IN THE COUNTY COURT IN AND FOR SARASOTA COUNTY, FLORIDA DIVISION: CASE NUMBER: SUPPORT PLAINTIFF VS. DEFENDANT ADDRESS CHANGE To: Clerk of the Circuit Court Support Division P. O. Box 3079 Sarasota, FL 34230-3079 Effective ________________________ my new address is as follows: Name: _____________________________________________________ Address: ___________________________________________________ City: _______________________ State: _________ Zip: ____________ Please update your records accordingly. (Signature) ___________________________________ (Date) ____________________________ Confidential Address: This request is being made for the purpose of keeping the location of my residence unknown to Respondent for safety reasons pursuant to section 741.30, Florida Statutes, or section 784.046, Florida Statutes. cc: court file FILED FOR RECORD STAMP KAREN E. RUSHING CLERK OF THE CIRCUIT COURT BY: _______________________________ DATE: ______________ Deputy Clerk Civil/Counter.doc Revised 2/10 American LegalNet, Inc. www.FormsWorkFlow.com