UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) Case No.________________ ) ) ) CREDITOR CHANGE OF ADDRESS ) Debtor(s) Note to Debtors: If you wish to add a new creditor to this case, you must file LBF #728 and pay the required filing fee. If you submit a creditor address different from the one listed on the most recent proof of claim by that creditor, the court will send any notices to the creditor at both addresses. Creditor Name: Old Address: New Address: Creditor Phone Number: ___________________________________________________________ If you are a creditor who has already filed a claim: Please enter the claim number and check the appropriate box. You need not file an amended claim to update only an address. Claim No. Please use the new address for: G Notices only G Payments only G Notices and Payments I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT. Date: Signature (Required) Type/ Print Signer's Name Signer's Phone # and Relation to Case Further Information About Address Changes Address changes for debtors must be filed on LBF #101D. Other parties may file an address change by letter which includes the case number, debtor's name, date, and the filer's signature. Further Information About Adding A New Party or Creditor to a Case [also see above Note to Debtors] An ECF Participant who wishes to receive notice must electronically file a text-only Notice of Appearance or Special Notice Request. Any other party who wishes to receive notice must file a written request with the court. OSB # (if attorney) 101C (2/19/13) American LegalNet, Inc. www.FormsWorkFlow.com