Summons For Unlawful Detainer
Download a blank fillable Summons For Unlawful Detainer in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Summons For Unlawful Detainer with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Print
Highlight Fields
Clear All Data
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.
___________________
...................................................................................................................................... General District Court
...................................................................................................................................... General District Court
CITY OR COUNTY
CITY OR COUNTY
.......................................................................................................
PLAINTIFF(S) NAME(S) (LAST, FIRST, MIDDLE)
..........................................................................................................................................................................
..........................................................................................................................................................................
___________________
STREET ADDRESS OF COURT
STREET ADDRESS OF COURT
.......................................................................................................
TO ANY AUTHORIZED OFFICER: Summon the Defendant(s) as provided below:
TO ANY AUTHORIZED OFFICER: Summon the Defendant(s) as provided below:
.......................................................................................................
___________________
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.
______________________________________
______________________________________
............................................................
............................................................
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
.......................................................................................................
DATE ISSUED
DATE ISSUED
CLERK
CLERK
DEPUTY CLERK
DEPUTY CLERK
MAGISTRATE
MAGISTRATE
___________________
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):
.......................................................................................................
___________________
.............................................................................................................................................................................
ADDRESS/DESCRIPTION OF DETAINED PROPERTY
.......................................................................................................
and that the Defendant should be removed from possession based on the following:
___________________
[ ]
[ ]
.......................................................................................................
unpaid rent
.............................................................................................................................................
TELEPHONE NUMBER
and further that rent is due and owing and damages have been incurred as follows:
___________________
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 ........................................................................
[ ]
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
[ ]
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. ______________________________________________________
[ ]
To dispute this case, you must appear on the return
[ ]
[ ]
[ ]
PLAINTIFF(S)
PLAINTIFF’S ATTORNEY
PLAINTIFF’S AGENT
date to try this case
Subscribed and sworn to before me this .............. day of ........................................................, 20 ...............
[ ]
To dispute this case, you must appear on the return
[ ]
Defendant must pay:
..................................... _______________________________________________
date for the judge to set another date for trial
.
My commission expires:
....................................
[ ]
[ ]
[ ]
[ ]
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.
[ ]
CASE DISPOSITION
............................................................................
escrow by
[ ]
[ ]
JUDGMENT that Plaintiff(s) recover against
named DEFENDANT(S).
Bill of Particulars ordered
...................................................
[ ]
possession of the premises described above pursuant to § 8.01-128.
DUE DATE
.................................................
[ ]
A hearing shall be held on .......................................................... to establish final rent and damages.
Grounds of Defense ordered
DATE
..............................................
DATE AND TIME
and any rents coming due prior
DUE DATE
[ ]
Immediate writ of possession authorized pursuant to Virginia Code
to the next hearing date must
ATTORNEY FOR PLAINTIFF(S)
[ ]
[ ]
§ 8.01-129 based upon a judgment of default for
a trustee’s deed following foreclosure
also be paid into the court.
[ ]
[ ]
.......................................................................................................
the nonpayment of rent
immediate non-remediable termination.
____________________________
[ ]
§ 55-243(C) or § 55-248.34:1(D).
.......................................................................................................
JUDGE’S INITIALS
DEFENDANT(S) PRESENT?
[ ]
YES
[ ]
NO
.......................................................................................................
...............................................................
__________________________________________________
TELEPHONE NUMBER
MONEY JUDGMENT PAID OR
DATE
JUDGE
ATTORNEY FOR DEFENDANT(S)
SATISFIED PURSUANT TO
[ ]
Rent, in the sum of $ ........................................... with interest ...............................................................
ATTACHED NOTICE OF
.......................................................................................................
RATE(S) AND BEGINNING DATE(S)
SATISFACTION
and $ ........................................ late fee and $ .......................... damages and
.......................................................................................................
$ ............................ costs and $ ................................ civil recovery and $ ........................... attorney’s fees.
.....................................................
.......................................................................................................
DATE
[ ]
[ ]
[ ]
HOMESTEAD EXEMPTION WAIVED?
YES
NO
CANNOT BE DEMANDED
TELEPHONE NUMBER
[ ]
[ ]
[ ]
JUDGMENT FOR
NAMED DEFENDANT(S)
.........................................................................
.....................................................
DISABILITY ACCOMMODATIONS for loss of
[ ]
NON-SUIT
[ ]
DISMISSED DEFENDANT(S) PRESENT?
[ ]
YES
[ ]
NO
CLERK
vision, hearing, mobility, etc. Contact the court ahead of
......................................................................
_________________________________________________
time.
DATE
JUDGE
FORM DC-421 FRONT 07/12
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal