Change Of Address Form

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JUSTICE COURT, LAS VEGAS TOWNSHIP
CLARK COUNTY, NEVADA
CHANGE OF A D D R E S S F O R M
Case File:
Case/Citation #:_________________________
____Plaintiff address change
ID#: _________________________________
____Defendant address change
______________________________________
Records Tracking Desk
Court Appearance Date:___________________
Bookkeeping
______________________________________
______________________________________
Name: _____________________________________________________________
Individual Making Change: ____________________________________________
Address: __ _________________________________________________________
___________________________________________________________________
City: _____________________________ State: _________ Zip Code: _________
Phone: ______________________________
Comments:_________________________________________________________________
_______________________________________________________________________
Signature: _______________________________ Phone: __________________________
Clerk’s Initials:_________________
Date: _________________________

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