Free Change of Address - New Jersey

UNITED STATES BANKRUPTCY COURT District of New Jersey

CHANGE OF ADDRESS FORM This form is to be used to change the address of a party to a bankruptcy or an adversary proceeding ONLY. A debtor who wishes to add a creditor not previously listed in his schedules must file an Amendment to Schedule D, E & F and submit a fee of $26.00.

Debtor's name: ________________________________Case number:_____________________ Party's name/type: ____________________________________________________________ (Example: John Smith, creditor) Old address: _______________________________________ _______________________________________ _______________________________________ New address: _______________________________________ _______________________________________ _______________________________________ New phone no.:______________________________________

I hereby certify under penalty of perjury that the above information is correct. If a debtor, I am aware that it is my responsibility to notify the Trustee and any affected party of my change of address.

Date: _____________________

__________________________________________ Signature