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Warrant In Debt Form. This is a Virginia form and can be use in District Court Statewide.
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Tags: Warrant In Debt, DC-412, Virginia Statewide, District Court
FORM DC-412 (FRONT) REVISED 10/18 WARRANT IN DEBT (CIVIL CLAIM FOR MONEY) Commonwealth of Virginia VA. CODE 247 16.1-79 .................................................................................................................................................. General District Court CITY OR COUNTY ..................................................................................................................................................................................................... STREET ADDRESS OF COURT TO ANY AUTHORIZED OFFICER: You are hereby commanded to summons the Defendant(s). TO THE DEFENDANT(S): You are summoned to appear before this Court at the above address on ............................................................................................................. to answer the Plaintiff(s)222 civil claim (see below) RETURN DATE AND TIME ........................................................................ DATE ISSUED[ ] CLERK [ ] DEPUTY CLERK [ ] MAGISTRATE CLAIM: Plaintiff(s) claim that Defendant(s) owe Plaintiff(s) a debt in the sum of $ ................................ net of any credits, with interest at ................... % from date of ............................. until paid, $ ................................ costs and $ ................................... attorney222s fees with the basis of this claim being [ ] Open Account [ ] Contract [ ] Note [ ] Other (EXPLAIN) ............................................................................................................................................................................................................ HOMESTEAD EXEMPTION WAIVED? [ ] YES [ ] NO [ ] cannot be demanded ................................................. DATE[ ] PLAINTIFF [ ] PLAINTIFF222S ATTORNEY [ ] PLAINTIFF222S EMPLOYEE/AGENT CASE DISPOSITION JUDGMENT against [ ] named Defendant(s) [ ] .......................................................................................................... for $ ........................................... net of any credits, with interest at ...................... % from date of ....................................... until paid, $ .......................................... costs and $ ..................................... attorney222s fees [ ] and $ .................................................... costs for Servicemember Civil Relief Act counsel fees HOMESTEAD EXEMPTION WAIVED? [ ] YES [ ] NO [ ] CAN NOT BE DEMANDED [ ] JUDGMENT FOR [ ] NAMED DEFENDANT(S) [ ] ........................................................................................ ............................................................................................................................................................................................................ [ ] NON-SUIT [ ] DISMISSED .........................................................................................................................................Defendant(s) Present: [ ] NO [ ] YES ................................................................ ................................................. DATEJUDGE CASE NO. .............................................................................................................. PLAINTIFF(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL) .............................................................................................................. .............................................................................................................. .............................................................................................................. V. .............................................................................................................. DEFENDANT(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL) .............................................................................................................. .............................................................................................................. .............................................................................................................. WARRANT IN DEBT TO DEFENDANT: You are not required to appear; however, if you fail to appear, judgment may be entered against you. See the additional notice of the reverse about requesting a change of trial location. [ ] To dispute this claim, you must appear on the return date to try this case. [ ] To dispute this claim, you must appear on the return date for the judge to set another date for trial. Bill of Particulars ......................................... ............................ ORDERED DUEGrounds of Defense .................................... ............................ ORDERED DUEATTORNEY FOR PLAINTIFF(S) .............................................................................................................. .............................................................................................................. ATTORNEY FOR DEFENDANT(S) .............................................................................................................. .............................................................................................................. HEARING DATE AND TIME JUDGMENT PAID OR SATISFIED PURSUANT TO ATTACHED NOTICE OF SATISFACTION. ................................................. DATE ................................................. CLERK DISABILITY ACCOMMODATIONS for loss of hearing, vision, mobility, etc., contact the court ahead of time. American LegalNet, Inc. www.FormsWorkFlow.com RETURNS: Each defendant was served according to law, as indicated below, unless not found. NAME......................................................... ................................................................. ADDRESS .................................................... ................................................................. NAME .............................................................. ...................................................................... ADDRESS ......................................................... ...................................................................... NAME .............................................................. ...................................................................... ADDRESS ......................................................... ...................................................................... [ ] PERSONAL SERVICE Tel. No. .............................. [ ] PERSONAL SERVICETel. No. ............................... [ ] PERSONAL SERVICETel. No. .................................. Being unable to make personal service, a copy was delivered in the following manner: [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. [ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode, address listed above. (Other authorized recipient not found.) [ ] Served on Secretary of the Commonwealth Being unable to make personal service, a copy was delivered in the following manner: [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. [ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode, address listed above. (Other authorized recipient not found.) [ ] Served on Secretary of the Commonwealth Being unable to make personal service, a copy was delivered in the following manner: [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. [ ] Posted on front door or such other door as appears to be the main entrance of usual place of ab