IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA. IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA. 288 DIVISION CIVIL CRIMINAL TRAFFIC/MISDEMEANOR OTHER VS. CASE NUMBER CHANGE OF ADDRESS CLOCK IN PLAINTIFF/PETITIONER DEFENDANT/RESPONDENT The following is the new address for the said Defendant/Respondent as of ________________________________. Information obtained in person by phone. Name of person requesting this address change ____________________________________ PLEASE PRINT ____________________________________ SIGNATURE STREET ___________________________________ CITY ___________________________________ STATE ___________________________________ ZIP CODE ___________________________________ PHONE # ( ) ___________________________________ HARVEY RUVIN CLERK OF COURTS BY:_______________________________________ DEPUTY CLERK DATE CLK/CT 213 REV. 4/07 Clerk's w eb address: www.miami-dadeclerk.com American LegalNet, Inc. www.FormsWorkflow.com