Missouri Affidavit of Identity

STATE OF MISSOURI
COUNTY OF [County Name]

Introduction:

I, [YOUR NAME], of [YOUR ADDRESS], being duly sworn, depose and state:

Statement of Facts:

1. My name is [YOUR NAME], and I am a legal resident of [City, State Name].

2. My date of birth is [Date of Birth].

3. I have identified an error in my official records/documents.

4. The incorrect information is as follows: [Detailed Description of Incorrect Information].

5. The correct information that should appear on my official records/documents is as follows: [Detailed Description of Correct Information].

6. The reason for the discrepancy is [Reason for the discrepancy].

Supporting Documents:

I have attached hereto copies of supporting documents that verify my identity and support the correction of my official records/documents. These include [List of Documents].

Sworn Statement:

I hereby declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief.

Executed on this [Day] of [Month], [Year].

Signature:

[YOUR NAME]

Subscribed and sworn to before me on this [Day] of [Month], [Year], by [YOUR NAME], proved to me on the basis of satisfactory evidence to be the person who appeared before me.

[NOTARY PUBLIC NAME]

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