Virginia > Statewide > District Court > Civil
Summons For Unlawful Detainer DC-421 - Virginia
| Summons For Unlawful Detainer Form. This is a Virginia form and can be used in Civil District Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
SUMMONS FOR UNLAWFUL DETAINER (CIVIL CLAIM FOR EVICTION) CITY OR COUNTY VA. CODE § 8.01-126 HEARING DATE AND TIME Commonwealth of Virginia CASE NO. ....................................................................................................... PLAINTIFF(S) NAME(S) (LAST, FIRST, MIDDLE) ...................................................................................................................................... General District Court .......................................................................................................................................................................... STREET ADDRESS OF COURT ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ [ ] Redemption tender presented; continued to: ........................................................... HEARING DATE AND TIME TO ANY AUTHORIZED OFFICER: Summon the Defendant(s) as provided below: TO THE DEFENDANT(S): You are commanded to appear before this Court on ....................................................................................................... ....................................................................................................... ....................................................................................................... TELEPHONE NUMBER ................................................................................................................................ to answer this civil claim. RETURN DATE AND TIME ............................................................ DATE ISSUED ______________________________________ [ ] CLERK [ ] DEPUTY CLERK [ ] MAGISTRATE v. ....................................................................................................... DEFENDANT(S) NAME(S) (LAST, FIRST, MIDDLE) CLAIM AND AFFIDAVIT: That Defendant(s) unlawfully detains and withholds from Plaintiff(s): ............................................................................................................................................................................. ADDRESS/DESCRIPTION OF DETAINED PROPERTY ....................................................................................................... ....................................................................................................... ....................................................................................................... TELEPHONE NUMBER and that the Defendant should be removed from possession based on the following: [ ] unpaid rent [ ]............................................................................................................................................. and further that rent is due and owing and damages have been incurred as follows: $ ................................. rent due for ................................................and interest ................................................. RENT PERIOD RATE(S) AND BEGINNING DATE(S) and $ ...................... late fee and $ ....................... damages for ........................................................................ and $ .......................... costs and $ ............................. civil recovery and $ ....................... attorney's fees. [ ] This summons is filed to terminate a tenancy pursuant to the Virginia Residential Landlord and Tenant Act, § 55-248.2 et seq. of the Code of Virginia. All required notices have been given. ______________________________________________________ [ ] PLAINTIFF(S) [ ] PLAINTIFF'S ATTORNEY [ ] PLAINTIFF'S 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 and your right to prevent this unlawful detainer action through payment of amounts owed. [ ] To dispute this case, you must appear on the return date to try this case Subscribed and sworn to before me this .............. day of ........................................................, 20 ............... My commission expires: ..................................... _______________________________________________ NOTARY REGISTRATION NO. .................................... [ ] CLERK [ ] DEPUTY CLERK [ ] MAGISTRATE [ ] NOTARY PUBLIC [ ] City [ ] County of ................................................................. CASE DISPOSITION [ ] ............................................................................ [ ] JUDGMENT that Plaintiff(s) recover against [ ] named DEFENDANT(S). [ ] possession of the premises described above pursuant to § 8.01-128. [ ] A hearing shall be held on .......................................................... to establish final rent and damages. DATE AND TIME [ ] To dispute this case, you must appear on the return date for the judge to set another date for trial. If you fail to appear and a default judgment is entered against you, a writ of possession may be issued immediately for possession of the premises. [ ] Defendant must pay: $ ............................................. RENT OWED Bill of Particulars ordered ................................................... DUE DATE into the court to be held in escrow by ................................................. DATE Grounds of Defense ordered .............................................. DUE DATE [ ] Immediate writ of possession authorized pursuant to Virginia Code [ ] § 8.01-129 based upon a judgment of default for [ ] a trustee's deed following foreclosure [ ] the nonpayment of rent [ ] immediate non-remediable termination. [ ] § 55-243(C) or § 55-248.34:1(D). DEFENDANT(S) PRESENT? [ ] YES [ ] NO ............................................................... DATE ATTORNEY FOR PLAINTIFF(S) ....................................................................................................... ....................................................................................................... ....................................................................................................... TELEPHONE NUMBER and any rents coming due prior to the next hearing date must also be paid into the court. ____________________________ JUDGE'S INITIALS __________________________________________________ JUDGE ATTORNEY FOR DEFENDANT(S) ...........................................................................................
|
|||||||
