Fill and Sign the Waiver Service Process Form

ACCEPTANCE/WAIVER OF SERVICE OF PROCESS AND WAIVER OF FUTURE SERVICE OF PROCESS Case No.: …………………… AND NOTICE COMMONWEALTH OF VIRGINIA ............... Circuit Court ........................................... V . ……………………………………………… PLAINTIFF DEFENDANT I, the undersigned party named below, swear under oath/affirm the following: 1. I am a party plaintiff defendant in the above-styled suit. 2. I have received a copy of the following documents on this date: Subpoena (Process) Complaint Other—Describe: ………………………………………………………………. I understand that my receipt of these copies and my signature below constitute the acceptance of service of process of these copies, or a waiver of service of process and notice which may be prescribed by law. 3. I agree to voluntarily and freely waive any future service of process and notice as checked below in this case: a. any further service of process. b. notice of the appointment of a commissioner in chancery and hearings held by such commissioner in chancery, if a commissioner in chancery is appointed. c. notice of the taking of depositions. d. notice of the filing of any reports by a commissioner in chancery or of the filing of depositions. e. notice of entry of any order or decree, including the final decree of divorce. I understand that by waiving service of process, I am giving up my right to be notified of the events described immediately above. ……………………………………. ________________________________________ DATE DEFENDANT PLAINTIFF TO DEFENDANT : Notify the Court in writing of any changes of your address while this case is pending. State of ........................................ , City County of …………………………………… Subscribed and sworn to/affirmed before me this date by the above-named party. ……………………………………. ________________________________________ DATE CLERK DEPUTY CLERK ________________________________ My commission expires : ………….…………… NOTARY PUBLIC FORM CC-1406 (PAGE ONE OF ONE) 5/98 VA. CODE §§ 8.01-327; 20.99, 1:1 Rule 2:7