Change Of Address - Harris County District Clerk

CHANGE OF ADDRESS
Cambio De Domicilio
To request a change of address with regards to a cash bond deposit, complete this form, including
notarization and mail to (Para solicitar un cambio de domicilio de su depósito de obligación en
efectivo, complete esta forma, incluyendo notarización y envíe a):
Harris County District Clerk’s Office
P.O. Box 4651
Houston, TX 77210-4651
Without notarization the form must be filed in person by the depositor at 1201 Franklin, Suite 3180.
Depositor must provide proper identification. It is essential that Change of Address requests are
completed and filed prior to the conclusion of the criminal case. (Sin la notarización la forma debe
ser archivada en persona por el depositante en 1201 Franklin, Cuarto 3180. El depositante debe
proveer identificación apropiada. Es importante que este peticion de Cambio de Domicilio sea
completado y archivado antes de la conclusión del caso criminal.)
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Court #:
(Numero De Corte #)
Case#:
(Numero De Case#)
Defendant Name:
(Nombre Del Acusado)
Depositor Name:
(Nombre Del Depositor)
Old Address:
(Domicilio Anterior)
New Address:
(Domicilio Actual)
Telephone:
(Telefono)
Driver’s License No. Or Picture ID No:
(Numero De Licencia De Manejar O Identificacion Con Foto)
____________________________________
Signature Of Depositor
(Firma Del Depositor)
State Of Texas
County Of Harris
§
§
Before me, the undersigned authority personally appeared,
,
who being represented to me as the person whose name is subscribed to the foregoing instrument,
acknowledged to me that he executed the same for the purposes of consideration therein expressed.
Given under my hand and seal of office this
day of
, a.d.
.
Notary signature, seal, and expiration
Chris Daniel, District Clerk
Received By: _________________________