UNITED STATES BANKRUPTCY COURT
DISTRICT OF M INNESOTA
301 U .S . COU RTH OUS E M INNEAPO LIS, MN 55415 612-664-5200
LORI A. VOSEJPKA
CLERK OF BA NKRUPTCY CO URT
200 U.S . C O U R TH O U S E ST. PA UL, MN 55101 651-848-1000
200 U .S . COU RTH OUS E FERG US FA LLS, MN 56537 218-739-4671
www.m nb.uscourts.gov
416 U.S . C O U R TH O U S E DULUTH, MN 55802 218-529-3600
Debtor Change of Address
Case Number _____________________ Chapter _______________________
Debtor(s) Name
_______________________________________________________________________
_______________________________________________________________________ Change of address for
9 Debtor only
9 Joint Debtor only
9 Both Debtor and
Joint Debtor
NEW M ailing Address _______________________________________________________________________ Street Address/P.O. Box Num ber
______________________________________________________________________ Suite/Apartm ent Num ber ______________________________________________________________________ City State Zip Code
OLD M ailing Address ______________________________________________________________________ Street Address/P.O. Box Num ber ______________________________________________________________________ Suite/Apartm ent Num ber ______________________________________________________________________ City State Zip Code Debtor(s) Signature ______________________________________________________________________ Date ______________________________________________________________________ Date
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