Fill and Sign the California Notice Address Form

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY ––––– ––––– ––––– ––––– TELEPHONE NO.: ––––– FAX NO. (Optional): ––––– E-MAIL ADDRESS (Optional): ––––– ATTORNEY FOR (Name): ––––– SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– PLAINTIFF/PETITIONER: ––––– CASE NUMBER: ––––– ––––– DEFENDANT/RESPONDENT: ––––– JUDICIAL OFFICER: ––––– ––––– DEPT.: NOTICE OF CHANGE OF ADDRESS ––––– 1. Please take notice that, as of (date): ––––– the following party or the attorney for: a. plaintiff (name): ––––– b. defendant (name): ––––– c. petitioner (name): ––––– d. respondent (name): ––––– e. other (describe): ––––– has changed his or her address for service of notices and documents in the above-captioned action. A list of additional parties represented is provided in Attachment 1. 2. The new address of (name): ––––– is as follows: ––––– a. Street: ––––– b. City: ––––– c. Mailing address (if different from above): ––––– d. State and zip code: ––––– e. Telephone number : ––––– f. Fax number (optional): ––––– g. E-mail address (optional): ––––– 3. All notices and documents regarding the action should be sent to the above address. Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY) Page 1 of 2 Form Approved for Optional Use NOTICE OF CHANGE OF ADDRESS Cal. Rules of Court, rule 2.200 Judicial Council of California MC-040 [Rev. January 1, 2007] electronic form ã 2005 WWW.LawCA.co m Law Publishers MC-040 PLAINTIFF: ––––– CASE NUMBER: DEFENDANT: ––––– ––––– PROOF OF SERVICE BY FIRST-CLASS MAIL NOTICE OF CHANGE OF ADDRESS (NOTE: You cannot serve the Notice of Change of Address if you are a party in the action. The person who served the notice must complete this proof of service.) 1. I am at least 18 years old and not a party to this action. I am a resident of or employed in the county where the mailing took place, and my residence or business address is (specify): ––––– ––––– ––––– ––––– 2. I served a copy of the Notice of Change of Address by enclosing it in a sealed envelope with postage fully prepaid and (check one): a. deposited the sealed envelope with the United States Postal Service. b. placed the sealed envelope for collection and processing for mailing, following this business's usual practices, with which I am readily familiar. On the same day correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service. 3. The Notice of Change of Address was mailed: a. on (date): ––––– b. from (city and state): ––––– 4. The envelope was addressed and mailed as follows: a. Name of person served: ––––– c. Name of person served: ––––– ––––– ––––– Street address: ––––– Street address: ––––– ––––– ––––– City: ––––– City: ––––– State and zip code: ––––– State and zip code: ––––– ––––– ––––– b. Name of person served: ––––– c. Name of person served: ––––– ––––– ––––– Street address: ––––– Street address: ––––– ––––– ––––– City: ––––– City: ––––– State and zip code: ––––– State and zip code: ––––– ––––– ––––– Names and addresses of additional persons served are attached. (You may use form POS-030(P).) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– (TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT) MC-040 [Rev. January 1, 2007] NOTICE OF CHANGE OF ADDRESS Page 2 of 2MC-040