Indiana Affidavit of Correction
This document serves to correct or amend information that was previously submitted in an official record or document. Users are guided to fill in their details accurately to fulfill the requirements prescribed under the relevant Indiana state laws. It’s vital to reference the specific statute or provision under which the correction is being sought. Please note that this template is designed to address common corrections related to personal records. For more specialized documents, consulting with a professional might be necessary.
Section 1: Affiant Information
Full Name: ___________________________________________
Address: _____________________________________________
City, State, Zip: _____________________________________
Contact Number: ______________________________________
Email Address: ________________________________________
Section 2: Document Details
Title of Document Needing Correction: _________________
Document Number: ____________________________________
Date of Issuance: _____________________________________
Specific Information to be Corrected:
- Original Information: _______________________________
- Corrected Information: ______________________________
Section 3: Reason for Correction
Please provide a detailed explanation of why the correction is necessary:
_________________________________________________________________
_________________________________________________________________
Section 4: Affirmation and Signature
I, the undersigned, affirm that the information provided in this affidavit is true and correct to the best of my knowledge and belief. I understand that making a false statement on this form can lead to penalties under state law.
Signature: _______________________________ Date: _______________
Notary Public Section
State of Indiana, County of ___________________
Subscribed and sworn before me on this _____ day of _______________, 20__.
Notary Public: _____________________________
My Commission Expires: _____________________