Indiana Affidavit of Correction
This Affidavit of Correction is executed in accordance with Indiana Code Section 36-2-11-9. It allows individuals to correct inaccuracies in public records.
Affiant Information:
- Name: ____________________________
- Address: ____________________________
- City, State, Zip Code: ____________________________
- Phone Number: ____________________________
Details of the Record to be Corrected:
- Type of Record: ______________________
- Date of Original Record: ______________________
- Incorrect Information: ______________________
- Correct Information: ______________________
Acknowledgment:
I, the undersigned, declare that the information provided in this Affidavit of Correction is accurate to the best of my knowledge and belief. I request that this correction be made to the referenced public record.
Signature of Affiant: ____________________________
Date: ____________________________
Notary Public:
State of Indiana
County of ____________________________
Subscribed and sworn to before me this ______ day of __________, 20__.
Notary Signature: ____________________________
Notary Public's Printed Name: ____________________________
My Commission Expires: ____________________________