FAIRFAX CIRCUIT COURT CIVIL ACTION NO: _________________ DOCKETED JUDGMENT NO.___________________ SUMMONS TO ANSWER DEBTOR INTERROGATORIES &/OR PRODUCTION OF DOCUMENTS A judgment was rendered _____________________________________________________________ (Place of Judgment) on , in favor of _________________________________________ (Date of Judgment) , Plaintiff(s) against , Defendant(s) for $ with interest thereon from the day of , , until paid, and $ costs and attorney fees. (Amounts must match the judgment exactly as it was docketed in this court) THEREFORE, upon application of said execution creditor, I COMMAND YOU TO SUMMON the said ______________________________________________________________________ (Name & Address of person to be summoned) ________________________________________________________________________________________ Defendants(s), to appear before:  Fairfax County Circuit Court 4110 Chain Bridge Road Fairfax Virginia 22030 on Friday at 9:00 a.m. on ___________________________  Commissioner in Chancery Name & Address of Commissioner: ____________________________________________________________________________________ to appear at ___________ a.m./p.m. on __________________________________________________   To answer interrogatories and produce records in accordance with the attachment as may be legally propounded by counsel for said execution creditor or by said Court in order to ascertain the estate of the said Defendant(s) upon which the aforesaid execution is a lien, or any real estate to which the said Defendant(s) is/are entitled. And have then and there this writ. Failure to appear in response to this summons, or if you fail to answer questions put to you at the hearing, or if you make answers deemed by the Court presiding to be evasive, You may be subject to arrest and imprisonment until such time as you shall make proper answers. day of , . Given under my hand, this ___________________________ Counsel's Signature ___________________________ Counsel's Printed Name & VSB # ___________________________ Address: JOHN T. FREY, CLERK By: ___________________________ Deputy Clerk Daytime Telephone Number CCR G-101 January 2007 American LegalNet, Inc. www.FormsWorkflow.com