Form T-11 PDF Details

The T11 Affidavit of Correction is a form that is filled out by the owner of the vehicle or other authorized individual, such as a licensed dealer or lender. The form typically requires information such as the make, model, and VIN (vehicle identification number) of the vehicle, as well as the nature of the error on the certificate of title and the correct information.

Once the T11 Affidavit of Correction is filled out and notarized, it can be submitted to the relevant state agency responsible for vehicle registrations and titles. The agency will review the form and, if approved, will issue a corrected certificate of title with the updated information.

This article offers information about t11 affidavit of correction. It is really worth taking the time to read through this before you begin filling out your document.

QuestionAnswer
Form NameT11 Affidavit Of Correction
Form Length2 pages
Fillable?Yes
Fillable fields20
Avg. time to fill out4 min 34 sec
Other namesga t 11 affidavit correction, ga t of correction, sc dmv affidavit of correction, affidavit of correction for virginia dmv

Form Preview Example

T-11 (Revised 10-2017)

Web and MV Manual

Georgia Department of Revenue - Motor Vehicle Division

Affidavit of Correction

ANY CORRECTION OR ALTERATION WILL VOID THIS AFFIDAVIT

Purpose of this Affidavit: 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. This affidavit cannot be used when information has been blocked out by erasure or the use of correction fluid, or to correct an odometer reading, a purchase date or an incorrectly recorded lienholder or security interest holder.

How to submit this Affidavit: This affidavit must be completed in its entirety, legibly printed or typed, and submitted along with all required document(s) to the county tag office in the county where the seller/transferor resides. Please refer to http://dor.georgia.gov to locate the county tag office in your county of residence.

Required document(s): You must provide the Manufacturer’s Certification of Origin or Certificate of Title showing the assignment correction.

A REASON FOR TITLE ASSIGNMENT CORRECTION

 

Check applicable box below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[

] Typographical error

[

] Assignment placed in Dealer Assignment in error

[

] Customer changed mind

[

] Notary Public placed signature in wrong space

[

]

Seller signed their name incorrectly

[

] Purchaser’s name misspelled

[

] Seller assigned title to himself

[

] Other ____________________________________________

[

] Seller assigned title to wrong party

______________________________________________________

 

[

] Seller made strikeover in purchaser’s name

______________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B

 

 

VEHICLE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification No. (VIN):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year:

 

Make:

 

 

 

 

 

Model:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

 

CERTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify that the strikeover on the assignment of the attached Manufacturer’s Certificate of Origin or Certificate of Title for the above described vehicle was made due to the reason provided in Section A. I also affirm that I am the seller/transferor in the assignment where the correction has been made.

 

Seller/Transferor’s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

Middle Initial

 

 

 

 

 

Last Name

 

Suffix

 

 

 

Full Legal Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

/

/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

 

NOTARY PUBLIC ACKNOWLEDGMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sworn to and subscribed before me this

 

day of

Month

 

,

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notary Seal or Stamp

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notary Public’s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Legal Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Physical Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email Address:

 

 

 

 

 

Telephone No.:

 

I

 

.----I---,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of

 

 

 

 

 

Commission Expires:

 

 

 

 

 

 

 

 

Notary Public:

 

 

 

 

 

 

 

 

 

 

 

/ /

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.

INSTRUCTIONS

How to complete the T-11 Form

COMPLETING THIS AFFIDAVIT

This affidavit must be completed in its entirety, legibly printed in blue or black ink or typed. Any correction or alteration will void this affidavit.

Section A: Provide the reason for correcting the title assignment.

Section B: Record the vehicle information for which the title assignment has been corrected.

Section C: Certify before a Notary Public that all statements are true and accurate.

Section D: Affidavit must be notarized by a commissioned Notary Public.

REQUIRED DOCUMENT(S)

The following document is required:

Manufacturer’s Certificate of Origin or Certificate of Title

SUBMITTING THIS AFFIDAVIT

This affidavit must be submitted along with all required document(s) to the county tag office in the county where the seller/transferor resides. Please refer to http://dor.georgia.gov to locate the county tag office in your county of residence.

IMPORTANT INFORMATION

This affidavit cannot be used to correct an incorrectly entered odometer reading, a vehicle’s purchase/transfer date or an incorrectly recorded lien or security interest holder.

WHAT DOCUMENT(S) and/or FEE(S) should be SUBMITTED for a(n)…

 

 

Incorrectly entered odometer reading:

 

Form T-107 Odometer Discrepancy Affidavit(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Correction in vehicle's purchase or transfer date:

 

 

 

 

 

 

 

• Payment of a $10.00 title penalty.

 

 

 

 

 

• A copy of the front and back of the check between the seller

 

 

 

 

 

 

 

 

 

and the buyer supporting the purchase or transfer date change.

 

 

 

 

 

• A replacement title or statement of origin from the issuing

 

 

 

 

 

agency for proper assignment with the correct date.

 

 

 

 

 

 

 

 

 

 

Incorrectly recorded lien or security interest holder:

 

Form T-4 Release of Lien or Security Interest

 

 

 

 

 

 

 

 

 

• This form must be completed by the incorrectly recorded lien or

 

 

 

 

 

security interest holder.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.

How to Edit T11 Affidavit Of Correction Online for Free

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georgia affidavit of correction blanks to consider

You have to write the information inside the part SellerTransferors Full Legal Name, Signature, First Name, Middle Initial, Last Name, Suffix, Date, D NOTARY PUBLIC ACKNOWLEDGMENT, Sworn to and subscribed before me, day of, Month, Year, Notary Seal or Stamp, Notary Publics Full Legal Name, and Physical Address.

georgia affidavit of correction SellerTransferors Full Legal Name, Signature, First Name, Middle Initial, Last Name, Suffix, Date, D NOTARY PUBLIC ACKNOWLEDGMENT, Sworn to and subscribed before me, day of, Month, Year, Notary Seal or Stamp, Notary Publics Full Legal Name, and Physical Address blanks to fill out

It's essential to emphasize the relevant particulars within the This affidavit must be submitted, IMPORTANT INFORMATION, This affidavit cannot be used to, WHAT DOCUMENTS andor FEES should, Incorrectly entered odometer, Form T Odometer Discrepancy, Correction in vehicles purchase or, Payment of a title penalty, A copy of the front and back of, and the buyer supporting the, A replacement title or statement, Incorrectly recorded lien or, Form T Release of Lien or, This form must be completed by, and security interest holder box.

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