| Address Change within Morgan County | |
| Date | _____________________ |
| Name (Last, First, Middle) | _____________________________________________________________________________ |
| Previous Address | _____________________________________________________________________________ |
| Present Address | _____________________________________________________________________________ |
| Mailing Address | _____________________________________________________________________________ |
| Phone Number | _____________________________________________________________________________ |
| Date of Birth | _____________________________________________________________________________ |
| Social Security Number | _____________________________________________________________________________ |
| Signature | _____________________________________________________________________________ |
Please mail to:
Morgan County Clerk
100 E. Newton Street
Versailles, MO 65084