Change of Address


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CHANGE OF ADDRESS 
(For District Clerk’s Office) 
 
CAUSE NO.  _______________________________ 
 
IN THE MATTER OF THE MARRIAGE OF             IN THE DISTRICT COURT 
IN THE INTEREST OF        
         OF DALLAS COUNTY, TEXAS 
____________________________________________    
AND         _________ JUDICIAL DISTRICT 
____________________________________________    
 
 
NAME:  _____________________________________________________   
 
               (FORMER NAME: _____________________________________ ) 
 
 
* OLD ADDRESS:                                   Residence                         Mailing                       Check one or both 
   (Include zip code) 
   ________________________________________________________________________ 
 
   ________________________________________________________________________ 
 
   ________________________________________________________________________ 
 
CURRENT ADDRESS:                           Residence                         Mailing                       Check one or both 
    (Include zip code) 
                  ________________________________________________________________________ 
 
   ________________________________________________________________________ 
 
   ________________________________________________________________________ 
 
HOME TELEPHONE NUMBER: (Include area code)  * Old ____________________  Current  _________________ 
 
* OLD EMPLOYER: (Include Name, Address, City, State, Zip, Phone Number with area code) 
 
   ________________________________________________________________________ 
 
   ________________________________________________________________________ 
    
   ________________________________________________________________________ 
 
CURRENT EMPLOYER:  (Include Name, Address, City, State, Zip, Phone Number with area code) 
 
   ________________________________________________________________________ 
 
   ________________________________________________________________________ 
    
   ________________________________________________________________________ 
 
LAST FOUR DIGIT SS #: _____ _____ ______ ______ DRIVER’S LICENSE #____________________________ 
 
    I hereby acknowledge the above information is true and correct. 
 
    Signature:  ____________________________________       Date: ___________ 
 
THIS OFFICE DOES NOT NOTIFY THE CHILD SUPPORT OFFICE FOR PURPOSES OF PAYMENTS 
OR WITHHOLDING.  IT IS YOUR RESPONSIBILITY! 
 
* FOR CHANGE OF ADDRESS ONLY