Notification Of Last Known Address-Address Change Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notification Of Last Known Address-Address Change Form. This is a California form and can be use in Shasta Local County.
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Tags: Notification Of Last Known Address-Address Change, LF-030, California Local County, Shasta
NAME OF COURT: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SHASTA
Mailing Address
1500 Court Street, Room 319
Street Address
Juvenile Division, Dependency Unit
Redding, CA 96001
Branch Name:
Redding
In the Matter of:
NOTIFICATION OF LAST KNOWN ADDRESS
ADDRESS CHANGE AND ORDER
I, _______________________________________________________
(Name of clerk/case worker/attorney etc. making declaration)
Case Number:
________________________________
(Title)
was informed on ________________________________ that ________________________________________
(Date)
(Name of Party)
a party in the above entitled action, has relocated to the following address for mail delivery :
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
I received this information from the following source:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
______________________________________________________
Signature of Declarant
________________________________
Date
ORDER
The above address is designated as the last known address for _________________________________________
Date: ____________________________
________________________________________
Judge
(Original to Juvenile Unit, Superior Court of Shasta County)
______________________________________________________________________________________
Form Approved for Optional Use
Shasta County Superior Court
LF-030 [rev May 28, 2010]
NOTIFICATION OF LAST KNOWN
ADDRESS/ADDRESS CHANGE
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