Party Updating Information is: Petitioner/Plaintiff Respondent/Defendant SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY CASE NO.: Name of Petitioner/Plaintiff * For Clerk's Use Only ATLAS NO.: Name of Respondent/Defendant * *(Write Names above as on Court Documents) UPDATE INFORMATION ON ADDRESS and/or NAME If your address is protected by Court Order DO NOT use this form 1. 2. 3. 4. I UNDERSTAND: This Notice is to tell the Clerk of the Court that my address or name has changed. This form does NOT legally change my name. Address and name changes that are not sealed or confidential will be entered on both the support payment and the court's automated system, and will be available to the public as a public record. I may only submit changes for my own address and name. INFORMATION I WANT TO CHANGE: (PLEASE PRINT) My name was: My current name is: My old address was: (Street Address, City, State, Zip Code) My new address is: (Street Address, City, State, Zip Code) My new mailing address: (if different from above) My best contact phone number is: ( My e-mail address is: There is an order for payments through the Clearinghouse for Child Support and/or Spousal Maintenance (if so, fax to 602-506-1937.) OR There is an order for payments through the Clerk of the Superior Court for Restitution (if so, email the completed form to; CFOResponse@mail.maricopa.gov ) OR This update is for other than Support, Maintenance or Restitution (if so, fax to 602-506-6690). I declare under penalty of perjury that the foregoing is true and correct. Signed on: Date Signature of Person Requesting Change ) My Date of Birth is: Please send me information on direct deposit for Child Support and/or Spousal Maintenance. iCIS Address updated (FOR COURT USE ONLY) © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED GN91f-112511 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com UPI #5300