This form is used when information is printed incorrectly on a certificate of title or when alteration or erasure has occurred on the title. ... ♻ Printed on recycled paper. Any alterations, use of white-out or cross-outs will void this affidavit. NOTE: THIS AFFIRMATION CANNOT BE USED FOR ODOMETER DISCLOSURE OR CORRECTIONS. THIS AFFIRMA TION CANNO T BE USED FOR ODOMETER DISCLOSURE OR CORRECTIONS. %PDF-1.6 %���� Form T-107 Odometer Discrepancy Affidavit (217.02 KB) Department of Revenue. Need Help? I, _____, STATE THAT THE ODOMETER MILEAGE ON THE VEHICLE DESCRIBED BELOW READS _____ miles OR _____ kilometers. Available for PC, iOS and Android. The owner of the vehicle must state the reason the correction is needed and provide proper documentation to verify the accuracy of the correction. 3. The .gov means it’s official. Printed by authority of the State of Illinois. 0000005919 00000 n Odometer Fraud Victims Suffer Major Setback. 37 0 obj <>stream 69 0 obj <> endobj TAG NO. Illinois: Form VSD 333 - Odometer Disclosure Statement for Title Transfers Indiana: Enter the reading on the existing title. STATE OF ILLINOIS AFFIDAVIT AND CERTIFICATE OF CORRECTION REQUEST INSTRUCTIONS 1. Fill out, securely sign, print or email your affirmation correction form instantly with SignNow. Enter your official contact and identification details. Available for PC, iOS and Android. sampleforms.com. endstream endobj startxref 2. xref cannot . The advanced tools of the editor will direct you through the editable PDF template. Printed by authority of the State of Illinois. Applicable lien release s. Signature of seller s acknowledging incorrect assignment of title for above described vehicle. Correction Il. 0000001172 00000 n %PDF-1.6 %âãÏÓ PLEASE EMAIL bestpixelrepairTHIS FORM BACK TO: @bestpixelrepair.com ODOMETER MILEAGE STATEMENT AFFIDAVIT Best Pixel Repair INC, 1544 Prickly Ln, Waxhaw, NC 28173 (please hand write the information clearly!) Person appointed by a power of attorney . Illinois Certified Payroll Form 19 Document(s) Illinois Separation Agreement Template 20 Document(s) Illinois Guardianship Form 23 Document(s) Illinois Child Custody Form 25 Document(s) Illinois Commercial Lease Agreement 47 Document(s) Illinois Petition for Writ of Habeas Corpus 43 Document(s) Illinois Direct Deposit Form 75 Document(s) Attach this form, when completed, to the current certificate of title. 0000008541 00000 n VEHICLE IDENTIFICATION NO. Illinois: Form VSD 333 - Odometer Disclosure Statement for Title Transfers Indiana: Enter the reading on the existing title. NOTE: THIS AFFIRMATION CANNOT BE USED FOR ODOMETER DISCLOSURE OR CORRECTIONS. For an incorrectly recorded lien or security interest holder, Form T-4 ... Free Illinois Certified Payroll Form 2 PDF Download; The Illinois Secretary of State (SOS) provides a number of useful driver and vehicle-related forms online, most of which you can download from the library below.. State of Georgia government websites and email systems use “georgia.gov” or “ga.gov” at the end of the address. Place a check mark by the record you are seeking to correct. Attach this form, when completed, to the current certificate of title. 0000001883 00000 n 2. Illinois odometer correction form keyword after analyzing the system lists the list of keywords related and the list of websites with related content, in addition you can see which keywords most interested customers on the this website How does an affidavit of correction work and how does it differ from any other affidavit? MAKE . Iowa: Form 411077 - Odometer Disclosure Statement Kansas: Form TR-59 - Odometer Disclosure Statement Kentucky: Form TC 96-5 - Odometer Disclosure Statement Louisiana: Form 1606 - Odometer Disclosure Statement Learn more. Contact Us. you need to correct amounts you reported on previously filed Forms IL-941 or IL-941-X, you disagree with a change we made on your account, or ; you are requesting approval of an overpayment for a refund. 0000015749 00000 n When seeking to correct information on your title, and the title has been lost, stolen or mutilated, you must apply for a Duplicate Title. 0000001516 00000 n The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Form … Illinois Odometer Disclosure Statement. Complete the vehicle identification information as it appears on the current title. I, _____, STATE THAT THE ODOMETER MILEAGE ON THE VEHICLE DESCRIBED BELOW READS _____ miles OR _____ kilometers. 1. 0000010274 00000 n 0000006849 00000 n Printed by authority of the State of Illinois. 0000005350 00000 n Do not use this form if a title exists for this vehicle. This form is used when information is printed incorrectly on a certificate of title or when alteration or erasure has occurred on the title. If you can't find the form you need OR have questions about a specific form, visit your local Illinois SOS office branch OR … 0000001096 00000 n 0000000016 00000 n † Inspect tires — low-mileage vehicles typically have the original tires. ODOMETER DISCLOSURE STATEMENT . VEHICLE INFORMATION The advanced tools of the editor will direct you through the editable PDF template. If an error is made, start over with a new blank form. WHEN you are adding a lien, SUBMIT the Application for Vehicle Transaction (s) (VSD 190). Law Enforcement Certification (Motor Vehicle-Odometer) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form. 0000001491 00000 n 178 (1997) is a lawsuit that involved the Federal Odometer Act (FOA), the Department of Transportation’s (DOT) authority to grant exemptions from the FOA, and the sufficiency of material facts that would make a dealer suspicious of a car’s mileage. Printed by authority of the State of Illinois. Start a free trial now to save yourself time and money! 3. Clearly print with a black pen or type all information. Printed by authority of the State of Illinois. 0000008576 00000 n Facebook page for Georgia Department of Revenue; Twitter page for Georgia Department of Revenue; How can we help? How to complete the Affirmation of correction il form on the internet: To begin the form, use the Fill & Sign Online button or tick the preview image of the form. Indicate the full name and address of the lienholder. State of Illinois 0000022810 00000 n trailer You must electronically file Form IL-941-X, Amended Illinois Withholding Income Tax Return, with all required support, if. Download. Download or preview 1 pages of PDF version of Affidavit of Mileage Correction (DOC: 121.0 KB | PDF: 198.8 KB ) for free. This is the federal form although your State may have their own Odometer Disclosure Statement that is provided by the Department of Motor Vehicles (DMV). September 20 12 — 75M — VSD 393.8. AFFIDAVIT FOR CORRECTED CERTIFICATE OF TITLE – ODOMETER DISCLOSURE . h�bbd``b`��� �D� +��JN0��I0�qW�X��X�ڍ���$�z@���X� BDh�ļ@�� David J. Diersen v. Chicago Car Exchange, Inc., 110 F.3d 481 (7 th Cir. Local, state, and federal government websites often end in .gov. Law Enforcement Certification (Motor Vehicle-Odometer) Form. 0000016199 00000 n 106 0 obj <>/Filter/FlateDecode/ID[<4A0EFDF2845DDBEA0A0D646C4EE77E69><24B0172F1BFD9A4EA7BD74B553C37929>]/Index[69 73]/Info 68 0 R/Length 126/Prev 88686/Root 70 0 R/Size 142/Type/XRef/W[1 2 1]>>stream 1. Learn more. Affidavit of Correction Author: Elizabeth Mercer Subject: THIS FORM SHOULD BE USED TO MAKE CORRECTIONS TO ERRORS APPEARING ON THE FORM USED TO CORRECT ERRORS ON TITLE OF A VEHICLE S ASSIGNMENT OR ODOMETER Keywords: title, vehicle, title correction … Free Download of Georgia Affidavit Of Correction PDF Document available in PDF format! Home » Odometer Disclosure Statement Form – All 50 States. 0000023244 00000 n AFFIDAVIT TO CORRECT ODOMETER This form may be used to make a correction to odometer information. 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