Virginia Code Title 8.01. Civil Remedies and Procedure § 8.01-446.1. Keeping of docket books by clerk of court using micrographic process; form

Whenever judgments are docketed in the judgment lien book in the office of the clerk of the circuit court and are recorded by a procedural micrographic process as provided in § 17.1-240, or by any other method or process which renders impractical or impossible the subsequent entry of notations upon the docketed judgment, an appropriate certificate of assignment, release, partial release, certified copy of any order, or other separate instrument setting forth the necessary information as provided in this section shall be recorded and indexed according to law. Such instrument shall conform substantially with the following form:

Date of Judgment:

Amount of Judgment:

Plaintiff(s):

Defendant(s):

Assignee (If assignment): ․․․․․․․․․․․․․․․․․․․․

Payments (If credits): AMOUNT ․․․․․․․․․․ DATE PAID ․․․․․․

(Complete below if additional debtor or change of name of debtor)

Debtor:

Social Security Number of Debtor (Last Four Digits) (If known):

Given under my hand this ․․․․․․ day of ․․․․․․․․․․, ․․․․․

․․․․․․․․․․․․․․․․․․․․

(Plaintiff) (Attorney for Plaintiff)

(Authorized Agent for Plaintiff)

Any judgment creditor who knowingly gives false information upon such certificate made under this section shall be guilty of a Class 1 misdemeanor.