AFFIDAVIT OF CORRECTION - VEHICLE

STATE OF LOUISIANA

PARISH OF ___________________________

BEFORE ME, the undersigned notary public, duly commissioned and qualified in and for
the parish and state aforesaid, personally came and appeared:

______________________________________ and ____________________________________

(Print Seller’s Name) (Print Buyer’s Name)

who after being duly sworn did depose and state that on the transaction relating to the:

Year: _____ Make: ____________ Model: _______________ VIN: _______________________

An error was made on the:

_________ Assignment of Title

_________ Bill of Sale

_________ Act of Donation

_________ Other

Error:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

____________________________________ ___________________________________
SELLER’S SIGNATURE BUYER’S SIGNATURE

SWORN TO AND SUBSCRIBED BEFORE ME, this ____ day of _______________, 20__.

_______________________________________
NOTARY PUBLIC
COMMISSIONED FOR LIFE

The Bluest Ink, LLC • 3929 Florida Blvd • Baton Rouge, LA 70806 • (225) 456-2200 • TheBluestInk.com