The seller's apology for a strikeover. When something in the assignment on the back of the certificate has been corrected - a misspelling, a name written in the wrong block, a change of mind about who the buyer is - this notarised affidavit is what a county tag office needs before it will look past it. It is completed by the seller, not the buyer.
Written against T-11 (9/2025), issued under the Motor Vehicle Division, and filed where the buyer or transferee resides.
The Department revised this form in September 2025 and rebuilt the instruction page with it, so a copy printed a year ago will not match what a tag office is expecting. Take the current one.
Two documents, and they are not the same thing. Take the blank T-11 from the dor.georgia.gov copy so you get the revision that is current today.
This is the actual T-11, rendered from the PDF the Georgia Department of Revenue, Motor Vehicle Division publishes and completed end to end: letterhead, every field, and the blocks at the foot.
Amber — you write it
Grey — not yours to fill
Numbered — explained below
The actual T-11 at revision 9/2025. One reason box ticked and the free-text Other block deliberately left empty and shaded - it is only for a reason none of the nine printed ones cover.
Field by field
Every line, in the order you meet it
1
You fill this in
Section A, the reason you ticked
One of nine printed reasons, from a typographical error through to a strikeover in the purchaser's name.
Watch out: Pick the one that describes what actually happened. A tag office reading typographical error against an assignment made out to the wrong person entirely is being asked to accept a different account of events.
2
You fill this in
Section A, the Other box
The tenth box, with a tall free-text block beside it for a reason none of the nine cover.
Watch out: If one of the nine fits, use it. The free-text block invites a paragraph, and a paragraph invites questions the printed boxes do not.
3
You fill this in
Section B, vehicle information
The VIN exactly as the certificate prints it, with year, make and model.
Watch out: Copy the VIN off the certificate being corrected. The affidavit and the document it explains have to point at the same vehicle.
4
You fill this in
Section C, your full legal name
First name, middle initial, last name and suffix, in four separate boxes.
Watch out: The name here has to be the name in the assignment being corrected - you are certifying that you are the seller who made the correction, which only works if the two match.
5
You fill this in
Section C, signature and date
Your signature and the date, beside the printed certification.
Watch out: Sign in front of the notary. The certification is sworn, and section D is an acknowledgement of a signature the notary watched being made.
6
You fill this in
Section D, the notary block
Day, month and year, then the notary's full legal name, physical address, e-mail address, telephone number, signature and commission expiry.
Watch out: Georgia asks for the notary's contact details as well as the seal, which is more than most states want. A block missing the telephone number or the e-mail address is incomplete.
At a glance
What goes where
On the form
What to put in it
A - reason for title assignment correction
Ten tick boxes in two columns: typographical error; customer changed mind; seller signed their name incorrectly; seller assigned title to himself; seller assigned title to wrong party; seller made strikeover in purchaser's name; assignment placed in dealer assignment in error; notary public placed signature in wrong space; purchaser's name misspelled; and other, with a large free-text block beside it.
B - vehicle information
The VIN exactly as the certificate prints it, with year, make and model.
C - certification
The seller's first name, middle initial, last name and suffix, then a signature and a date. The certification says the strikeover on the assignment of the attached statement of origin or certificate of title was made for the reason given in section A, and that the person signing is the seller or transferor in the assignment where the correction was made.
D - notary public acknowledgement
Sworn to and subscribed with day, month and year, then the notary's full legal name, physical address, e-mail address, telephone number, signature and commission expiry.
What has to travel with it
The manufacturer's certificate of origin or the certificate of title showing the assignment correction. The affidavit is evidence about a document, so the document has to be there.
What gets this one rejected
•Using it where correction fluid or an erasure has been used. The purpose paragraph rules that out in terms: this affidavit cannot be used when information has been blocked out by erasure or the use of correction fluid.
•Using it on an odometer reading. The important information block repeats it - this affidavit cannot correct an incorrectly entered odometer reading, and the Form T-107 odometer discrepancy affidavit is what does.
•Using it on a purchase or transfer date. That correction needs a $10.00 title penalty, a copy of the front and back of the cheque between the seller and the buyer supporting the change, and a replacement title or statement of origin for proper assignment with the correct date.
•Using it on a lienholder recorded in error. The form says that is a Form T-4 and that it has to be completed by the incorrectly recorded lien or security interest holder.
•The buyer filing it. Section C certifies that the person signing is the seller or transferor in the assignment where the correction was made.
•Skipping the notary. The instructions say the affidavit must be notarised by a commissioned notary public, and the certification is sworn.
Rules that decide whether it is accepted
•It goes to the buyer's county, not yours. The submission instruction sends it to the county tag office in the county where the buyer or transferee resides, because it travels with their title application.
•Blue or black ink, and no correction on the correction. The instruction sheet says the affidavit must be legibly printed in blue or black ink or typed, and that any correction or alteration will void it. An affidavit about a strikeover cannot itself carry one.
