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DC-4103

Landlord’s Notice of Nonpayment

Virginia · Supreme Court of Virginia

This form is a notice from a landlord to a tenant stating that the tenant has not paid rent or has not paid according to a court-ordered payment plan. It informs the court and the tenant about the missed payments and what the landlord intends to ask the court for.

Open the official PDFfrom Supreme Court of Virginia

Where this fits in a case

Motions

Stage: Motions

This form is used when a landlord believes a tenant has failed to pay rent or has failed to follow a payment plan set by the court.

Usually filed by the person starting the case.

Common questions

Who fills out this form?
The form is filled out by the Plaintiff/Landlord or the Attorney for the Landlord. The landlord is the one sending the notice to the court and the tenant.
What happens after the landlord files this notice?
The notice tells the tenant that within 10 days of the landlord signing it, the court might issue an order of possession unless the tenant files a specific affidavit with the court.
Does the tenant have a way to respond?
Yes, the tenant can use Form DC-4104, which is an Affidavit of Tenant in Response to Landlord’s Notice of Nonpayment, to respond to the notice.

Revision history

No changes recorded since we started tracking this form on October 10, 2026.

Related forms

  • DC-4104

    Affidavit of Tenant in Response to Landlord’s Notice of Nonpayment

    This form is an affidavit that a tenant fills out to respond to a notice from a landlord about not paying rent. The tenant uses it to state that they have made all required payments, and that the landlord has not properly recorded those payments.

    Fillable PDF
  • DC-4101

    Request for Referral

    This form is a request from the tenant to the court asking to be sent to the Eviction Diversion Program. The tenant must state under oath that they can pay a certain amount on the hearing date and provide details about their inability to pay rent.

    Fillable PDF
  • DC-469

    Request for Writ of Eviction in Unlawful Detainer Proceedings

    This form is a request to the court asking for an official order, called a writ of eviction, to take possession of a property. It is used after a court has already given a judgment that the person living there must leave.

    Fillable PDF
  • DC-421

    Summons for Unlawful Detainer (Civil Claim for Eviction)

    This form is a summons used to start a civil case asking the court for an eviction. It asks the defendant to appear in court on a specific date to respond to the claim.

    Fillable PDF
  • DC-425

    Petition for Expungement of Unlawful Detainer

    This form is used to ask the court to erase or seal court records related to a Summons for Unlawful Detainer when no order of possession was given.

    Fillable PDF
  • DC-429

    Tenant's Assertion and Complaint

    This form is used by a tenant to tell the court that the landlord has problems with the rental property and to ask the court for specific help or orders. It requires the tenant to list the problems and explain why they are seeking relief.

    Fillable PDF
  • DC-431

    Tenant's Petition for Relief from Unlawful Exclusion

    This form is a petition filed by a tenant to the court asking for relief because they believe they were removed from or had essential services interrupted at their dwelling unit without legal right. It allows the tenant to ask the court to restore possession, fix unsafe conditions, or recover money for damages.

    Fillable PDF