<p>DCMV 401 4/4/2018</p><p>Request to Cancel Colorado License Plates</p><p>I/We, ______, request that the following Colorado License Plate/Record be cancelled:</p><p>Plate type: ______and Plate number: ______This plate is currently registered to the following vehicle: Year ______Make ______VIN ______</p><p>By canceling, I/We acknowledge that any remaining credit from this record is hereby forfeited.</p><p>Plates received by county office: Yes ______No ______If above is checked no please explain: ______</p><p>I certify, under penalty of perjury in the second degree, that the above information is true and accurate to the best of my knowledge.</p><p>Owner 1 Printed Name as it appears on Identification: ______Owner Signature: ______Date: ______</p><p>Owner 2 Printed Name as it appears on Identification: ______Owner Signature: ______Date: ______</p><p>Owner 3 Printed Name as it appears on Identification: ______Owner Signature: ______Date: ______</p><p>Owner 4 Printed Name as it appears on Identification: ______Owner Signature: ______Date: ______</p>