MOTION AND NOTICE OF HEARING Commonwealth of Virginia .............................................................................................................................. CITY OR COUNTY HEARING DATE CASE NO. [ ] General District Court [ ] Juvenile & Domestic Relations District Court MOTION AND NOTICE OF HEARING [ ] Commonwealth of Virginia [] .......................................................................................... .......................................................................................... .......................................................................................... ....................................................................................................................................................................................................................................................... STREET ADDRESS OF COURT I, the undersigned, respectfully move this Court to take the following action(s) in the case named at right ....................................................................................................................................................................................................................................................... for the following reasons: v./In re ................................................................................................... ....................................................................................................................................................................................................................................................... ....................................................................... DATE ................................................................................................... ................................................................................................... DATE OF ORIGINAL JUDGMENT OR FINAL HEARING ............................................................................................. APPLICANT'S TITLE ___________________________________________________________ APPLICANT'S SIGNATURE NOTICE OF HEARING TO: ......................................................................................................................................................................................................................... RESPONDENT Service on Respondent type required: [ ] Personal Service Only A hearing will be held in this Court on ............................................................................................................................... HEARING DATE AND TIME on this motion. [ ] Personal or Substituted Service Only [ ] Mailed on ...................................................................... DATE ....................................................................... DATE _______________________________________________________________________ [ ] CLERK [ ] DEPUTY CLERK It is hereby ORDERED that the motion is [ ] granted [ ] denied [ ] dismissed. ....................................................................................................................................................................................................................................................... ....................................................................... DATE ___________________________________________________________ JUDGE FORM DC-371 (MASTER, PAGE ONE OF TWO) 10/12 American LegalNet, Inc. www.FormsWorkFlow.com RETURNS: Each defendant was served according to law, as indicated below, unless not found. NAME ................................................................................................... ADDRESS ............................................................................................ ............................................................................................................... Tel. No. ................................................... [ ] Being unable to make personal service, a copy was delivered in the following manner: [ ] PERSONAL SERVICE [ ] 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. [ ] Not found SERVING OFFICER .................................... DATE for ________________________ NAME ................................................................................................... ADDRESS ............................................................................................ ............................................................................................................... Tel. No. ..................................................... [ ] Being unable to make personal service, a copy was delivered in the following manner: [ ] PERSONAL SERVICE [ ] 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. [ ] Not found _____________________________ SERVING OFFICER .................................... FORM DC-371 (MASTER, PAGE TWO OF TWO) 05/09 DATE for ________________________ American LegalNet, Inc. www.FormsWorkFlow.com