. V I R G I N I A: IN THE FAIRFAX CIRCUIT COURT COMPLAINANT VS CL.___________ - ___________________ _________________________________ DEFENDANT AFFIDAVIT FOR SERVICE BY PUBLICATION Comes now , Complainant herein, seeking service on , the defendant by Order of Publication, and who under oath deposes and states under oath that the Defendant in this cause, Is a non-resident individual, other than a non-resident individual fiduciary who has appointed a statutory agent; or Cannot be found, and that diligence has been used without effect to ascertain the location of the party to be served; or Cannot be served with court process, and that a return has been filed by the Sheriff which shows that the process has been in his or her hands for twenty-one (21) days and the Sheriff has been unable to make service; or OTHER: _______________________________________________________________________________________ _______________________________________________________________________________________ and the last known mailing address of the Defendant is as follows: Address:__________________________________________ __________________________________________ OTHER INFORMATION: Signature of Complainant ___________________________________________ Counsel for Complainant TO BE COMPLETED BY A NOTARY PUBLIC /OR DEPUTY CLERK In the Commonwealth/State of: ____________________ County of: ______________________________ Subscribed and sworn to before me by _______________________________________________________ this , day of . My Commission Expires: _____________________ Notary Public/Deputy Clerk CCR A-285 April 2007 American LegalNet, Inc. www.FormsWorkflow.com V I R G I N I A: IN THE CIRCUIT COURT OF FAIRFAX COUNTY COMPLAINANT VS CL._________ - _______________ _________________________________ DEFENDANT ORDER OF PUBLICATION The reason for this cause is _________________________________________. An affidavit having been made and filed showing that the Defendant in the above-entitled cause is Is a non-resident individual, other than a non-resident individual fiduciary who has appointed a statutory agent; or Cannot be found, and that diligence has been used without effect to ascertain the location of the party to be served; or Cannot be served with court process, and that a return has been filed by the Sheriff which shows that the process has been in his or her hands for twenty-one (21) days and the Sheriff has been unable to make service; or OTHER: _______________________________________________________________________________________ _______________________________________________________________________________________ and the last known mailing address of the Defendant is as follows: Address: __________________________________________ __________________________________________ TO BE COMPLETED BY CLERK’S OFFICE Upon consideration, this Order of Publication is granted, and it is ORDERED that the above named Defendant shall appear here on or before day of , after proper publication of this Order, to protect his/her interest in this cause. Entered: TESTE: John T. Frey, Clerk By: ___________________ Deputy Clerk ____________________________________________ Signature of Complainant or Counsel for Complainant Address:_____________________________________ Phone: _____________________________________ _____________________________________ CCR A-285 April 2007 American LegalNet, Inc. www.FormsWorkflow.com