March 18, 2016
RE:
ADDRESS CHANGE VERIFICATION
It has been brought to our attention that you may have recently changed your address. We were
able to obtain the address listed above through a locating agency. However, in order for us to
change our records, please complete, sign and return the below address change form.
Thank you.
OLD ADDRESS:
NEW ADDRESS:
______________________________________
_____________________________________
______________________________________
_____________________________________
______________________________________
_____________________________________
___________________________________
Owner Name as it appears on your Division
Order or payment detail
_______________________________________
Owner Number as it is listed on your Division
Order or payment detail
___________________________________
Social Security Number/TIN
________________________ /______________
Signature/Date
Return to:
Continental Resources, Inc.
MDG Department
PO Box 269000
Oklahoma City, OK 73126