Fillable Printable Notarized Affidavit for Correction Form
Fillable Printable Notarized Affidavit for Correction Form
Notarized Affidavit for Correction Form
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
T21310
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1011
