Fill and Sign the Request for Subpoena Duces Tecum Form

........................................................................\ .................................................... . CITY OR COUNTY [ ] General District Co urt [ ] Ju venile and Do mestic Relatio ns District Co urt FORM DC-336 ( FRONT ) 6/06 SUBPOE NA DUCES TECUM Co mm onwealth of Virg inia VA. CODE §§ 16. 1-89, 16. 1-131, 16. 1-265, Rules 3A:1 2, 4:9( c) ........................................................................\ ....................................................... ........................................................................\ ....................................................... ......................................................... STREET AD DRESS OF COURT REQUE ST F OR SUBP OE NA DUCES T ECU M A. I re quest that a su bp oena duces tecum be i ssued to requi re the c ustodian named at right or someone act ing on hi s or her behal f to prod uce the items [ ] desc ribed bel ow [ ] on the a ttached request for iss uance of a subpoe na duce s tecum . ........................................................................\ ...............................................................................................................................\ ........................................................................................ ITEMS T O BE PRODUCED ........................................................................\ ....................................................... ........................................................................\ ....................................................... ................................. 1. To be delivered to: [ ] this Court at t he a bove addres s on: ........................................................................\ ....................................................... ............................................. [ ] the clerk’s office of this court at t he a bove a ddres s (doc um ent s only) o n or be fore: ........................................................................\ ....................................................... ........................................................................\ ....................................................... ........................ DATE AND TIME 2. (Civ il Cases on ly) To be mad e av ailab le to th e requ estin g p arty at: ........................................................................\ ...................................... for ........................................................................\ ....................................................... ........................... LOCATION TIME P ERIOD to pe rm it such part y or som eone act ing i n his o r her behal f to inspect and c opy , test or sa mple such t angible things in your pos sessi on, cus tody or co ntrol. See re ver se. B. [ ] I fu rther reque st that the cust odian also appea r in pers on bef ore this Court at the dat e an d t ime show n abo ve in Pa ragraph A.1. wi th the items subp oenae d. C. I cert ify that a copy has bee n mailed or del ivered to counsel of rec ord an d/or, if any, to parties n ot represe nted by a lawyer. D. (Crim inal cases on ly) I certify u nder oath that th e item s to be produce d are m aterial to the procee dings and are in th e po ssessio n of a p erso n who is no t a p arty to th is case. ........................................................................\ ................. ________________________________________________________________________\ DATE \ S IGNATURE [ ] PLAINTIFF [ ] DEFENDA NT [ ] ATTOR NEY FOR [ ] PLAINTIFF \ \ [ ] DEFENDANT …………………… ………………………………………………\ …………………………………………… \ \ PR INT NAME Sw orn a nd subscri bed bef ore me on …………… ………………………………………………\ ………………………………………………\ ………………………… __________________________________________________________________ M y Commission ex pires ........................................................................\ . [ ] CLERK [ ] DEP UTY CL ERK [ ] NO TARY P UBLIC SUBPOENA D UCES TECUM TO ANY AUTHORIZED OFFIC ER: You are commanded to serve this S UBPOENA DUCES TECUM on the Custodian . TO THE CUSTODIAN: You or someone acting in your b ehalf are commanded to produce th e items described above, as reques ted abov e. If Paragr aph B ., abov e, is als o checked , you are further commanded to app ear in person befor e this court at t he date and time shown above with the items subpoenaed b y this subpoena du ces tecu m and to be read y to testif y in response to questions con cer ning th ese items. An y ob jection to such produ ctio n must be made promptly in writing to the Court. WARNI NG: Failure to comply with th e terms of this subpoen a duces tecum may result in your being fined and /or jailed for contempt of cou rt. ........................................................................\ ....................................................... ....... ___________________________________________________________________ DAT E [ ] CLERK [ ] JUDGE [ ] MA GISTRATE RETURN DATE CASE NO. SUBPOE NA DUCES TECUM [ ] COMM ONWEAL TH OF VIRGINIA [ ] CITY [ ] CO UNT Y [ ] TO WN OF ........................................................................\ ....................................................... .................. [ ] ........................................................................\ ....................................................... ...... PLAINTIFF(S) ........................................................................\ ....................................................... .................. ........................................................................\ ....................................................... .................. In re/V. ........................................................................\ ....................................................... .................. DEFENDA NT(S) ........................................................................\ ....................................................... .................. ........................................................................\ ....................................................... .................. CU STO DIAN ........................................................................\ ....................................................... .................. NAME ........................................................................\ ....................................................... .................. ADDRESS/ LOCATI ON ........................................................................\ ....................................................... .................. REQU ESTE D ON BEH ALF OF: [ ] CO MMONW EA LTH [ ] PLAIN TIFF( S) [ ] C ITY, C OUNT Y or TOWN [ ] DEF ENDANT (S) [ ] JUVE NIL E RETURNS : Each res pondent was serv ed ac cording to la w, as indic ated be low , unle ss not found. NAME ........................................................................\ ....................................................... . ADDRES S........................................................................\ ................................................. ........................................................................\ ....................................................... ................... [ ] PERS ONA L SERV ICE Tel. No. .......................................................................\ ................... [ ] Being u nable to make personal ser vice, a cop y was delivered in the f ollow ing manner: [ ] Delivered to family member (not temporary soj ourner or guest) age 16 or older at usual plac e of a bode of p arty named above after giving information of its purport. List na me, ag e of recipient, and relation of recipient to party n amed a bove. ........................................................................\ .................................................... ........................................................................\ ....................................................... ................ [ ] Posted on front d oor or suc h other door as appears t o be the main entrance of usual place of abode, address listed above . (Other authorized recipient not fou nd.) [ ] Served o n Se cretary of the Commo nwealth. [ ] NOT FOUN D SERVING OFFICER ............................................... for __ ___ ____ ___ ___ ___ ___ ___ DATE NAME ........................................................................\ ....................................................... . ADDRESS ........................................................................\ .............................................. ........................................................................\ ....................................................... ................... [ ] PERS ONA L S ERV ICE Tel. No. ........................................................................\ ................. [ ] Being u nable to make personal ser vice, a cop y was delivered in the f ollow ing manner: [ ] Delivered to family member (not temporary soj ourner or guest) age 16 or older at usual plac e of a bode of p arty named above after giving information of its purport. List na me, ag e of recipient, and relation of recipient to party n amed a bove. ........................................................................\ ....................................................... ................ ........................................................................\ ....................................................... ................ [ ] Posted on front d oor or suc h other door as appears t o be the main entrance of usual place of a bode , address listed above. (Other aut horized recipient not found .) [ ] Served o n Se cretary of the Commo nwealth. [ ] N OT FO UND ____ ___ ___ ___ ___ ___ ___ ___ __ SERV ING OFFI CER ............................................... for __ ___ ____ ___ ___ ___ ___ ___ DATE NOTI CE: Upon receipt of the subpoe naed doc um ents , the re questing party m ust, if reque sted, provide true a nd ful l copi es of those doc um ent s to any other part y or to the at torney for a ny ot her party, provided the other part y or attorney for the ot her pa rty pay s the reaso nable co st of copy ing or rep roducing those docum ents. T his doe s not ap ply whe n the s ubp oenae d docum ents are ret urnabl e to a nd m aintained by t he clerk of the cou rt in which the act ion i s pendi ng . Va. Code § 8.01 -417 FORM DC-336 (PAGE TWO OF TWO) 07/04 PDF