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UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF IOWA
P.O. Box 9264 Des Moines, Iowa 50306-9264 www.iasb.uscourts.gov

In the Matter of:

Case No.

NOTICE OF CHANGE OF ADDRESS CHECK ONLY ONE _______ _______ Debtor's Change of Address Creditor's Change of Address

NAME: NEW MAILING ADDRESS:

Dated: __________________ Signature REQUESTOR'S NAME: ADDRESS:

TELEPHONE NO.:

All future notices will be sent to the above address.

NtcAddrChg.doc 4/15/05