UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-1(b) In Re: Case No.: Chapter: Judge: ____________________ ____________________ ____________________ CHANGE OF ADDRESS Under D. N.J. LBR 2002-1(b) this form must be used by a party to change its address during a case or proceeding. A debtor who wishes to change the address of a creditor previously included on their Schedules may also use this form. Party's name/type: ____________________________________________________________ (Example: John Smith, creditor) Old address: _______________________________________ _______________________________________ _______________________________________ New address: _______________________________________ _______________________________________ _______________________________________ New phone no.:______________________________________ (if debtor is filing and their phone number has changed). I hereby certify under penalty of perjury that the above information is true. If a debtor, I understand that it is my responsibility to notify the Trustee and any affected party of my change of address. Date: _____________________ __________________________________________ Signature rev.2/1/16 American LegalNet, Inc. www.FormsWorkFlow.com