State Bar of Wisconsin Form 00-2011
CORRECTION INSTRUMENT
Under Wis. Stat. § 706.085
Document Number
Document Name
Undersigned hereby states that a certain document (“conveyance”) titled as
________________________________________________ (type of document), and
executed between ______________________________________, Grantor, and
______________________________, Grantee, was recorded in ________________
County, Wisconsin, on _____________, _____, in volume ______________, page
_______, as document number ___________, and contained the following error:
Recording Area
Name and Return Address
Undersigned makes this Correction Instrument for the purpose of correcting the
conveyance as follows:
The basis for Undersigned’s personal knowledge is (check one):
____________________________
□
Parcel Identification Number (PIN)
Undersigned is the Grantor/Grantee of the property described in the conveyance.
□
Undersigned is the drafter of the conveyance that is the subject of the Correction Instrument
□
Undersigned is the settlement agent in the transaction that is the subject of this Correction Instrument
□
Other (Explain):
□
□
A copy of the conveyance (in part or whole)
is
is not attached to this Correction Instrument (if a copy of the conveyance is not
attached, attach the legal description).
st
Undersigned has sent notice of the execution and recording of this Correction Instrument by 1
class mail to all parties to the
transaction that was the subject of the conveyance at their last known addresses.
Dated _____________________________.
_________________________________________________(SEAL)
*_________________________________________________
ACKNOWLEDGMENT
AUTHENTICATION
Signature of _____________________________________
STATE OF WISCONSIN
)
_________________________________________________
.
) ss
authenticated on ___________________________________,
__________________ COUNTY )
_________________________________________________
Personally came before me on _________________, _______
*________________________________________________
the above-named____________________________________
TITLE: MEMBER STATE BAR OF WISCONSIN
to me known to be the person who executed the foregoing
(If not, _____________________
instrument and acknowledged the same.
authorized by Wis. Stat. §706.06)
__________________________________________________
*_________________________________________________
THIS INSTRUMENT DRAFTED BY:
Notary Public, State of Wisconsin
_________________________________________________
My Commission (is permanent) (expires:________________)
_________________________________________________
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
CORRECTION INSTRUMENT
STATE BAR OF WISCONSIN
FORM NO. 00-2011
* Type name below signatures.
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