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PR-DJ-110 Certificate of Last Known Mailing Address (Rev. 10-2014). PR-DJ-110 Certificate of Last Known Address (07-2020).Send certificate of last known address via email, link, or fax. You can also download it, export it or print it out. Instruction: A plaintiff requesting a default judgment must provide to the Clerk in writing the last known mailing address of the defendant. Who must file: Some individuals filing for divorce. This Texas "Certificate of Last Known Address" form is classified as a Default form. Addresses for Service on the Secretary of State. With this requirement, a certificate of service must be included with each filing. The full name of the deceased, their last address and Social Security Number; A copy of the death certificate; Either:.