Florida Affidavit of Correction
This document serves to formally request the amendment of a record that contains an error or inaccuracy. It is executed in accordance with relevant state-specific laws, including but not limited to the Florida Statutes. To ensure the accurate correction of records, please provide detailed information as requested below.
1. Affiant Information
Full Name: ____________________________________________
Address: _______________________________________________
City, State, Zip: ________________________________________
Phone Number: _________________________________________
Email: ________________________________________________
2. Document Information
Original Document Title: ________________________________
Document Number: ______________________________________
Date of Issuance: ______________________________________
Issuing Authority: _____________________________________
3. Error Details
Clearly describe the incorrect information as it appears on the current document:
Incorrect Information: ________________________________________________________
Provide the accurate information as it should appear:
Correct Information: __________________________________________________________
4. Reason for Correction
Explain the reason why the correction is needed:
Reason: ________________________________________________________________________
5. Declaration
I, the undersigned, declare under penalty of perjury under the laws of the State of Florida that the statements made in this affidavit are true and correct to the best of my knowledge. I understand that providing false statements in this affidavit can result in penalties under the law.
Signature: ______________________________
Date: ________________
Notary Acknowledgment
State of Florida
County of _________________________
On this day, __________ of _______________, 20____, before me personally appeared ______________________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing instrument and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I have hereunto set my hand and official seal.
Notary Public: ___________________________
My Commission Expires: ___________________
This affidavit is intended to provide a formal process for correcting errors in official documents. It is recommended that you consult with legal counsel to ensure compliance with applicable Florida laws and requirements specific to your circumstances.