Fillable Printable Affidavit of Correction - Georgia

Affidavit of Correction - Georgia

T-11 (Rev.07-2005)

Affidavit of Correction

Date: ___________________________

TO WHOM IT MAY CONCERN:

The strikeover on the assignment of the attached Manufacturer’s Certificate of Origin or Certificate of Title for the

following described vehicle:

____________________________________________________________________________________________

(Year Model, Make of Vehicle and Vehicle Identification Number)

was made due to the following reason(s):

Typographical error Assignment placed in Dealer Assignment in error

Customer changed mind Notary Public placed signature in wrong space

Seller signed their name incorrectly Purchaser’s name misspelled

Seller assigned title to himself Other _________________________________

Seller assigned title to wrong party ______________________________________

Seller made strikeover in purchaser’s name ______________________________________

______________________________________

Sworn to and subscribed before me

this ________ day of __________________, __________ ______________________________________

(Day) (Month) (Year) (Signature)

______________________________________________ ______________________________________

(Notary Public’s Signature & Notary Seal/Stamp) (Date Notary Commission Expires)

Important:

The person(s) who was required to complete the assignment where the correction has been made must complete this form. This

form cannot

be used when information has been blocked out by erasure or the use of correction fluid. In these cases,

replacement documents must be obtained. This form cannot

be used to correct an odometer reading, a purchase date or an

incorrectly recorded lien or security interest holder. For an incorrectly recorded odometer reading, Form T-107 (Odometer

Discrepancy Affidavit) must be completed and submitted. For an incorrectly recorded lien or security interest holder, Form T-4

(release of lien or security interest) must be completed by the incorrectly recorded lien or security interest holder and submitted.

Alterations of the purchase date result in the assessment of a $10.00 title penalty.