MOTION FOR SHOW CAUSE SUMMONS OR CAPIAS Commonwealth of Virginia Case No. ............................................................... .............................................................................. HEARING DATE AND TIME .................................................................................................... [ ] General District Court [ ] Juvenile and Domestic Relations District Court This motion is filed in connection with Case No. Party Making this Request: ..................................................................................................................... .................................................................................... v. / In re ............................................................................................. Party to be Served: NAME ........................................................................................ .............................................................................................. NAME ........................................................................................ ADDRESS/LOCATION .............................................................................................. ADDRESS/LOCATION ........................................................................................ .............................................................................................. COMPLETE DATA BELOW IF KNOWN RACE SEX MO. SSN ........................................................................................ BORN DAY YR. FT. HT. IN. WGT. EYES HAIR The undersigned respectfully represents to the Court that the respondent should, [ ] pursuant to Va. Code § 19.2-306, serve the sentence previously suspended on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] have his or her recognizance revoked or modified because of the following violation of conditions of release: ........................................................................................................................................................................................ [ ] be imprisoned, fined or otherwise punished [ ] 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] pursuant to Va. Code § 16.1-278.16 for failure to provide support as ordered on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . per . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE with $ .................................................. arrearage as of .............................................................................................. [ ] pursuant to Va. Code §§ 18.2-456/16.1-69.24 for failure to obey an order of [ ] this court [ ] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ordering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] pursuant to [ ] § 18.2-271.1, have his or her VASAP participation revoked because [ ] § 46.2-395, have his or her driving privilege revoked because .................................................................................................................................................. [ ] 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 ............................................................................................................................................................................. [ ] pursuant to [ ] § 4.1-305 [ ] § 18.2-57.3 [ ] § 18.2-251 [ ] § 19.2-303.2, have his or her deferral of proceedings revoked and be subjected to the proceedings as provided by law because [ ] (Other ­ Explain) .............................................................................................................................................................. .............................................................................. Therefore, the undersigned requests the issuance of process to the respondent to answer the above motion. .................................... DATE ................................................... TITLE _____________________________________________________________ SIGNATURE FORM DC-635 REVISED 11/06 American LegalNet, Inc. www.FormsWorkflow.com