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Fill and Sign the Supreme Court of Alabama Alabama State Bar Form

Fill and Sign the Supreme Court of Alabama Alabama State Bar Form

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ALABAMA CENTRAL DISBURSEMENT DIVISION CHANGE OF ADDRESS AND / OR NAME CASE NUMBER ____________________ _________________________________________ V _________________________________________ PLAINTIFF DEFENDANT YOUR NAME AS IT IS LISTED IN THE COURT RECORD: _________________________________ *SOCIAL SECURITY NUMBER: _____________________________ NAME CHANGE: PLEASE CHANGE THE NAME ON MY CHECK FROM: PRESENT NAME: _________________________________________________ TO: NEW NAME: ________________________________________________________ ADDRESS CHANGE: PLEASE CHANGE THE MAILING ADDRESS FOR MY CHECK FROM: OLD ADDRESS: ________________________________________ ________________________________________ ________________________________________ TO: NEW ADDRESS: ________________________________________ ________________________________________ ________________________________________ SIGNATURE: _________________________________________ DATE: _____________________ *THE DISCLOSURE OF YOUR SOCIAL SECURITY NUMBER IS MANDATORY. IT IS BASED ON SECTION 446(A)(13) OF THE SOCIAL SECURITY ACT [42 U.S.C. 666(A)(13)], AND WILL BE USED UNDER THE STATE’S CHILD SUPPORT ENFORCEMENT PROGRAM TO LOCATE INDIVIDUALS FOR PURPOSES OF ESTABLISHING PATERNITY AND ESTABLISHING, MODIFYING, AND ENFORCING SUPPORT OBLIGATIONS. IF YOU HAVE ANY QUESTIONS, CALL 1-877-774-9513 RETURN TO: ALABAMA CENTRAL DISBURSEMENT DIVISION P.O. BOX 4960 MONTGOMERY, ALABAMA 36103-4960

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