Sherri Adelstein Denton County District Clerk CHANGE OF NAME AND/OR ADDRESS FOR CHILD SUPPORT (Cambio De Nombre y Domicilio para Child Support) Cause No. : ______________________ (Numero De Corte #) Name: ________ ___________________________________________ (Nombre Del Acusado) Old Address: _____________________________________________________ (Domicilio Anterior) ____ _________________________________________________ New Name: (Nuevo Nombre) __________ ___________________________________________ New Address: ______________________________________________________ (Domicilio Actual) ______________________________________________________ Home Phone No :. (Telefono de casa) ______________________________________________________ Work Phone No. _____________ ________________________________________ (Telefono de trabajo) Effective Date: (dia effectivo) _____________________________________________________ ________________________________ Signature (Firma) 1450 E McKinney Denton TX 76209 www.dentoncounty.com P O Box 2146 Denton TX 76202 940-349-2200 Fax: 940-349-2201