State of illinois illinois department of public health state of illinois affidavit and certificate of correction request instructions 1. clearly print with a black pen or type all information. 2. place a check mark by the record you are seeking to...
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T-11 (rev.07-2005) affidavit of correction date: to whom it may concern: the strikeover on the assignment of the attached manufacturer's certificate of origin or certificate of title for the following described vehicle: (year model, make of...
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State of illinois affidavit and certificate of correction request this form must be signed in the presence of a notary public. http:// .idph.state.il.us/vitalrecords/correctioninfo.htm for more information concerning the types of if you have...
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Print form affidavit of inability to pay costs for appeal case no. in the justice court of harris county, texas plaintiff vs. defendant precinct , place my name is . i unable to pay the costs of appeal or to file an appeal bond in order to appeal...
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Person filing: mailing address: city, state, zip: day/evening phone: person filing is: if attorney, bar no.: / self (no attorney) or attorney atty. phone: for clerk s use only superior court of arizona in maricopa county in the matter of: case...
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Affidavit of correction or lost marriage certificate correction i hereby swear that the record of marriage certificate number for: and filed in kitsap county on , 20 is incorrect as follows: the record now shows: the true facts are: name:...
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Texas ethics commission p.o. box 12070 austin, texas 78711-2070 (512) 463-5800 corrected financial statement (tdd 1-800-735-2989) office use only and good-faith affidavit attach any part of your financial statement form needed to report and...
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Minnesota department of public safety print form driver and vehicle services division 445 minnesota st. suite 165 st. paul, mn 55101-5165 phone: (651) 297-2176 tty: (651) 282-6 website: dvs.dps.mn.gov affidavit to correct the ownership record of a...
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Corrective or scriveners affidavit for notice of typographical or other minor error n.c.g.s. 4736.1 prepared by: each undersigned affiant, jointly and severally, being first duly sworn, hereby swears or affirms that the (name or type of...
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T-11 (rev.07-2005) affidavit of correction date: to whom it may concern: the strikeover on the assignment of the attached manufacturer s certificate of origin or certificate of title for the following described vehicle: (year model, make of...
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Plaintiff suit no. div. baton rouge city court vs. city of baton rouge defendant state of louisiana affidavit of correctness of account before me, the undersigned authority, personally came and appeared: , who, being first duly sworn, did depose...
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