PGN-51 R05-05
OPTIONAL
NOTICE OF CHANGE OF ADDRESS AND TELEPHONE NUMBER
Page 1 of 2
ATTORNEY OR PARTY WITHOUT ATTORNEY (
Name, state bar number, and address
):
FOR COURT USE ONLY
TELEPHONE NO: FAX NO:
ATTORNEY FOR (
Name
):
SUPERIOR COURT OF CALIFORNIA • COUNTY OF FRESNO
PLAINTIFF/PETITIONER :
DEFENDANT/RESPONDE NT:
CASE NUMBER:
NOTICE OF CHANGE OF ADDRESS AND TELEPHONE NUMBER
Notice is hereby given that______________________________________________________,
Attorney for
Plaintiff/Petitioner Defendant/Respondent Other: _______________________________________,
has changed address to:
New Address
Address: __________________________________
City: __________________________________
State: __________________________________
Zip Code: __________________________________
Telephone Number: __________
ANY AND ALL NOTICES AND DOCUMENTS regarding this action should now be sent to the above address.
Dated: ____________________
(
TYPE OR PRINT NAME
) (
SIGNATURE
)
Fresno, California 93724
1100 Van Ness Avenue
Central Division
CRIMINAL DEPARTMENT
CASE TITLE
CASE NUMBER:
NOTICE OF CHANGE OF ADDRESS AND TELEPHONE NUMBER
Page 2 of 2
PROOF OF SERVICE BY MAIL
NOTICE OF CHANGE OF ADDRESS AND TELEPHONE NUMBER
1.
I am least 18 years old and not a party to this case. I am a resident or employed in the county where
the mailing took place, and my residence or business address is (specify
):
2.
I served a copy of the Notice of Change of Address and Telephone Number by mailing it in a sealed
envelope with postage fully prepaid, certified mail, return receipt requested, as follows:
I deposited the envelope with the United States Postal Service.
I placed the envelope for collection and processing for mailing, following this business’s ordinary
practice, with which I am readily familiar. On the same day correspondence is placed for collection
and mailing, it is deposited with the United States Postal Service in the ordinary course of business.
3. Manner of service:
Date of mailing:
Place mailed from:
Addressed as follows:
Name:
Street:
City, State, Zip Code:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Dated: _______________
(
TYPE OR PRINT NAME
) (
SIGNATURE
)
PGN-51 R05-05
OPTIONAL