The Court of Common Pleas of Bucks County OFFICE OF THE CLERK OF COURTS BUCKS COUNTY JUSTICE CENTER 100 North Main Street Doylestown, Pennsylvania 18901 Phone: (215) 348-6389 Mary K. Smithson Clerk of Courts Change of Address Form I, _________________________________________, Defendant Surety Victim on case number _______________________________ is requesting my address be changed to: Street/P.O. Box___________________________________________________________________ City, State Zip:____________________________________________________________________ Phone Number:____________________________________________________________________ I authorize all my information to be updated with the new address provided. ___________________________________________________________________ Signature/Date Please Note: For this request to be valid you must provide proof of identification i.e. copy of driver's license American LegalNet, Inc. www.FormsWorkFlow.com