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REQUEST FOR WRIT OF POSSESSION IN UNLAWFUL DETAINER PROCEEDINGS
CASE NO.
Commonwealth of Virginia
Va. Code § 8.01-471
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General District Court
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Circuit Court
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CITY OR COUNTY
PLAINTIFF(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL)
TO THE COURT:
I/we, the plaintiff(s) in this proceeding, request that this court issue a writ of possession against
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the defendants with regard to the following premises:
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V.
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DEFENDANT(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL)
This request is made upon a judgment for possession dated:
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As this case falls under the Virginia Residential Landlord and Tenant Act (§ 55.28.2 et seq), I/we
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represent that, following the entry of the judgment for possession, the landlord has not accepted rent
payments without reservation, as described in Virginia Code § 55-248.34:1.
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DATE
PLAINTIFF
PLAINTIFF’S ATTORNEY
PLAINTIFF’S AGENT
CAME TO HAND
WRIT OF POSSESSION
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Va. Code §§ 8.01-470, 8.01-472
DATE AND TIME
TO ANY AUTHORIZED OFFICER:
, SHERIFF
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You are hereby commanded in the name of the Commonwealth to cause the Plaintiff(s) to have
possession of the following premises from the defendant(s):
EXECUTED by taking into possession the within-
named premises and delivering possession of it to
the plaintiff(s).
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DATE
You are further commanded to make a return before me within 30 days of this date as to the day
and manner of executing this writ.
, SHERIFF
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by
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DEPUTY SHERIFF
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DATE
CLERK
JUDGE
FORM DC-469 REVISED 07/13
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