6 00 - 00846 - Notice of Name Change or Change of Address (01/2018) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT DIVISION Unit Docket No.: Case Name: N OTICE OF NAME CHANGE OR CHA N G E OF ADDRESS This is to notify the C ourt that: My name has changed: Former name: New name: My address, phone number or email address has changed: Former Address: Name: Street Address: City/State/Zip: Mailing Address (if different from Street Address) : City/State/Zip: Email Address: Daytime Phone: Evening Phone: Attorney Name & Phone Number New Address: Name: Street Address: City/State/Zip: Mailing Address (if different from Street Address): City/State/Zip: Email Address: Daytime Phone: Evening Phone: Attorney Name & Phone Number Dated Signature Print Name NOTE: A Plaintiff in a Relief from Abuse or Stalking Action is not required to complete this form and this form will not change any bail, probation, or supervised release conditions . American LegalNet, Inc. www.FormsWorkFlow.com