Royalty Relations Joint Royalty Address Change Date* MM slash DD slash YYYY Name*Owner Numbers*Last Four of SSNs / Tax IDs*Phone Number*Email Addresses*Please place a comma between each e-mail address specified.Old Address*New Address*Consent* By submitting this form, I verify that I am the above-named person and I authorize United Production Partners, Inc. to make this requested address changeCaptcha Δ