SURETY'S CAPIAS AND BAILPIECE RELEASE VA. CODE § 19.2-149 Case No. Circuit Court Commonwealth of Virginia v SURETY'S NAME BOND AMOUNT $ COURT TO WHICH DEFENDANT WAS BONDED The Accused is required to appear before the Circuit Court of PART A CITY OR COUNTY on DATE AND TIME LOCATION WHERE DEFENDANT WAS BONDED The Accused was released on a recognizance taken before a judicial officer of the PART B Court named above in block A [OR] Circuit Court CITY OR COUNTY CHARGE: BAILPIECE RELEASE I, the undersigned surety for the accused, desiring to be discharged from liability as surety on the recognizance described above, request a capias for the arrest and surrender of the accused. DATE SURETY SURETY'S CAPIAS TO ANY AUTHORIZED OFFICER, SURETY OR SURETY'S AUTHORIZED AGENT: YOU ARE HEREBY COMMANDED in the name of the Commonwealth forthwith to arrest the Accused, and to deliver him to the Sheriff or Jailor of the city or county named in Part A above. DATE AND TIME ISSUED DEPUTY CLERK CLERK JUDGE I acknowledge that the above-named accused was surrendered to me by DATE AND TIME NAME AND TITLE CC-1305 PDF (6/87) (114:9-015 5/89) American LegalNet, Inc. www.FormsWorkflow.com