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Warrant In Debt DC-412 - Virginia

Warrant In Debt Form. This is a Virginia form and can be used in Civil District Court Statewide .
 Fillable pdf Last Modified 7/20/2005
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WARRANT IN DEBT (CIVIL CLAIM FOR MONEY) Commonwealth of Virginia VA. CODE ยง 16.1-79 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General District Court CITY OR COUNTY CASE NO. ......................................................... PLAINTIFF(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL) HEARING DATE AND TIME _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ _______________ JUDGMENT PAID OR SATISFIED PURSUANT TO ATTACHED NOTICE OF SATISFACTION. ..................... DATE ................................................................................................... STREET ADDRESS OF COURT ......................................................... ......................................................... ......................................................... V. ......................................................... DEFENDANT(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL) TO ANY AUTHORIZED OFFICER: You are hereby commanded to summon the Defendant(s). TO THE DEFENDANT(S): You are summoned to appear before this Court at the above address on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to answer the Plaintiff(s)' civil claim (see below) RETURN DATE AND TIME ............................. DATE ISSUED _______________________________________________ [ ] CLERK [ ] DEPUTY CLERK [ ] MAGISTRATE ......................................................... ......................................................... CLAIM: Plaintiff(s) claim that Defendant(s) owe Plaintiff(s) a debt in the sum of .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . net of any credits, with interest at . . . . . . . . % from date of . . . . . . . . . . . . . until paid, $ . . . . . . . . . . . . . . . . . . . costs and $ . . . . . . . . . . . . . . . . . . attorney's fees with the basis of this claim being WARRANT IN DEBT *** [ ] Open Account [ ] Contract [ ] Note [ ] Other (EXPLAIN) .................................................................................................. HOMESTEAD EXEMPTION WAIVED? [ ] YES .................. DATE [ ] NO [ ] cannot be demanded __________________________________________________________ [ ] PLAINTIFF [ ] PLAINTIFF'S ATTORNEY [ ] PLAINTIFF'S EMPLOYEE/AGENT TO DEFENDANT: You are not required to appear; however, if you fail to appear, judgment may be entered against you. See the additional notice on the reverse about requesting a change of trial location. [ ] To dispute this claim, you must appear on the return date to try this case. [ ] To dispute this claim, you must appear on the return date for the judge to set another date for trial. Bill of Particulars . . . . . . . . . . . . . . . . . . . . . . ORDERED CASE DISPOSITION JUDGMENT against [ ] named Defendant(s) [ ] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . net of any credits, with interest at . . . . . . . . . . . . . % from date of . . . . . . . . . . . . . . . . . . . . . . . . . . until paid, $. . . . . . . . . . . . . . . costs and $. . . . . . . . . . . . . . . . . . . . .attorney's fees HOMESTEAD EXEMPTION WAIVED? [ ] YES [ ] NO [ ] CANNOT BE DEMANDED ............... DUE Grounds of Defense . . . . . . . . . . . . . . . . . . . . . . ORDERED .............. DUE ATTORNEY FOR PLAINTIFF(S) ......................................................... ......................................................... ATTORNEY FOR DEFENDANT(S) ......................................................... ........................................................ ..................... CLERK [ ] JUDGMENT FOR [ ] NAMED DEFENDANT(S) [ ] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] NON-SUIT [ ] DISMISSED .................................................................... DISABILITY ACCOMMODATIONS Defendant(s) Present? [ ] YES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] NO ....................... DATE for loss of hearing, vision, mobility, etc., contact the court ahead of time. ________________________________________________________ JUDGE American LegalNet, Inc. www.USCourtForms.com FORM DC-412 (PAGE ONE OF TWO) 07/04 PDF RETURNS: Each defendant was served according to law, as indicated below, unless not found. NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................................. ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................................................. NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................................................... ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................................................... NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................................................... ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................................................... [] PERSONAL SERVICE Tel. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [] PERSONAL SERVICE Tel. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [] PERSONAL SERVICE Tel. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Being unable to make personal service, a copy was delivered in the following manner: Being unable to make personal service, a copy was delivered in the following manner: 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
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