AFFIDAVIT DEFAULT JUDGMENT Case No. SERVICEMEMBERS CIVIL RELIEF ACT Commonwealth of Virginia VA. CODE 8.01-15 .2 RETURN DATE AND TIME 7? .p Circuit Court General District Court Juvenile and Domestic Relations District Court CITY OR COUNTY Urv./In re.? L- Iii. . I. Bi\. . . I, {'41 vbal?r the undermgned af?ant, states the following under oath: The defendant/respondent is in military service. is not in military service. The followin facts su ort the statement above?wk; .. a x. ifefja, CLEANCICVC The af?ant is unable to determine whether or not the defendantfreSpondent is in military service. Pursuant to 50 U.S.C. 3931, if the court is unable to determine whether the defendant/respondent is in military service based upon the af?ant?s statement, the court, before entering judgment, may require the plaintiff/petitioner to ?le a bond in an amount approved by the court. (L i/t/v DATE SIGNATURE The above-named af?ant personally appeared this day before the undersigned, and upon duly being swom, made oath that the facts stated in this af?davit are tme-?to the best of his or her knowledge, information and belief. my DATE DEPUTY CLERK OFFICER FOR NOTARY USE ONLY: State of City County of Acknowledged, subscribed and sworn to before me this day of 20 NOT AR NOTARY PUBLIC (My commission expires: NOTICE REGARDING APPOINTMENT OF COUNSEL TO REPRESENT ABSENT SERVICEMEMBER: Where appointment of counsel is required pursuant to 50 U.S.C. 3931 or 3932 or another section of the Servicemembers Civil Relief Act, the court may assess reasonable attorney fees and costs against any party as the court deems appropriate, including a party aggrieved by a violation of the Act, and shall direct in its order which of the parties to the case shall pay such fees and costs, except the Commonwealth unless it is the party that obtains the judgment. FOR COURT USE ONLY: ORDER OF APPOINTMENT OF COUNSEL I ?nd that appointment of counsel is required pursuant to 50 U.S.C. 3931 or 3932 or another section of the Servicemembers Civil Relief Act and therefore, I appoint the lawyer indicated below to represent the absent servicemember named as defendant/resp ondent above. APPODNVTED LAWYER bS'legl-La? STAY OF PROCEEDINGS W13 5 i; I ?nd that a stay of proceedings is required pu?ago SQ yi? 3931 and, therefore, such a stay, for a minimum peri )d of 90 days, is ordered until NEXT HEARING DATE AND TIME JUDGE DATE JUDGE FORM DC-418 REVISED 07/16 (A163687 5/16) 0 (0 coo/r1244 General District Court KANT IN DEBT SMALL CLAIMS DIVISION Inonwealth of Virginia vA. 16.1-79; 16.1-1223 TO ANY AUTHORIZED OFFICER: You are hereby commanded to summon the Defendant(s). TO THE DEFENDANHS): You are summoned to appear before this Court at the above address on q. DATEAND . t?fi? it DATE ISSUED to answer the Plaintiff(s)? civil claim (see below) DEPUTY CLERK CLAIM: Plaintiff(s) claim that Defendant(s) owe Plaintiff(s) "a debt any credits, with interest at . . cosrs Open Account from until paid. DATE FROM WHICH IS DUE . costs with the basis of this claim being HOMESTEAD EXEIVIPTION YES [V}?cannot he demanded EMPLOYEE CASE DISPOSITION DATE HIUDGMENT that the Plaintif?s) recover against/named Defendant(s) . . 3M. v. . from .6 until paid. INTEREST RA DATE FROM costs . COSTS we ., 5 EYE BE DEMANDED 4:44. innit!- net of any credits, with interest at . 8?ng 30/ a RETURN DATE ?u/602 71m . a. 5mm,? WARRANT IN DEBT SMALL CLAIMS DIVISIQEQ 1.. :0 TO DEFENDANT: You are not required To appear; however, if .you fail to appear, judgment may be entered against you. By law, this case must be'tried on the return date above unless all parties agree upon a different date for trial. Other continuances shall be granted by the court only for good cause shown. Grounds of Defense ORDERED DUE .1. NEXT HEARING DATE AND TIME JUDGMENT PAID OR SATISFIED PURSUANT '14; TO ATTACHED NOTICE OF SATISFACTION HOMESTEAD EXEMPTION WAIVEDH JUDGMENT FOR NAMED DEFEND DISMISSED Defendant(s) Present? YES {$121.19Indemnifying bond of ]secured[ unsecured uired for lost instrument (Va. Code 8.01-32) JUDGE ink-4?41 SHE DISABILITY ACCOMMODATIONS for loss of hearing, vision, mobility, etc., contact the court ahead of time. A TORM DC-402 (morn) ram (A151483 11/14)