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Service Other Than By Virginia Sheriff DC-411 - Virginia
| Service Other Than By Virginia Sheriff Form. This is a Virginia form and can be used in Civil District Court Statewide . |
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SERVICE OTHER THAN BY VIRGINIA SHERIFF COMMONWEALTH OF VIRGINIA Va. Code ยงยง 8.01-296, 8.01-320, 8.01-325, 8.01-511 .............................................................................................. ............................................................................ Case No.: ................................................................. [ ] General District Court [ ] Juvenile and Domestic Relations District Court v./ In re: ......................................................................................... .................................................................................................................................................................................... is the name and address of the person upon whom service of the following is to be made. [ ] Warrant in Debt [ ] Summons for Unlawful Detainer [ ] Visitation [ ] Garnishment Summons [ ] Custody [ ] Support [ ] ................................................................................................................................................................... I, the undersigned, swear/affirm that: 1. [ ] I am an official or an employee of an official who is authorized to serve process of type described in the attached PROOF OF SERVICE and my title and bailiwick are: ............................................................................................................................................................ OR [ ] I am a private process server: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NAME ............................................................................................................................................................ ADDRESS AND TELEPHONE NUMBER 2. 3. 4. I am not a party to, or otherwise interested in, the subject matter in controversy in this case. I am 18 years of age or older. I served, as shown below, the above-named person upon whom service of process was to be made with copies described above. Date and time of service: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Place of service: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STREET ADDRESS, CITY AND STATE Method of service: (If served outside of Virginia, use only personal service.) [ ] Personal Service [] [ ] Other (allowed only in Virginia) Being unable to make personal service, a copy was delivered in the following manner: [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. List name, age of recipient, and relation of recipient to party: ............................................................................................. [] Posted on front door or such other door as appears to be the main entrance of usual place of abode (other authorized recipient not found). (Garnishment Summons Only) Copy mailed to judgment debtor after serving the garnishee on date of service below unless a different date of mailing is shown. ......................................................................................................... DATE OF MAILING [] [ ] Not Found _____________________________________________________________________ SIGNATURE OF PERSON SERVING .......................................................... DATE OF SERVICE Name (print or type): State of ..................................................................................................................................................... .............................................. [ ] City [ ] County of ....................................................................................... Subscribed and sworn to/affirmed before me this day by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......................................................... DATE _____________________________________________________________________ NOTARY PUBLIC My Commission Expires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FORM DC-411 REVISED 12/04 American LegalNet, Inc. www.USCourtForms.com
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