WARRANT IN DETINUE — SMALL CLAIMS DIVISION (CIVIL CLAIM FOR SPECIFIC PERSONAL PROPERTY) Commonwealth of Virginia RETURN DATE CASE NO. VA. CODE §§ 16.1-79; 16.1-122.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General District Court .......................................................... PLAINTIFF(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL) .................................................................................................................................... ADDRESS OF COURT TO ANY AUTHORIZED OFFICER: You are commanded to summon 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)’ civil claim (see below). .......................................................... .......................................................... .......................................................... RETURN DATE AND TIME ............................. ___________________________________________________________________________________ CLERK DATE ISSUED DEPUTY CLERK MAGISTRATE .......................................................... CLAIM: Plaintiff(s) claim the item(s) below to be unjustly withheld from Plaintiff’s possession by Defendant(s). ITEM ALTERNATE VALUE ITEM 1. 2. 3. ALTERNATE VALUE 4. 5. 6. $ TOTAL ALTERNATE $ DAMAGES CLAIMED DUE VALUE $ V. DEFENDANT(S) (LAST NAME, FIRST NAME, MIDDLE INITIAL) .......................................................... .......................................................... COSTS .......................................................... TO UNJUST DETENTION Plaintiffs seek possession of the items listed above, or their alternative values, damages resulting from the unjust detention of the items by Defendant(s) as indicated. The alternate values given are based upon actual value [or] amount due on written contract of sale for which the items were offered as security. WRITTEN CONTRACT OF SALE OTHER (EXPLAIN) . . . . . . . . . . . . . . . . . THE BASIS OF CLAIM IS: WARRANT IN DETINUE — SMALL CLAIMS DIVISION .................................................................................................................. HOMESTEAD EXEMPTION WAIVED? ............................. YES NO. CANNOT BE DEMANDED ___________________________________________________________________________________ PLAINTIFF DATE PLAINTIFF’S EMPLOYEE JUDGMENT that Plaintiff(s) recover against named Defendant(s) .................................... Plaintiff(s) [or] possession of each item listed above, or its alternate value as shown above, at the election of Defendant(s), (if made within . . . . . . . . . . . . . . . . . . days, then at election of Plaintiff), with the exception of the following item nos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ($. . . . . . . . . . . . . . . . . . Total Alternate Value Recoverable): $ . . . . . . . . . . . . . . . . . . damages with interest: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . costs. YES NO. CANNOT BE DEMANDED HOMESTEAD EXEMPTION WAIVED? *** TO DEFENDANT: You are not required to appear; however, if you fail to appear, judgment may be entered against you. By law, this case must be tried on the return date above unless all parties agree upon a different date for trial. Other continuances shall be granted by the court only for good cause shown. *** Grounds of Defense . . . . . . . . . . . . . . . . . . JUDGMENT FOR NAMED DEFENDANT(S) .................................................... NON-SUIT DISMISSED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEFENDANT(S) PRESENT? YES ORDERED ............. DUE NO ............................. ___________________________________________________________________________________ DATE JUDGE FORM DC-404 (MASTER, PAGE ONE OF TWO) 05/08 American LegalNet, Inc. www.FormsWorkflow.com Transfer to Another Locality: If the Defendant believes that Plaintiff(s) should have filed this suit in a different city or county, you may file a written request to have the case moved for trial to the general district court of that city or county. To do so, you must do the following: NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................................................... ...................................................................... ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................................................... 1. Prepare a written request which contains (a) this court’s name, (b) the case number and the “return date” as shown on the other side of this form in the top right corner, (c) Plaintiff(s)’ name(s) and Defendant(s)’ name(s), (d) “I move to object to venue of this case in this court because” and state the reasons for your objection and also state in which city or county the case should be tried, and (e) your signature and mailing address. NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................................................... [ ] PERSONAL SERVICE Tel. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] Being unable to make personal service, a copy was delivered in the following manner: [ ] Delivered to family member (not temporary sojourner [ ] PERSONAL SERVICE Tel. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] Being unable to make personal service, a copy was delivered in the following manner: [ ] Delivered to family member (not temporary sojourner If mailed to the court, you will be notified of the judge’s decision. ................................................................. ...................................................................................... [ ] 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 ...................................................................................... [ ] 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 [ ] Served on Clerk of the State Corporation Commission. 3. 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. ................................................................. 2. File the written request in the clerk’s office before the trial date (use the mail at your own risk) or give it to the judge when your case is called on the return date. Also send or deliver a copy to plaintiff. 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. [ ] Served on Clerk of the State Corporation Commission. [ ] NOT FOUND [ ] NOT FOUND ____________________________ SERVING OFFICER ........................... for _____________________________ DATE REMOVAL TO GENERAL DISTRICT COURT I, the undersigned defendant, am exercising my right to remove this case to the general district court of this jurisdiction by signing and giving this notice to this court before the case is decided. SERVING OFFICER ........................... [ ] oral ____________________________________________ [ ] DEFENDANT [ ] ATTORNEY FOR DEFENDANT for_____________________________ DATE I certify that I mailed a copy of this document to the defendants named therein at the address shown therein on .................................... DATE ............................................... DATE ____________________________ ______________________________ [ ] Plaintiff [ ] Plaintiff’s Employee [ ] written notice of removal has been received this day in this small claims division. .......................................... DATE FORM DC-404 (MASTER, PAGE TWO OF TWO) 05/08 ____________________________________________ [ ] CLERK [ ] JUDGE American LegalNet, Inc. www.FormsWorkflow.com