Illinois Affidavit of Correction
This document serves as a formal request for the correction of a public record in the State of Illinois under the relevant sections of the Illinois Compiled Statutes. It is utilized to rectify any inaccuracies or errors present in official documents or records. By completing this affidavit, the undersigned swears to the truthfulness of the details provided for the correction.
Affiant's Information:
Full Name: ___________________________________
Address: _____________________________________
City: _________________ State: IL Zip: _________
Phone Number: (____)_________________________
Email: ______________________________________
Details of the Record Needing Correction:
Document Type: _______________________________
Original Entry: _______________________________
Corrected Entry: _____________________________
Date of Original Record: ______________________
Record Authority: ____________________________
Statement of Truth:
I, the undersigned, declare under penalty of perjury under the laws of the State of Illinois that the information provided herein is accurate and true to the best of my knowledge, and I request that the aforementioned record be corrected as stated.
______________________________________________
Signature of Affiant
______________________________________________
Date
Notary Public (If Applicable):
State of Illinois, County of ___________________
Subscribed and sworn before me on this ___ day of ___________, 20__.
______________________________________________
Signature of Notary Public
My Commission Expires: ________________________