Fillable UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA (US Courts)

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UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA (US Courts)

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PLEASE TYPE OR PRINT
Revised August 2012
UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF GEORGIA
Request for Change of Address
Case Name: _____________________________________________________
Case No.: _______________ Chapter: _______
Change of Address for:
Debtor ___ Creditor ___ Attorney for Debtor ___ Attorney for Creditor___
Change for:
Notices ONLY ___ Payments ONLY ___ Notices and Payments ___
EFFECTIVE DATE OF CHANGE: ___________________
Name: ______________________________________
Prior Address: ______________________________________
______________________________________
______________________________________
************************************************************************
New Address: ______________________________________
______________________________________
______________________________________
Change of Address Was Furnished By: Debtor_____ Creditor_____ Attorney _____
Date: _________ Signature of Filer: _____________________________
Telephone Number: _________________________
Attorney Name: ____________________________________
Bar ID: ____________________________________
Address: ____________________________________
____________________________________
IF FILED BY ATTORNEY
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UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA (US Courts)

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Completed 3 October 2020

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