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HEARING DATE AND TIME
SUMMONS FOR UNLAWFUL DETAINER
SUMMONS FOR UNLAWFUL DETAINER
VA. CODE § 8.01-126
VA. CODE § 8.01-126
(CIVIL CLAIM FOR EVICTION)
(CIVIL CLAIM FOR EVICTION)
Commonwealth of Virginia
Commonwealth of Virginia
CASE NO.
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...................................................................................................................................... General District Court
...................................................................................................................................... General District Court
CITY OR COUNTY
CITY OR COUNTY
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PLAINTIFF(S) NAME(S) (LAST, FIRST, MIDDLE)
..........................................................................................................................................................................
..........................................................................................................................................................................
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STREET ADDRESS OF COURT
STREET ADDRESS OF COURT
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TO ANY AUTHORIZED OFFICER: Summon the Defendant(s) as provided below:
TO ANY AUTHORIZED OFFICER: Summon the Defendant(s) as provided below:
.......................................................................................................
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TO THE DEFENDANT(S): You are commanded to appear before this Court on
TO THE DEFENDANT(S): You are commanded to appear before this Court on
................................................................................................................................ to answer this civil claim.
................................................................................................................................ to answer this civil claim.
.......................................................................................................
___________________
RETURN DATE AND TIME
RETURN DATE AND TIME
TELEPHONE NUMBER
v.
______________________________________
______________________________________
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DATE ISSUED
DATE ISSUED
CLERK
CLERK
DEPUTY CLERK
DEPUTY CLERK
MAGISTRATE
MAGISTRATE
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DEFENDANT(S) NAME(S) (LAST, FIRST, MIDDLE)
CLAIM AND AFFIDAVIT: That Defendant(s) unlawfully detains and withholds from Plaintiff(s):
CLAIM AND AFFIDAVIT: That Defendant(s) unlawfully detains and withholds from Plaintiff(s):
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ADDRESS/DESCRIPTION OF DETAINED PROPERTY
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and that the Defendant should be removed from possession based on the following:
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unpaid rent
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TELEPHONE NUMBER
and further that rent is due and owing and damages have been incurred as follows:
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TO DEFENDANT: You are not required to appear;
$
................................. rent due for ................................................and interest .................................................
RENT
PERIOD
RATE(S) AND BEGINNING DATE(S)
however, if you fail to appear, judgment may be entered
against you. See the additional notice on the reverse
and $ ...................... late fee and $ ....................... damages for ........................................................................
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Redemption tender
about requesting a change of trial location and your right
presented; continued to:
and $ .......................... costs and $ ............................. civil recovery and $ ....................... attorney’s fees.
to prevent this unlawful detainer action through payment
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This summons is filed to terminate a tenancy pursuant to the Virginia Residential Landlord and Tenant
of amounts owed.
...........................................................
Act, § 55-248.2 et seq. of the Code of Virginia.
HEARING DATE AND TIME
All required notices have been given. ______________________________________________________
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To dispute this case, you must appear on the return
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PLAINTIFF(S)
PLAINTIFF’S ATTORNEY
PLAINTIFF’S AGENT
date to try this case
Subscribed and sworn to before me this .............. day of ........................................................, 20 ...............
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To dispute this case, you must appear on the return
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Defendant must pay:
..................................... _______________________________________________
date for the judge to set another date for trial
.
My commission expires:
....................................
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NOTARY REGISTRATION NO.
CLERK
DEPUTY CLERK
MAGISTRATE
NOTARY PUBLIC
If you fail to appear and a default judgment is entered
$
.............................................
.................................................................
[ ] City [ ] County of
against you, a writ of possession may be issued
RENT OWED
into the court to be held in
immediately for possession of the premises.
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CASE DISPOSITION
............................................................................
escrow by
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JUDGMENT that Plaintiff(s) recover against
named DEFENDANT(S).
Bill of Particulars ordered
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possession of the premises described above pursuant to § 8.01-128.
DUE DATE
.................................................
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A hearing shall be held on .......................................................... to establish final rent and damages.
Grounds of Defense ordered
DATE
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DATE AND TIME
and any rents coming due prior
DUE DATE
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Immediate writ of possession authorized pursuant to Virginia Code
to the next hearing date must
ATTORNEY FOR PLAINTIFF(S)
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§ 8.01-129 based upon a judgment of default for
a trustee’s deed following foreclosure
also be paid into the court.
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the nonpayment of rent
immediate non-remediable termination.
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§ 55-243(C) or § 55-248.34:1(D).
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JUDGE’S INITIALS
DEFENDANT(S) PRESENT?
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YES
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NO
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__________________________________________________
TELEPHONE NUMBER
MONEY JUDGMENT PAID OR
DATE
JUDGE
ATTORNEY FOR DEFENDANT(S)
SATISFIED PURSUANT TO
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Rent, in the sum of $ ........................................... with interest ...............................................................
ATTACHED NOTICE OF
.......................................................................................................
RATE(S) AND BEGINNING DATE(S)
SATISFACTION
and $ ........................................ late fee and $ .......................... damages and
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$ ............................ costs and $ ................................ civil recovery and $ ........................... attorney’s fees.
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DATE
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HOMESTEAD EXEMPTION WAIVED?
YES
NO
CANNOT BE DEMANDED
TELEPHONE NUMBER
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JUDGMENT FOR
NAMED DEFENDANT(S)
.........................................................................
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DISABILITY ACCOMMODATIONS for loss of
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NON-SUIT
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DISMISSED DEFENDANT(S) PRESENT?
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YES
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NO
CLERK
vision, hearing, mobility, etc. Contact the court ahead of
......................................................................
_________________________________________________
time.
DATE
JUDGE
FORM DC-421 FRONT 07/12