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MOTION TO SET ASIDE DEFAULT JUDGMENT Commonwealth of Virginia VA. CODE § 8.01-428 [ ] General District Court ........................................................................\ ......................................................................... [ ] Juvenile & Domestic Relations District Court CITY OR COUNTY . ........................................................................\ ...............................................................................................................................\ .................................................. STREET ADDRESS OF COURT I, the undersigned, move this court to set aside the default judgment in the civil case numbered ........................................................ for [ ] a fraud on the court. It has been two years or less since the date of the judgment or decree. [ ] a void judgment. [ ] an accord and satisfaction (attach proof). [ ] the fact that the defendant, at the time of service or process or entry of the judgment, was in military service of the United States for purposes of 50 U.S.C. app § 502 (attach proof). This motion is based on the following facts and reasons ........................................................................\ ...............................................................................................................................\ .................................................. ........................................................................\ _________________________________________________________ DATE OF MOTION APPLICANT’S SIGNATURE ........................................................................\ ....................... .......................................................................................................\ .............. PRINT NAME OF APPLICANT TITLE OF APPLICANT NOTICE OF HEARING TO: ........................................................................\ ...............................................................................................................................\ ........................................ RESPONDENT Take notice that a hearing will be held in this Court on .......................................................................\ ................................................................. m. on this motion. DATE AND TIME ........................................................................\ _________________________________________________________ DATE [ ] CLERK [ ] DEPUTY CLERK It is hereby ORDERED that the motion is [ ] granted [ ] denied [ ] dismissed. ........................................................................\ ...............................................................................................................................\ .................................................. ........................................................................\ _________________________________________________________ DATE JUDGE FORM DC-434 (MASTER, PAGE ONE OF TWO) 10/11 HEARING DATE CASE NO. MOTION TO SET ASIDE DEFAULT JUDGMENT ........................................................................\ .................................... PLAINTIFFS ........................................................................\ .................................... ........................................................................\ .................................... v./In re ........................................................................\ .................................... DEFENDANTS ........................................................................\ .................................... ........................................................................\ .................................... Service on Respondent type required: [ ] Personal Service only [ ] Personal or Substituted Service only [ ] Mailed on ........................................................................\ ...... DATE RETURNS: Each defendant was served according to law, as indicated below, unless not found. NAME ........................................................................\ ........................... ADDRESS ........................................................................\ .................... ........................................................................\ ....................................... [ ] 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 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 .................................... for ________________________ DATE NAME ........................................................................\ ........................... ADDRESS ........................................................................\ .................... ........................................................................\ ....................................... [ ] 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 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 .................................... for ________________________ DATE FORM DC-368, 371, 433, 434 (REVERSE) 6/06