DISTRICT CLERK POTTER COUNTY, TEXAS (Instructions: complete this form, sign it, and MAIL it to: Child Support Division, P. O. Box 9570, Amarillo, TX 79105) ADDRESS CHANGE FOR CHILD SUPPORT PAYMENTS CAUSE NUMBER:____________________________ CAUSE NUMBER MUST BE PROVIDED Name of person who PAYS child support:_______________________________ Name of person who RECEIVES child support:_______________________________ Address to which child support payment should be mailed: ______________________________________________________________________ Street Address Apt. Number City State Zip "I hereby instruct the District Clerk of Potter County to mail child support payments in the cause number shown above to the address shown above effective immediately." ____________ Signature of person who RECEIVES child support & date For Clerk's use only: Date address changed____________ by _______________deputy 2002 © American LegalNet, Inc.