ADDRESS CHANGE
Name of Defendant:
Citation Number:
Violation/Offense:
I am the named defendant listed on the ticket/citation referenced above. My current address is as
follows:
Mailing Address:
(Street / PO Box)
(City, State, ZIP)
Phone:
Defendant Signature:
*By typing my name, I adopt this as my signature and have read, affirm and agree to the information herein.
Form may be submitted by mail, email, or drop box located at City Hall.
Mailing Address:
Clear Lake Shores Municipal Court
Email:
1006 South Shore Drive
Clear Lake Shores, TX 77565
twilson@clearlakeshores-tx.gov
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signature
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