registration.*
__
Apply for and Receive Certificate of Title.*
__
Apply for and Receive Duplicate Certificate of Title
(Secure and Verifiable Identification is required only when the original title was issued on or after July 1, 2006)*
__
To transfer ownership and acknowledge odometer reading
__
To record a lien
__
To release a lien
__
To apply for and receive a copy of a motor vehicle record
__
To receive a Persons with Disability Parking Privileges placard
TERMINATION DATE REQUIRED: This Power of Attorney terminates on ____/____/____. The original Power of Attorney must be
surrendered to transfer ownership and acknowledge the odometer reading. Certified copies are acceptable for all other powers. A copy
may be retained by the agent for record keeping purposes.
*(Notice to Grantor: Secure and verifiable identification is required to obtain a title or registration in the State of Colorado)
Vehicle Identification Number(VIN)
Year
Make
Model
I f a power of attorney is used and the individual appointed as the agent will be completing the odometer disclosure statement as the buyer
only or the seller only, this non-secured form may be used. THIS FORM CANNOT BE USED to allow an individual or entity to sign as both
buyer and seller disclosing and acknowledging the odometer reading. This may be accomplished only with the DR 2174, Secure Power
of Attorney form.
NOTICE TO AGENTS: BY EXERCISING POWERS UNDER THIS DOCUMENT, THE AGENT ASSUMES THE FIDUCIARY AND
OTHER LEGAL RESPONSIBILITIES OF AN AGENT UNDER COLORADO LAW.
I agree that any third party who receives a copy of this document may act under it unless a transfer of ownership is occurring.
All transfers of ownership require the original of this document.
I agree to indemnify the third party for any claims that arise against the third party because of reliance on this Power of
Attorney.
I certify, under penalty of perjury in the second degree, that the above information is true and accurate to the best of my
knowledge.
Printed Name as it Appears on Identification of Owner/Co-Owner (Grantor)
Signature of Owner/Co-Owner (Grantor)
Date
Identification of Owner/Co-Owner (Grantor):
Colorado DL
Colorado ID
Other ______________________________________________________________
ID #
Expires
DOB
Subscribed and affirmed, or sworn to before me, in the State of __________________________________ , County
of ____________________________ , this _____________________day of ________________ , 20 _______ , by
________________________________________________________ (Grantor), who executed this form in my presence and presented
the identification described above.
_________________________________________
Notary Public Signature
_________________________________________
Notary Public Printed Name
My Commission Expires _____________________
Notary Seal