Free Corel Office Document - Oregon

UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) )

Case No.________________ CHANGE OF ADDRESS; OR, IF NOT DONE BY DEBTOR, ADDITION OF INTERESTED PARTY

Debtor(s)

I, THE UNDERSIGNED, CERTIFY THE FOLLOWING IS TRUE AND CORRECT: 1. The address of ONLY ________________________________________ must be changed or added. (TYPE OR PRINT NAME) 2. The address change or additions for the party named in pt. 1 should be made as follows (CHECK ONLY ONE): a. CHANGE FOR BOTH DEBTORS (i.e., both debtors' addresses will be changed even if they currently have different addresses and only one debtor is named in pt. 1); b. CHANGE FOR ONLY ONE DEBTOR [i.e., only address of the debtor named in pt. 1 (or husband if both names appear in a joint case) will be changed]; c. CHANGE FOR ONLY JOINT DEBTOR [i.e., only address of joint debtor (wife) will be changed even if both names appear in pt. 1]; d. CHANGE FOR DEBTOR'S ATTORNEY; e. CHANGE FOR CREDITOR OR OTHER INTERESTED PARTY [NOTE: An address change submitted by the debtor will result in the inclusion of a supplemental address for the creditor if it is different from one provided by the creditor on a proof of claim]; or f. ADDITION OF CREDITOR OR OTHER INTERESTED PARTY TO MAILING LIST [NOTE: This form is ONLY for use by the PARTY whose address is being ADDED. LBF #728 must be used if the debtor needs to add such party.]. 3. [Must be completed if 2a, 2b, 2c, 2d or 2e above was checked] The entity's old address as shown in the case file is: ________________________________________________________________________________ ______________________________________________________________________________________ 4. The entity's NEW address AND PHONE # is: _________________________________________________ ______________________________________________________________________________________

DATED: __________ ___________________________________________ **SIGNATURE **NOTE: THIS FORM MUST BE SIGNED AND WILL BE EFFECTIVE IMMEDIATELY! ___________________________________________ TYPE OR PRINT SIGNER'S NAME OSB # (if atty.) ___________________________________________ SIGNER'S PHONE # AND RELATION TO CASE

101 (1/1/08)