ANNIE REBECCA ELLIOTT Fort Bend County District Clerk 301 Jackson, Fort Bend County, Texas Telephone: (281) 341-4509 Fax: (281) 341-4519 ATTORNEY ADDRESS CHANGE Please complete this form in order to assist the District Clerk's Office in insuring that you receive computer generated, as well as manually prepared notices as required by the Court, Rules or Statutes. Note: A firm with multiple attorneys must identify the name and bar number of each attorney for which they are authorizing an address change. PLEASE COMPLETE THE FOLLOWING: (PLEASE TYPE OR PRINT) Please Check: ADDRESS CHANGE NAME CHANGE (please give prior name) (LAST) (FIRST) (MI) FIRM AFFILIATION (please give prior firm) OTHER (please specify) NAME: STATE BAR OF TEXAS NUMBER: FIRM AFFILIATION: MAILING ADDRESS: (CITY) EMAIL ADDRESS: TELEPHONE: FACSIMILE: (STATE) (ZIP) PLEASE RETURN TO ADDRESS ABOVE OR FAX TO: (281) 341 - 4519. THANK YOU. This form is available for download at no cost at http://www.fortbendcountytx.gov/index.aspx?page=997 Revised 02/15 American LegalNet, Inc. www.FormsWorkFlow.com