Fillable Printable Affidavit of Correction Form - New Mexico

Affidavit of Correction Form - New Mexico

MVD–10019

REV. 10/10

New Mexico Taxation & Revenue Department, Motor Vehicle Division

AFFIDAVIT OF CORRECTION

Expla nation a nd Instructions

This Aff id a vit of Cor r e c tion may be used to corr e c t a n e r r or on a New M exico or out-of-state vehicle title or

manufa ctu r e r ’ s s ta tement/certificate of origin (MSO/MC O ) th at is b eing presen te d for the purpose of iss uanc e of a N ew

Mex ico tit le. The aff idavit is ma de by, an d m ust be signed by , the seller/ tra nsferor of the v ehicle. In the cas e of a

correction to a MSO/MC O , the s e ller /transferor is the dea le r . T he s ignature of th e s e ller /transferor mu st be notariz ed .

Vehicle and Title or MSO/MCO Information

V eh icle I d en ti ficatio n Nu m be r ( VI N)

T itle Num b er (if title) Title State of Issue

Manufacturer Name (If MSO/MCO)

Affidavit and Notarization

I, ________ __________ _______________________________________________ ____ ( seller’ s prin ted na me),

under penalty of per jury hereby sw ea r th a t I ha v e exa mined the vehicle iden tifi ed a bov e, and submit the following

exp la nation f or the described error , er a s ure, str ikeover, e tc . on th e title docum ent, an d that no fra ud was intended.

Description of error :

Correction of error:

I hereby declar e un der penalty of perjury tha t th e inf or ma tion given in this statem ent is true an d c or rect to the bes t

of my know ledge.

___________________________________________________________________

Sig nature of person (selle r) submitting affid avit

Warning: An y person w ho makes any false affidavit, or kn owingly swears or

af firms f a lsely to an y matter r eq uire d by the Motor Vehic le Code is guilty of perjur y,

whic h is a f ourth de gr e e felony ( Sec tions 6 6 -5-38 and 30-25-1 NM SA 1978) .

SUBS C RI BE D A N D SW O R N to before me this _______ day of ______________________20____

_____________________________________________

Nota r y Pub lic

My C om m ission Expir e s :

______________________________

(No n otar y required if er ror was witnes s ed by MVD agent. )

Signature of MVD Agent ____________________________________________