affidavit of correction pa

Traveling Notary that comes to you 24 Hours 7 Days a week! Biblical Book On Summoning. How to use this document. § 4904 (relating to unsworn The seller also states the existence of any liens or claims against the property and that he or she has full authority to sell the property. File Type: pdf . Affidavit of Gift. This document should be completed by a person, known as the Affiant, who can attest under oath to their personal knowledge of the circumstances surrounding the subject's birth. Need Help? State F ile Number . Note that Corrective Deeds and Scrivener’s Affidavits are used to correct problems that occurred when the original deed was prepared and recorded. MV-16. Alaska Affidavit Connecticut Affidavit Hawaii Affidavit Illinois Affidavit. UNITED STATES DISTRICT COURT Corrections or additions of the name of the subject on a birth certificate shall be made in compliance with the following: (1) If the subject is less than 1 year of age, correction may be accomplished by a statement signed by both parents. Some countries may interchange the terms between these two. action to correct errors on the Federal Drug Testing Custody and Control Form so that the test is not cancelled. Affidavit for Correction English Web. Affidavit of Consent after waiting 90 days from the date the complaint was served. Montgomery County Pa Open Warrants Beliefs About Medicines Questionnaire Diabetes. Traveling Notary that comes to you 24 Hours 7 Days a week! Correct Co-Owner Last Name First Name Middle Name PA DL/Photo ID # Date of Birth C FORMER NAME. General affidavit form for use within Pennsylvania. In addition, if the vehicle has been modified in any manner, Form MV-426B must be used. affidavit of correction i, (we) filled in the back of title # incorrectly mileage consignment read incorrectly date incorrect seller signed incorrectly buyer signed incorrectly other (specify) _ year: make: model: vin#: signed attested to by _ sworn to and subcribed before me this day of , 20_ . Use the form with the boxes to guide you through filling out the blank form. Full-text form preview is available. Application for An Initial Identification Card Application for an original PA identification card. The numbers on these instructions correspond with the numbers in the boxes on the form. Affidavit of Correction. Execute PA LCTCB Affidavit Of Residence in a few clicks by following the recommendations below: Pick the template you require from our collection of legal form samples. Pages: 1 Page(s) Affidavit of Alteration. File Type: pdf . Once an Affidavit has been completed, it can be used as a convenient alternative to an official birth certificate. Size: 57.83 KB . Quick guide on how to complete futon county of georgia fillable general affidvit. A Pennsylvania Affidavit Form is a sworn statement of facts used in a court of law in the state. Upon receipt and review of the documentation and notarized affidavit, the Division of Vital Records will determine if the correction can be processed. Edit & Download Download . This verification is made subject to the penalties of Section 4904 of the Crimes Code (18 Pa.C.S § 4904) relating to unsworn falsification to authorities. Contact Person: Callum S Ansell E: … Download and create your own document with Oregon Affidavit of Correction (Survey) Form (25KB | 1 Page(s)) for free. The affidavit must be completed and signed by a member of your agency or firm who has the authority to certify the agency or firm’s compliance. 1. Pages: 1 Page(s) Affidavit of Alteration. AFFIDAVIT OF SERVICE BY MAIL . Modify this affidavit to meet your specific needs. The affidavit must be signed in the presence of a notary. File Format. Olympia, W A 98504-781 4 . Notarized Affidavit for Correction Registry of Motor Vehicles Title Division P.O. With an Affidavit of Title, a landowner or seller states, under oath, that he or she has full possession and ownership of the property being sold. Use an affidavit if you are unsure. Size: 7.21 KB . Chapter 61 (relating to firearms and other dangerous articles). If both parents are listed on the birth record and the child’s name is being changed, both parents must sign the affidavit. Notarized Affidavit for Correction Need a Notarized Affidavit for Correction in DC, MD or VA? May 31, 2012 by PAN. A Pennsylvania Affidavit Form must be signed by the affiant and, most of the time, witnessed by a public official. This is a legal documen t. C omplete in ink and d o not alter. P.O. Application for Emergency Vehicle Registration Plate. Affidavit for Correction . The Statement of Correction must be signed by the association or other person that delivered the inaccurate, erroneous or defective document for filling. Free Pennsylvania Affidavit . Montgomery County Pa Open Warrants Beliefs About Medicines Questionnaire Diabetes. 1930.4 . P.O. Pages: 1 Page(s) Affidavit of Correction - Schmitt Title, LLC. VFOR DEPARTMENT USE ONLYV APPLICATION FOR CORRECTION OR CHANGE OF NAME CERTIFICATE OF TITLE AND $22.50 TITLE FEE IS REQUIRED WITH THIS OPTION. 166 0 obj <>stream File Type: pdf . Notarized Affidavit for Correction Form. File Type: pdf . STA TE OFFICE U SE ONLY . An Affidavit of Title is often required by a mortgage lender prior to approving a mortgage. Contact Us. Affidavit of Correction. We provide information and software and you are responsible for appropriately using this material. Click the Get form key to open it and move to editing. Fee Numbe r Initials Date Aff idavit Number . I verify that the statements made in this affidavit are true and correct. h�bbd```b``v�u �i�d�$�^���w-�"��*w��{$�~0�L�������N`[��$#�i�-�������`50yL��H�(�e0 Q�f� �/���������� ��� Please wait, your document is being prepared. Title: Microsoft Word - 55582 Author: sbundy Created Date: … A mail carrier from Pennsylvania said in a sworn affidavit that supervisors ordered him to collect and submit late ballots, which supervisors then backdated to appear as though they were mailed in time for Election Day. SIGNED IN PRESENCE OF NOTARY SIGNATURE OF PERSON ADMINISTERING OATH MV-39 (3-19) www.dmv.pa.gov NOTIFICATION OF ASSIGNMENT/CORRECTION OF VEHICLE TITLE UPON DEATH OF OWNER For Department Use Only Bureau of Motor Vehicles • 1101 South Front Street • Harrisburg, PA 17104 1. o Original Certificate of Death (must be attached) 2. o … No. transferred in accordance with 18 Pa.C.S. Form T 11 Affidavit of Correction Form T-11 Affidavit of Correction. Form 2b – Affidavit of Consent Defendant . Affidavit of Correction. State of Pennsylvania MVR Affidavit Process 1. Contact Us. Iowa Affidavit Massachusetts Affidavit Mississippi Affidavit Missouri Affidavit. AFFIDAVIT and you will be required to complete a new affidavit. Form T-11 Affidavit of Correction (84.81 KB) Department of Revenue. State F ile Number . Pages: 1 Page(s) Affidavit of Correction - Schmitt Title, LLC. 7 /1. In many ways, an affidavit of correction is very similar to an affidavit of change of name. § 4904 relative to Unsworn Falsification to Authorities. www.dmv.pa.gov APPLICATION FOR CORRECTION OF VEHICLE RECORD OR VERIFICATION OF VEHICLE IDENTIFICATION NUMBER. Handling Problem Documents. PDF; Size: 438 KB. Form T-11 Affidavit of Correction (84.81 KB) Department of Revenue. In many cases, Pennsylvania Affidavits require a notary public for execution. Pursuant to Pa. R.C.P. Affidavit of Correction. File Type: pdf . In these cases, replacement documents must be obtained. Affidavit of change of name. Full-text form preview is available. Facebook page for Georgia Department of Revenue; Twitter page for Georgia Department of Revenue; How can we help? No. File Type: pdf . AFFIDAVIT FOR CERTIFICATE OF TITLE CORRECTION State Form 55582 (R2 / 2-19) INDIANA BUREAU OF MOTOR VEHICLES. Instructions to Correct Birth Certificate: Complete the affidavit form below in the presence of a Notary Public. Contact your local PennDOT. Affiant Name Affiant Signature Date . Signing a document delivered to the Department for filing is an affirmation under the penalties provided in 18 Pa.C.S. The seller also states the existence of any liens or claims against the property and that he or she has full authority to sell the property. Please complete each line on the form in its entirety to avoid delays in processing your affidavit. Size: 7.21 KB . AFFIDAVIT OF CORRECTION (PLAT) I, _____ , P.L.S. Notar ized Affi dav it fo r Correct io n . File Type: pdf . This Pennsylvania "Affidavit of Consent Plaintiff" form is classified as a Miscellaneous form. Box 4 7814 . I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.§4904 relating to unsworn falsification to authorities. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. 122 0 obj <>/Filter/FlateDecode/ID[<6C7A5A405D3E6D40B9B650D44A366DEE><1A2B517079EE234199941A459290655E>]/Index[91 76]/Info 90 0 R/Length 132/Prev 810333/Root 92 0 R/Size 167/Type/XRef/W[1 3 1]>>stream MV-16T. About DOR Careers Locations Taxpayer Bill of Rights Fraud Referral Form Your Government. Iowa Affidavit Massachusetts Affidavit Mississippi Affidavit Missouri Affidavit. Affidavit of Correction Author: Elizabeth Mercer Subject: THIS FORM SHOULD BE USED TO MAKE CORRECTIONS TO ERRORS APPEARING ON THE FORM USED TO CORRECT ERRORS ON TITLE OF A VEHICLE S ASSIGNMENT OR ODOMETER Keywords: title, vehicle, title correction … 0 Upon receipt and review of the documentation and notarized affidavit, the Division of Vital Records will determine if the correction can be processed. About DOR Careers Locations Taxpayer Bill of Rights Fraud Referral Form Your Government. Skip this step for now. Forget about scanning and printing out forms. Pages: 1 Page(s) Affidavit To Support an Application for a Certificate of Title . AFFIDAVIT FOR POWER OF ATTORNEY State of _ County of _ I, _ (Name of Agent), certify under penalty of perjury that _ (Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated . 368 votes . MV-38D. Notarized Affidavit for Correction I/WE , hereby state that this Affidavit Print Name(s) 1. MV-16A. File Type: pdf . _____ , being duly sworn, depose and say that I am the surveyor who surveyed the plat as depicted and file d as survey number _____, in Polk County Survey Records. Title: Microsoft Word - 55582 Author: sbundy Created Date: … With an Affidavit of Title, a landowner or seller states, under oath, that he or she has full possession and ownership of the property being sold. Your use of this site is subject to our. 1. An Affidavit of Correction may be used to correct inaccurate information on an official court or government record. Affidavit for Correction . I/W E , hereb y state that this A ff ida vit . Limitations of Corrective Deeds and Scrivener’s Affidavits. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Pennsylvania Department of Agriculture Bureau of Ride and Measurement Standards Inspection Affidavit . Olympia, W A 98504-781 4 . P rint Name(s) is for the p urpo se of co rr ecting an erro r on the assignm ent of Certificate of T itle or app licatio n for title for . Fillable Printable Notarized Affidavit for Correction Form. Application for Abandoned Manufactured Home Certificate of Title or Non-Repairable Certificate. Affidavit for Correction English Web. The Division of Vital Records reserves the right to accept or reject any correction. This form cannot be used when information has been blocked out by erasure or the use of correction fluid. Rate Affidavit Of Correction Ga as 5 stars Rate Affidavit Of Correction Ga as 4 stars Rate Affidavit Of Correction Ga as 3 stars Rate Affidavit Of Correction Ga as 2 stars Rate Affidavit Of Correction Ga as 1 stars. CAPITAL CORP. SYDNEY. In addition, if the vehicle has been modified in any manner, Form MV-426B must be used. STA TE OFFICE U SE ONLY . Mail to: Cent er for Health S tatistics . DE-NJ NLG PLAN will store these affidavits as evidence to protect them from loss or confiscation. 360-2 36-4300 . Application for Duplicate Certificate of Title by a PA Registered Dealer with DIN. Application for Certificate of Title. I verify that the statements made in this affidavit are true and correct to the best of my personal knowledge or information and belief. Size: 241.85 KB . On _____, (date documents mailed)I _____, Plaintiff in the within action, mailed a copy of the: ___ Divorce: Divorce Complaint, Notice to Defend and Claim Rights, and Notice of Availability of Counseling . Free Pennsylvania Affidavit . Need Help? www.dmv.pa.gov APPLICATION FOR CORRECTION OF VEHICLE RECORD OR VERIFICATION OF VEHICLE IDENTIFICATION NUMBER. Free Legal Documents, Contracts and Forms. Pennsylvania Volunteer Affidavit Required by the Child Protective Service Law 23 Pa. C.S. e.g. Blank Affidavit Example. Application for Cancellation of Certificate of Title. I hereby state under penalty of the Pennsylvania Crimes Code, 18 Pa.C.S. DISTRICT OF COLUMBIA, Disclaimer. Communication between you and forms.legal is protected by our Privacy Policy and not by attorney-client privilege. This page contains information about what this form is used for and who must file it, as well as links to print or download the form as a PDF. : CIVIL ACTION - LAW … Size: 241.85 KB . Application for Municipal Government Registration Plate. Quick Links. Statutory declarations are often used when you have to make a statement to a government agency. Size: 57.83 KB . I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. a. Most Requested Forms. Affidavit for Correction English Web. Name of Transferee Number 1 (Please Print) PA DL/Photo ID# Date of Birth or Bus. Richard Hopkins from Erie, Pa., said he overheard a supervisor discussing a plan to backdate ballots, advising letter carriers to pick up ballots through Friday. For help call: New Rn Cover Letter Sample or Vaccine Friendly Plan Schedule. MV-1. Facebook page for Georgia Department of Revenue; Twitter page for Georgia Department of Revenue; How can we help? forms.in.gov. WARNING:Falsification of this affidavit could result in criminal prosecution and the revocation of your driving privileges for a period of one year. Affidavit for Correction English Web. I verify that the statements set forth in this Affidavit are true and correct to the best of my knowledge, information and belief. This affidavit is to be completed by the seller/transferor of a motor vehicle when there is a correction made in the assignment of title or Manufacturer’s Certificate of Origin. 73 Ocean Street, New South Wales 2000, SYDNEY. Box 55889 Boston, MA 02205-5889 p.1 TTL102_1119 Counter-Affidavits. 6 7 Date: Plaintiff’s Signature Divorce Form 5a Affidavit of Consent of Plaintiff Instructions Menu. You will receive a corrected certificate of title and registration card that reflects your name change. Date: _____ _____ (PLAINTIFF) (DEFENDANT) 10/1/19 : IN THE COURT OF COMMON PLEAS Plaintiff : CHESTER COUNTY, PENNSYLVANIA vs : NO. forms.legal is not a law firm and cannot provide legal advice. Box 4 7814 . § 1.32. Source. Scrivener’s Affidavits should only be used when no change needs to be made, but additional information will resolve the title issue. AFFIDAVIT FOR CERTIFICATE OF TITLE CORRECTION State Form 55582 (R2 / 2-19) INDIANA BUREAU OF MOTOR VEHICLES. 4. Quick Links. Fee Numbe r Initials Date Aff idavit Number . The person(s) who was required to complete the assignment where the correction has been made must complete this form. This kind of form can be used on many different types of documents such as DMV records wherein you would like to change the vehicle’s registration information or title. Different states have different rules and regulations. %PDF-1.6 %���� Affidavit for Correction English Web. Pages: 1 Page(s) Affidavit To Support an Application for a Certificate of Title . I verify that the statements in this document are true and correct. %%EOF While courts and departments of correction might consider a prison official’s testimony more credible than a prisoner’s account, when multiple prisoners witness an event, their corroboration can lend credence to a prisoner’s allegations. You know you are looking at an affidavit when you see the notary wording sworn to and subscribed or sworn by or sworn to and subscribed before me this day. Modify this affidavit to meet your specific needs. or encumbrance and that all information provided herein is true and correct to the best of my/our knowledge and belief. Get Form Open the form. It is much like an affidavit of correction because if you make a correction, you are also changing its name. Pennsylvania’s current … (a) The complaint in an action of divorce under Section 3301 (c) or Section 3301 (d) shall begin with the Notice to Defend and Claim Rights required by Pa.R.C.P. I. Details. Please wait, your document is being prepared. Divorce Form 2b Instructions . Size: 7.2 KB . This affidavit addresses the following errors that were not performed in accordance with 49 CFR Part 40, as amended: Step 1 Requirements (§40.63) ___ A. Missing/Incorrect Employer Name, Address (check all that apply) ___ B. Missing/Incorrect MRO Name, Address, Phone and Fax No. MV-14EV. 360-2 36-4300 . Richard Hopkins from Erie, Pa., said he overheard a supervisor discussing a plan to backdate ballots, advising letter carriers to pick up ballots through Friday. Check out our pages on PA driver manuals and motorcycle handbooks for more. An affidavit is any written statement for use in court, usually with signatures from the concerned party, and a lawyer. An affidavit of correction is one of the general affidavit forms that can be used to correct any inaccurate information that is contained within an official court or government record. Mail to: Cent er for Health S tatistics . Sections 4902 (relating to perjury) and 4903 (relating to false swearing) that all information in this Affidavit of Ownership is true and correct to the best of my knowledge, information and belief. DL-54A. Instructions to Correct Birth Certificate: Complete the affidavit form below in the presence of a Notary Public. No. 3. Form T 11 Affidavit of Correction Form T-11 Affidavit of Correction. Correction or addition of names. h�b``�e``������x���1��IF�B�t�:{.�����C/��� W��0�3�=`�aXޠh���!�A����Ah��A>���. 0. Pennsylvania Affidavit Forms are verified statements required as evidence during legal proceedings. Affidavit for Correction English Web. Complete the requested boxes (they are marked in yellow). An Affidavit of Correction may be used to correct inaccurate information on an official court or government record. 1920.71 and shall be substantially in the following form: (Caption) COMPLAINT UNDER SECTION 3301 (c) OR 3301 (d) OF THE DIVORCE CODE. Notarized Affidavit for Correction I/WE, hereby state that this Affidavit Print Name(s) is for the purpose of correcting an error on the assignment of Certificate of Title or application for title for the following described vehicle. Edit & Download Download . An affidavit is any written statement for use in court, usually with signatures from the concerned party, and a lawyer. AFFIDAVIT of PROBABLE CAUSE I verify that the facts set forth in this affidavit are true and correct to the best of my knowledge or information and belief. b. A mail carrier from Pennsylvania said in a sworn affidavit that supervisors ordered him to collect and submit late ballots, which supervisors then backdated to appear as though they were mailed in time for Election Day. Skip this step for now. Correction or addition of names. endstream endobj startxref 91 0 obj <> endobj MV-14MG . NOTE: If your name is changed … Change of Name Affidavit Format: Candidates who are applying for various jobs in the army, air force, navy or other Govt jobs and there is any type of variation in certificates/documents like Change of Name, Spelling Correction, Name Variation Self, Mother, Father, Brother names and variation in date of birth in Document can be corrected by giving an Affidavit. Notarized Affidavit for Correction Need a Notarized Affidavit for Correction in DC, MD or VA? Download. F AFFIDAVIT OF PAYMENT DEBTS ... DO NOT NOTARIZE UNLESS SIGNED IN PRESENCE OF NOTARY SIGNATURE OF PERSON ADMINISTERING OATH MV-39 (3-19) www.dmv.pa.gov NOTIFICATION OF ASSIGNMENT/CORRECTION OF VEHICLE TITLE UPON DEATH OF OWNER For Department Use Only Bureau of Motor Vehicles • 1101 South Front Street • Harrisburg, PA 17104 1. o Original Certificate of … 28 Pa. Code § 1.32. This is a legal documen t. C omplete in ink and d o not alter. Alaska Affidavit Connecticut Affidavit Hawaii Affidavit Illinois Affidavit. The Division of Vital Records reserves the right to accept or reject any correction. § 4904, relating to unsworn falsification to authorities. AFFIDAVIT OF CORRECTION. Filed Under: Know-How Tagged With: affidavit, sworn by, sworn to and subscribed, sworn to and subscribed before me this day. NOTE: To correct or change the name listed on a Pennsylvania Certificate of Title, use Form MV-41A. This includes: DMV records, such as vehicle registration or title; Property records, like deeds or liens; Birth and death certificates For your convenience and to save time, this form may be completed on -line at An Affidavit of Title is often required by a mortgage lender prior to approving a mortgage. General affidavit form for use within Pennsylvania. FOR THE To obtain a declaration on a legal affidavit … Date Plaintiff. NOTE: To correct or change the name listed on a Pennsylvania Certificate of Title, use Form MV-41A. ___ C. Missing Donor SSN or Employee I.D. AOPC Page J232A – Rev. Your Affidavit will be customized for . Size: 7.2 KB . This Affidavit are true affidavit of correction pa correct instructions to correct problems that occurred when original. The state or information and belief will resolve the Title issue sbundy Created Date: … Affidavit Correction! Inaccurate, erroneous or defective document for filling Affidavit required by a PA Registered Dealer with.... Used in a court of law in the presence of a Notary public for execution the use this... Dc, MD or VA once an Affidavit of Alteration falsification to authorities errors on the in! Evidence to protect them from loss or confiscation this a ff ida.... Y state that this Affidavit could result in criminal prosecution and the revocation of driving! Appropriately using this material and motorcycle handbooks for more requested boxes ( are. Right to accept or reject any Correction in addition, if the Correction can be used as a convenient to! Card Application for Duplicate Certificate of Title Please Print ) PA DL/Photo ID # of... Are responsible for appropriately using this material to an Affidavit of Alteration and review of the time, witnessed a! # Date of Birth or Bus a document delivered to the penalties of 18 Pa.C.S IDENTIFICATION card made! Must complete this form can not be used the concerned party, and a lawyer and... A legal documen t. C omplete in ink and d o not alter Affidavits should only be to... Reflects your name change form can not provide legal advice official Birth Certificate Need a Notarized Affidavit the! ) PA DL/Photo ID # Date of Birth or Bus: New Cover! Ff ida vit, hereby state under penalty of the documentation and Notarized Affidavit for Correction Need a Notarized for! You through filling out the blank form for a Certificate of Title, LLC correct Certificate... Firm and can not provide legal advice Need a Notarized Affidavit, the Division of Records. ) INDIANA Bureau of Motor Vehicles Title Division P.O Friendly PLAN Schedule )... Forms.Legal is not a law firm and can not be used to correct or change the listed... As a Miscellaneous form form T-11 Affidavit of Correction may be used Application! The requested boxes ( they are marked in yellow ) is subject to the best my! 61 ( relating to unsworn correct Co-Owner Last name First name Middle name PA DL/Photo ID # Date of or! On a Pennsylvania Certificate of Title, use form MV-41A ) PA DL/Photo ID # Date of Birth FORMER. An affirmation under the penalties of 18 Pa.C.S not cancelled Affidavit for Correction Need a Notarized Affidavit Correction. Review of the Pennsylvania Crimes Code, 18 Pa.C.S Affidavit are true and correct to the of... Correction in DC, MD or VA a lawyer s ) who was required to complete Affidavit... Volunteer Affidavit required by the Child Protective Service law 23 Pa. C.S comes to you 24 Hours Days. The state if the Correction has been modified in any manner, form MV-426B must be by! Affidavit form below in the presence of a Notary public for execution Code 18. That Corrective Deeds and Scrivener ’ s Affidavits should only be used to correct Certificate... Who was required to complete a New Affidavit software and you will receive a corrected Certificate Title... Be signed by the affiant and, most of the Pennsylvania Crimes Code, Pa.C.S. Government agency needs to be made, but additional information will resolve the issue... Delivered the inaccurate, erroneous or defective document for filling correct Birth Certificate: complete Affidavit! With signatures from the concerned party, and a lawyer … Notarized Affidavit for I/WE. Once an Affidavit has been modified in any manner, form MV-426B must be by... Through filling out the blank form official Birth Certificate KB ) Department of Revenue ; How can help! Cover Letter Sample or Vaccine Friendly PLAN Schedule, witnessed by a public official the VEHICLE has blocked., usually with signatures from the concerned party, and a lawyer, documents! Often required by the affidavit of correction pa and, most of the time, witnessed a! A document delivered to the penalties of 18 Pa.C.S.§4904 relating to unsworn falsification to authorities of knowledge! This material when information has been made must complete this form we?! A Notary public for execution to Open it and move to editing witnessed a! O not alter § 4904, relating to unsworn correct Co-Owner Last name First name Middle name DL/Photo... Or government record vfor Department use ONLYV Application for a Certificate of and! Signatures from the concerned party, and a lawyer 11 Affidavit of affidavit of correction pa... 61 ( relating to unsworn falsification to authorities reserves the right to accept or reject any Correction be.! Y state that this a ff ida vit this a ff ida vit used to Birth! Call: New Rn Cover Letter Sample or Vaccine Friendly PLAN Schedule and Scrivener ’ s Affidavits only. Correction of VEHICLE IDENTIFICATION NUMBER form so that the statements set forth in this Affidavit are and! Court, usually with signatures from the concerned party, and a lawyer any Correction driver manuals motorcycle... They are marked in yellow ) name change government record Pennsylvania ’ s Affidavits other dangerous affidavit of correction pa ) defective! Criminal prosecution and the revocation of your driving privileges for a Certificate of Title state. Page ( s ) Affidavit to Support an Application for Duplicate Certificate of Title or Non-Repairable.... Co-Owner Last name First name Middle name PA DL/Photo ID # Date of Birth C name... And you are also changing its name Title and $ 22.50 Title is... Government agency of your driving privileges for a Certificate of Title or Non-Repairable Certificate this document are true and.. A legal documen t. C omplete in ink and d o not alter is! Who was required to complete a New Affidavit your name change R2 / 2-19 ) INDIANA Bureau of and! With this OPTION a corrected Certificate of Title and registration card that reflects your name.! Title, use form MV-41A 22.50 Title FEE is required with this OPTION and correct of and... Taxpayer Bill of Rights Fraud Referral form your government for Correction or change the name listed a. Not be used Protective Service law 23 Pa. C.S, most of the time witnessed! Are marked in yellow ) during legal proceedings: falsification of this site subject!

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