Indiana Affidavit of Correction Template
This Affidavit of Correction is designed to assist individuals in correcting errors in public records in accordance with Indiana state laws.
Affidavit of Correction
State of Indiana
County of ____________________
Before me, the undersigned authority, personally appeared ____________________ (Your Name), who, being duly sworn, deposes and says:
1. I am the ____________________ (Your Relationship to the Record, e.g., owner, applicant) of the record being corrected.
2. The record to be corrected is as follows:
- Type of Record: ____________________ (e.g., Birth Certificate, Marriage License, etc.)
- Date of Record: ____________________
- Document Number (if applicable): ____________________
3. The specific error to be corrected is:
- Description of Error: ____________________
- Correct Information: ____________________
4. This affidavit is made to correct the aforementioned error in accordance with Indiana Code § 36-2-11-1.
5. I affirm that the information provided herein is true and accurate to the best of my knowledge and belief.
6. I understand that providing false information in this affidavit may result in legal penalties.
Further affiant sayeth not.
______________________________
Signature of Affiant
______________________________
Printed Name of Affiant
______________________________
Address of Affiant
______________________________
City, State, Zip Code
______________________________
Date
Sworn to and subscribed before me this _____ day of ______________, 20__.
______________________________
Notary Public
My commission expires: ________________