Prince William County Circuit Court, Virginia Document Filing Requirements

CRITICALCriminal cases

Applies to

Payment agreement

If a modification request is granted based on a good-faith showing of need, the new payment agreement is set forth on form DC-210 or CC-1379.

Upon request to modify an existing payment agreement, - [ ] the request is granted based upon a good faith showing of need, and the new payment agreement is set forth on form [ ] DC-210, ACKNOWLEDGMENT OF SUSPENSION OR REVOCATION OF DRIVER'S LICENSE [ ] CC-1379, ACKNOWLEDGMENT OF SUSPENSION OR REVOCATION OF DRIVER'S LICENSE/ORDER AND NOTICE OF DEFERRED PAYMENT OR INSTALLMENT PAYMENTS. [ ] the request is denied, and the current payment agreement continues in full force and effect.

CRITICALCriminal cases

Applies to

Financial statement

The defendant must complete the Form DC-211 financial statement under oath for the Clerk’s use.

To that end, the Clerk shall use a financial statement developed by the Executive Secretary of the Supreme Court (Form DC-211, attached) which shall be completed by the defendant under oath.

CRITICALCriminal cases

Applies to

Petition for payment agreement

THIS STATEMENT IS MADE UNDER OATH, ANY FALSE STATEMENT OF A MATERIAL FACT TO ANY QUESTIONS CONTAINED HEREIN SHALL CONSTITUTE PERJURY UNDER THE PROVISIONS OF VA. CODE § 18.2-434. THE MAXIMUM PENALTY FOR PERJURY IS CONFINEMENT IN THE STATE PENITENTIARY FOR A PERIOD OF TEN YEARS. I hereby state that the above information is correct to the best of my knowledge. DATE DEFENDANT Sworn to and signed before me this day of ....., 20..... [ ] CLERK [ ] DEPUTY CLERK

THIS STATEMENT IS MADE UNDER OATH, ANY FALSE STATEMENT OF A MATERIAL FACT TO ANY QUESTIONS CONTAINED HEREIN SHALL CONSTITUTE PERJURY UNDER THE PROVISIONS OF VA. CODE § 18.2-434. THE MAXIMUM PENALTY FOR PERJURY IS CONFINEMENT IN THE STATE PENITENTIARY FOR A PERIOD OF TEN YEARS. I hereby state that the above information is correct to the best of my knowledge. DATE DEFENDANT Sworn to and signed before me this day of ....., 20..... [ ] CLERK [ ] DEPUTY CLERK

WARNINGCriminal cases

Applies to

Payment agreement modification request

A defendant requesting modification of a payment agreement may do so in writing by submitting a new Form DC-211; the Clerk may grant the request upon a good-faith showing of need.

At any time during the duration of a payment agreement, the defendant may request a modification of the agreement in writing by submitting a new Form DC-211, and the Clerk may grant such modification based on a good faith showing of need.