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IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT MARION COUNTY, ILLINOIS CHANGE OF ADDRESS CASE NO.____________________________________________ LAST NAME: _________________________________________ (Please Print) FIRST NAME: ________________________________________ (Please Print) OLD ADDRESS: _______________________________________ (Please Print) _______________________________________ _______________________________________ NEW ADDRESS: ______________________________________ (Please Print) ______________________________________ ______________________________________ SIGNATURE: _________________________________________ Person Requesting Address Change DATED THIS ______ DAY OF ____________________, 20_____. DEPUTY CLERK ___________________________________ American LegalNet, Inc. www.FormsWorkFlow.com RONDA YATES, CLERK OF THE CIRCUIT COURT OF MARION COUNTY