Notarized Affidavit for Correction

5 downloads 90 Views 34KB Size Report
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 ...
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

T21310-1011