
SCRIVENER’S AFFIDAVIT
Prepared By: (Name & Address)
____________________________
____________________________
____________________________
Property Identification Number:
____________________________
Document Number to Correct:
____________________________
Attach complete legal description
I, ______________________________, the affiant and preparer of this Scrivener’s Affidavit, whose relationship to
the above-referenced document number is (ex. drafting attorney, closing title company, grantor/grantee, etc.):
________________________________________________, do hereby swear and affirm that Document Number:
_________________________________, included the following mistake: __________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
which is hereby corrected as follows: (use additional pages as needed), or attach an exhibit which includes the
correction—but DO NOT ATTACH the original/certified copy of the originally recorded
document:____________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________.
Finally, I ___________________________________, the affiant, do hereby swear to the above correction, and
believe it to be the true and accurate intention(s) of the parties who drafted and recorded the referenced document.
__________________________________________ ____________________________
Affiant’s Signature Above Date Affidavit Executed
NOTARY SECTION:
State of ______________________)
)
County of ____________________ )
I, __________________________
, a Notary Public for the above-referenced jurisdiction do hereby swear and affirm
that the above-referenced affiant did appear before me on the below indicated date and affix her/his signature or
marking to the foregoing Scrivener’s Affidavit after providing me with a government issued identification, and
appearing to be of sound mind and free from any undue coercion or influence. AFFIX NOTARY STAMP
BELOW
Notary Public Signature Below Date Notarized Below
________________________ __________________