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MOTION FOR SHOW CAUSE SUMMONS OR CAPIAS COMMONWEALTH OF VIRGINIA Case No. .................................................................................... ...................................................................................................... HEARING DATE AND TIME ............................................................................................................................................... Juvenile and Domestic Relations District Court This motion is filed in connection with Case No. ...................................................................................................................................................................................... .......................................................................................................................... v. / In re .......................................................................................................................... Party Making this Request: .......................................................................................................................... NAME Party to be Served: .......................................................................................................................... NAME .......................................................................................................................... ADDRESS/LOCATION .......................................................................................................................... ADDRESS/LOCATION .......................................................................................................................... .......................................................................................................................... TELEPHONE NUMBER .......................................................................................................................... .......................................................................................................................... TELEPHONE NUMBER The undersigned respectfully represents to the Court that the respondent should, COMPLETE DATA BELOW IF KNOWN RACE SEX MO. SSN BORN DAY YR. FT. HT. IN. WGT. EYES HAIR [ ] pursuant to Va. Code � 19.2-306, serve the sentence previously suspended on ....................................................................... for conviction DATE of .................................................................................................................................................................. because ............................................................................. ..................................................................................................................................................................................................................................................................... [ ] have his or her recognizance revoked or modified because of the following violation of conditions of release: ................................................................... ..................................................................................................................................................................................................................................................................... [ ] be imprisoned, fined or otherwise punished or dealt with according to law [ ] pursuant to Va. Code �� 18.2-456/16.1-69.24 for failure to obey an order of [ ] this Court [ ] .................................................................... ordering ............................................................................................................................................................................................................................................................ such act of the respondent being described as .................................................................................................................................. on ................................. DATE [ ] pursuant to Va. Code [ ] �� 18.2-456/16.1-69.24 [ ] � 19.2-358 [ ] � 19.2-305.2 (restitution only), for failure to pay fines, costs, forfeitures, restitution and/or penalties or an installment thereof; payment due: $ .................................................................... on ................................. DATE [ ] pursuant to Va. Code � 16.1-278.16 for failure to provide support as ordered on ........................................................................................ $ ........................................................ per .............................................................................................. DATE with $ .......................................................... arrearage as of .................................................................... DATE [ ] pursuant to Va. Code � 16.1-292(A)(i) for failure to obey a child custody or visitation order of [ ] this Court [ ] .................................................... ordering .......................................................................................................................................................... , such act of the respondent being described as ................................................................................................................................................................................................. on ................................................... DATE [ ] pursuant to � 19.2-303.3, have his or her local community-based probation revoked or modified because ........................................................................... ..................................................................................................................................................................................................................................................................... [ ] pursuant to � 19.2-304, have his or her probation period or conditions modified as follows: ................................................................................................... ..................................................................................................................................................................................................................................................................... because ..............................
