TWENTY- FOURTH JUDICIAL DISTRICT COURT PARISH OF JEFFERSON NUMBER: __________ DIVISION “D” STATE OF LOUISIANA VERSUS _________________________________ FILED: ___________ REANNA TURNER DEPUTY CLERK DECLARATION OF ADDRESS CHANGE BY DEFENDNT OR SURETY I ________________________, DO HEREBY DECLARE MY CURRENT STREET ADDRESS TO BE AS FOLLOWED: DEFENDANT OR SURETY NAME DATE OF BIRTH NUMBER/ STREET ADDRESS APT. NO. (DO NOT PUT POST OFFICE BOX) CITY STATE ZIP CODE TODAY’S DATE SIGNATURE OF DEFENDANT OR SURETY PURSUANT TO CODE OF CRIMINAL PROCEDURE ART. 332, THE DEFENDANT OR SURETY MUST FILE A WRITTEN DECLARATION OF EACH CHANGE OF ADDRESS. IT IS YOUR OBLIGATION TO KEEP YOUR ADDRESS UP TO DATE WITH THE CLERKS OFFICE. PLEASE MAKE SURE YOUR ADDRESS IS WRITTEN CLEARLY ON FORM.
