Free Form M - Debtor's Change of Address/Phone Number - Vermont

VTB Form M 03/2008

United States Bankruptcy Court District of Vermont
Case No.: Chapter: Debtor(s)

In re:

To:

Thomas J. Hart, Clerk of Court United States Bankruptcy Court District of Vermont Rutland, Vermont
(manner of filing)

Via: Statement of Change of Address and/or Telephone Number and/or Other Contact Information
[Note: Refer to Vt. LBR 4002-4]

In compliance with Federal Bankruptcy Rule 4002 and Vt. LBR 4002-4, please make note of the following change(s) in contact information for . Name: Mailing Address: City: Telephone No.: Other Contact Info.: This change in contact information is effective
(date)

State:

ZIP Code:

Respectfully Submitted,
(name of party)

Dated at this
(date)

(location)

by:
(signature of movant/attorney)

Name, address, e-mail address, phone number, and fax number of movant/attorney