Misc035 UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TENNESSEE DEBTOR/CREDITOR CHANGE OF ADDRESS FORM (OR OTHER STATISTICAL INFORMATION) DEBTOR'S NAME:_____________________________________________________________ (Print) Bankruptcy Case Number:_____________________________________________ THIS ADDRESS CHANGE IS FOR (CHECK ONE) ( ) DEBTOR ( ) CREDITOR To ensure that all address changes are accurate and current, you will need to supply the Court with your old and new address. The only address provided to the court should be for service of court orders and notices. No payment only addresses. NEW ADDRESS effective as of ________ ________ ________ ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________ County:__________________ Phone Number:_________________ OLD ADDRESS: ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ADDITIONAL REVISIONS OR COMMENTS: ______________________________________________ _____________________________________________ _______________________________ Signature DATE:_________________________ American LegalNet, Inc. www.FormsWorkFlow.com