Fill and Sign the 801 329 Service of Process or Notice Service Virginia Form

FORM DC -411 MASTER 07/18 SERVICE OTHER THAN BY VIRGINIA SHERIFF Case No. ................................................................................................ . COMMONWEALTH OF VIRGINIA Va. Code §§ 8.01 -296, 8.01 -320, 8.01 -325, 8.01 -511 [ ] General District Court ......................................................................................................................................... [ ] Juvenile and Domestic Relations District Court ............................................................................................................... v./ In re : ................................................................................................................................... ........................................................................................................................................................................................................................................................................ is the name and address of the person upon whom service of the following is to be made. [ ] Warrant in Debt [ ] Summons for Unlawful Detainer [ ] Visitation [ ] Garnishment Summons [ ] Custody [ ] Support [ ] ............................................................................................................................................................................................................................................... I, the undersigned, swear/affirm that: 1. [ ] I am an official or an employee of an official who is authorized to serve process of type described in the attached P ROOF OF SERVICE and my title and bailiwick are: ..................................................................................................................................................................................................................................... OR [ ] I am a private process server: .......................................................................................................................................................................... NAME ..................................................................................................................................................................................................................................... ADDRESS AND TELEPHONE NUMBER OR [ ] I am an invest igator employed by an attorney for the Commonwealth o r the Indigent Defense Commission and have retired or resigned from my prior position as a law -enforcement officer in good standing. I affirm that the sheriff for the jurisdiction where process was serv ed has agreed that such investigators may service proc ess: ..................................................................................................................................................................................................................................... NAME AND TITLE ..................................................................................................................................................................................................................................... AGENCY 2. I am not a party to, or otherwise interested in, the subject matter in cont roversy in this case. 3. I am 18 years of age or older. 4. I served, as shown below, the above -named person upon whom service of process was to be made with copies described above. Date and time of service: .................................................................................................................................................................................. Place of service: ................................................................................................................................................................................................... STREET ADDRESS , CITY AND STATE Method of service: (If served outside of Virginia, use only personal service.) .................................................................................. ____________________________________________________________________ DATE OF SIGNATURE SIGNATURE OF PERSON SERVING Name (print or type): ........................................................................................................................................................................................................................... [ ] Personal Service [ ] Other (allowed only in Virginia) [ ] Being unable to make personal service, a copy was delivered in the follow ing 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. List name, age of recipient, and relation of recipient to party: ......................................................................................................................................... [ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode (other authorized recipient not found). [ ] (Garnishment Summons Only) Copy mailed to judgment debtor after serving th e garnishee on d ate of service below unless a different date of mailing is shown. ........................................................................................................................................................... DATE OF MAILING [ ] Not Found FORM DC -411 MASTER 07/18 State of .................................................................... [ ] City [ ] County of ................................................................................................................................ . Subscri bed and sworn to/affirmed before me this day by .................................................................................... _____________________________________________________________________ DATE NOTARY PUBLIC (My Co mmission Expires ................................................... ) ....................................................................................... NOTARY REGISTRATION NUMBER