How to Fill Out Affirmation of Correction

Affirmation of Correction at a glance

What it is: The Affirmation of Correction is an Illinois Secretary of State form for changes necessary regarding a vehicle.

Who signs: Sign on the Signature of Seller or Transferor, Signature of Buyer or Transferee, Signature of Co-Seller or Co-Transferor and Signature of Co-Buyer or Co-Transferee lines.

A filled-in Affirmation of Correction example: correcting a date of sale

Affirmation of Correction example filled out, example: correcting a date of sale
Buyer Jane Sample and seller John Doe correct a sale date. They check statement 4: the correct date of sale is 06/10/2026, not 06/01/2026. The picture shows statement 4 filled in; its names and figures are sample values. The vehicle is a 2020 Honda, and its VIN line stays empty. Statement 4 is the only one that applies, so boxes 1, 2, 3, 5, 6 and 7 and their lines stay empty, including box 6, the same person. There is no co-seller or co-buyer, so those lines stay empty. Both sign and date on 06/15/2026.

How to fill out Affirmation of Correction, box by box

Changes are necessary regarding the following vehicle

Affirmation of Correction example filled out, changes are necessary regarding the following vehicle

Enter the Year, Make, VIN and Plate Number of the vehicle the changes are necessary regarding.

Check the statement that applies

Check the statement that applies.

Box 1, release all interest in the License Plate or Vehicle

Affirmation of Correction example filled out, box 1, release all interest in the License Plate or Vehicle

Check box 1 to release all interest in the License Plate or Vehicle (check one or both) and request that the interest be transferred to the person you write on the line.

In releasing the interest, you understand that selling an active license plate in Illinois is unlawful and will result in revocation of the plate.

Each person releasing interest must sign in the signature box.

Box 2, Seller or Purchaser signed in the incorrect space

Affirmation of Correction example filled out, box 2, Seller or Purchaser signed in the incorrect space

Check box 2 and check Seller or Purchaser (check one or both) when they signed their name(s) in the incorrect space.

The person making this statement must sign in the signature box.

Box 3, the Purchaser changed their mind

Affirmation of Correction example filled out, box 3, the Purchaser changed their mind

Check box 3 when the purchaser changed their mind and did not take possession of the vehicle; write on the line who the vehicle was actually sold to. Each seller and incorrect purchaser must sign in the signature box.

Box 4, the correct date of sale

Affirmation of Correction example filled out, box 4, the correct date of sale

Check box 4, write the correct date of sale, and write the date that was entered in error.

Each buyer and seller must sign in the signature box.

Box 5, the name misspelled on the Assignment of Title

Affirmation of Correction example filled out, box 5, the name misspelled on the Assignment of Title

Check box 5 and check Seller or Purchaser (check one or both) when the name was misspelled on the Assignment of Title and is spelled correctly on the application.

Statement 5 must be signed in the signature box by the person making this statement.

Box 6, the same person

Affirmation of Correction example filled out, box 6, the same person

Check box 6 and fill in both lines: you state that the persons on the lines are the same person.

In the signature box, the person making this statement must sign.

Box 7, your name entered in error as the lienholder

Affirmation of Correction example filled out, box 7, your name entered in error as the lienholder

Check box 7 when your name was entered in error as the lienholder on the title document(s); you state that you do not hold any interest or lien on this vehicle. If you are the person making this statement, sign in the signature box.

Signatures

Affirmation of Correction example filled out, signatures

This affirmation cannot be used for odometer disclosure or corrections.

Under penalties of perjury, the undersigned declares that the statements are true and correct and will assume all liability and costs for any legal action that may result from the issuance of this Certificate of Title.

The seller or transferor signs on the Signature of Seller or Transferor line and the buyer or transferee signs on the Signature of Buyer or Transferee line; if there is a co-seller or co-buyer, the co-seller signs on the Signature of Co-Seller or Co-Transferor line or the co-buyer signs on the Signature of Co-Buyer or Co-Transferee line.

Enter the Date on both Date lines.

Sources

[1] Affirmation of Correction (VSD 393.11, May 2026), Illinois Secretary of State (the Official source link on this page).

Affirmation of Correction Form PDF Details

Changes are necessary regarding the following vehicle: Year, Make, VIN and Plate Number.

Statement 1: I/We release all interest in the License Plate or Vehicle (check one or both) listed above and request that the interest be transferred.

Plate: Selling an active license plate in Illinois is unlawful and will result in revocation of the plate.

Statement 3: Purchaser changed their mind and did not take possession of the vehicle.

Who signs: Each person releasing interest (1), each seller and incorrect purchaser (3), each buyer and seller (4), the person making the statement (2, 5, 6, 7).

Odometer: This affirmation cannot be used for odometer disclosure or corrections.

Perjury: The undersigned declares under penalties of perjury that the above statements are true and correct.

QuestionAnswer
Form NameAffirmation of Correction Form
Form Length1 page
Fillable?Yes
Fillable fields29
Avg. time to fill out5 min
EditionVSD 393.11
Other namesVSD 393, VSD 393.11, Affirmation of Correction, Illinois Affirmation of Correction
Official sourceAffirmation of Correction (VSD 393.11, May 2026), Illinois Secretary of State