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Virginia Acceptance of Service and Waiver of Process Form

Upon completion, Defendant must return this form to the Petitioner. Once returned, Petitioner must file it with the county court clerk’s office. This form serves as proof of Petitioner’s service of the documents on the Defendant.Download

Extracted Text for Proper Search

ACCEPT	ANCE/WAI	VER OF S	ERVI	CE OF PROCES	S AND	 	
WAIVER OF FUTURE 	SERVICE OF PROCESS	 Case 	No. ................................................	 	
AND NOTICE 
COMMONWEALT	H OF	 VIRGINIA 	
 
........................................................................\
.......................................................	..................................................	 Circu	it Court 	
 
........................................................................\
...........................	  v.	 .......................	.....................................................................	 	 	PLAI	NTI	FF DEFE	NDAN	T 	
 
I, t	he un	der	signed	 pa	rty nam	ed bel	ow, 	swea	r un	der	 oat	h/affirm the fol	lowing:	 	
1. 	I am	 a party   	  …	 pl	aintiff    …	 defend	ant in	 th	e abov	e-sty	led su	it. 	
 
2. 	I have	 recei	ved a copy 	of the 	followi	ng doc	uments on this 	date: 	 
…	 Com	plaint f	iled on 	........................................................................\
....................................	.........................	  	
    	                        	                        	                        	                        	        DATE   	   	
…	 Sum	mons with c	opy 	of 	Complaint f	iled on 	........................................................................\
...............	........	 attached  	
    	                        	                        	                        	                        	                        	           DATE 	         	
…	 Other	 – De	scribe: 	........................................................................\
.................	 filed 	on 	..........	..................................	 	
                                                                                                                                                                                                   DATE          	
I understand that 	my receipt of these	 copies a	nd m	y signature below c	onstitute 	
…	 the accepta	nce 	of service 	of pr	oce	ss 	of these c	opies, 	or 	
…	 a waive	r of service of 	process and 	no	tice w	hich m	ay be 	presc	ribed by	 law. 	
 
3. 	I ag	ree t	o volun	tarily and	 freely waiv	e an	y fu	ture serv	ice 	of 	process a	nd notice as c	hecke	d below in this	 case: 	
…	 a. 	any furt	her service of 	process	. 	
…	 b. 	not	ice 	of the a	ppointment	 of	 a com	missi	one	r in cha	ncery	 and hea	rings 	hel	d by	 su	ch com	missi	oner i	n  	
 	 	chance	ry, if a c	ommissioner i	n chance	ry is a	ppointe	d. 	
…	 c. 	not	ice 	of the taking of de	positions	. 	
…	 d. 	not	ice 	of the filing 	of any re	po	rts by	 a com	missi	one	r in chancery	 or of the filing o	f deposi	tions	. 	
…	 e. 	not	ice of	 ent	ry of	 any	 or	der, j	udgment or decree, i	ncluding the 	fina	l decre	e of divorce. 	
I un	der	stand that, by	 wai	ving servi	ce 	of process, I	 am	 gi	ving up	 m	y right	 to be 	not	ified of the e	vent	s des	cribed 	
immediately a	bove. 	
 	  	
 
....................................................................... \
	_______________________________________________________	 	
 DATE	 	…	  DEFENDA	NT           …	  PLAINT	IFF 	
TO DEFE	ND	ANT	: No	tify t	he C	ourt in	 writin	g of an	y ch	anges of your ad	dress 	wh	ile this case is 	pend	ing. 	
State of	........................................................................\
.	, …	  City   	…	 County of	.......................................................................	 	
Su	bscri	bed an	d sw	orn t	o/affirmed be	fore m	e this day	 by	 the ab	ove	-nam	ed part	y. 	
 
 
....................................................................... \
	_______________________________________________________	 	
 DATE	 	…	  CLERK	          …	  DEPUT	Y CLERK 	
 
___________________________________ M	y com	missi	on e	xpi	res:	.....................................................................	. 	 NOTAR	Y PUB	LIC 	
FORM	 CC	-1406 (	MASTE	R) 1/06 PDF	VA.	 CODE §§ 8.	01-	327; 20-	99.1:1 	Rules 3:5,	 3:8
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