Virginia Judicial System, Form DC-429

Clear All Data
TENANT’S ASSERTION AND COMPLAINT RETURN DATE CASE NO. HEARING DATE
Commonwealth of Virginia VA. CODE § 55.1-1244 AND TIME
........................................................................................................................................................ General District Court
_________________
................................................................................................................................................................................................. TENANT’S ASSERTION
STREET ADDRESS OF COURT AND COMPLAINT _________________
TO ANY AUTHORIZED OFFICER:
You are hereby commanded to summon the Defendant(s) to appear on ................................................................ _________________
before this court to answer. DATE AND TIME
.........................................................................................................
PLAINTIFF(S) – TENANT(S)
_________________
.................................................... ____________________________________________________
DATE [ ] CLERK [ ] DEPUTY CLERK [ ] MAGISTRATE
......................................................................................................... _________________
I, the undersigned Tenant, this day assert that Plaintiff(s) executed a lease as indicated with Defendant(s) for _________________
.........................................................................................................
the rental of the dwelling unit or premises indicated.
V. _________________
DATE LEASE EXECUTED DATE RENTAL PERIOD COMMENCED DATE RENTAL PERIOD ENDS