Notarized Affidavit for Correction

I/WE , hereby state that this Affidavit

Print Name(s)

is for the purpose of correcting an error on the assignment of Certificate of Title or application for title for

the following described vehicle.

Year Make Model

VIN Title # State

The error(s) made consist(s) of . . .

The correct information is . . .

Signed under the penalties of perjury this day of ,

Day Month Year

Signature(s)

Notarization Section:

On this _______ day of ______________________, ________, before me, the undersigned notary public,

personally appeared ___________________________ (name of document signer), proved to me through

satisfactory evidence of identification, which was/ were _____________________________ to be the

person whose name is signed above, and swore or affirmed to me that the contents of the document are

truthful and accurate to the best of his/her knowledge and belief.

____________________________

Signature of Notary Public

____________________________

My Commission Expires

Place notary seal above

Fillable Printable Notarized Affidavit for Correction