Affidavit of Correction
Date:
State of:
County of:
I, (Name of Affiant):
Address:
Relationship to Document:
Original Document Title/Type:
Document Number/Reference (if applicable):
Statement of Correction
Describe the incorrect information as it appears on the original document:
Describe the correct information:
Reason for Correction:
Signature:
Date Signed:
Notary Acknowledgment
Subscribed and sworn to before me on this day of:
Notary Public Signature:
My Commission Expires: