Va. R. Sup. Ct. Form 4
Murder
COMMONWEALTH OF VIRGINIA
....................Court
...................., 20.....
The Grand Jury charges that:
On or about ..............., 20 .... in the (County) (City) of ............ the accused ........................................................................................
(Name of accused)
feloniously did kill and murder ........................................................... *
(Name of victim)
Va. Code §§ 18.2-31, 18.2-32, 19.2-221.
A True Bill.
............................
(Foreman)
* Language charging other offenses follows.
Attempted Grand Larceny
On or about ..............., 20.....in the (County) (City) of ......................................... the accused ..........................................................................................................
(Name of accused)
feloniously attempted to steal property, namely ....................................................
(Describe property)
having a value of ($5 or more from the person of ....................................................)
(Name of victim)
($200 or more from the person of ...............................................)
(Name of victim)
(firearm of any value) belonging to ................................................
(Name of victim)
Va. Code §§ 18.2-95 and 18.2-26.
Burglary (Common Law)
On or about ..............., 20.....in the (County) (City) of ........................................ the accused .........................................................................................................
(Name of accused)
feloniously did break and enter in the nighttime
the dwelling house of ...........................................................................................
(Name of victim)
with intent to commit a (felony) (larceny) therein.
Va. Code § 18.2-89.
Statutory (Burglary, Murder, Rape, Robbery, Arson)
Va. Code § 18.2-90 )
On or about ..............., 20..... in the (County) (City) of...................................................... the accused ........................................................................................................
(Name of accused)
feloniously did (enter in the nighttime) (break and enter in the daytime)
(enter and conceal himself in the daytime)
................................................................ , with intent to
(Place described in Va. Code § 18.2-90 )
commit (murder)(rape)(robbery)(arson).
Va. Code § 18.2-90.
Statutory Burglary, Va. Code § 18.2-91
On or about ..............., 20..... in the (County) (City) of...................................................... the accused ...........................................................................................................
(Name of accused)
feloniously did (enter in the nighttime) (break and enter in the daytime)
(enter and conceal himself in the daytime)
................................................................ , with intent to
(Place described in Va. Code § 18.2-90 )
commit (larceny) ( ... )
(Describe felony other than murder, rape, robbery or arson)
(assault and battery).
Va. Code § 18.2-91.
Driving While Intoxicated
On or about ..............., 20..... in the (County) (City) of...................................................... the accused ...........................................................................................................
(Name of accused)
(feloniously and) unlawfully did operate a motor vehicle while under the influence of alcohol, narcotic drug, or other self-administered intoxicant or drug of whatever nature.
Va. Code § 18.2-266.
Forgery - Check
On or about ..............., 20..... in the (County) (City) of...................................................... the accused ............................................................................................................
(Name of accused)
feloniously forged with the intent to defraud a check of the following words and figures:
..........................., 20.....
(Bank)(Date)
Pay to the order of .................. $.................Dollars
(Endorsed ....................................................)
Va. Code § 18.2-172.
Malicious or Unlawful Wounding
On or about ..............., 20.....in the (County) (City) of ........................................... the accused ............................................................................................................
(Name of accused)
feloniously (maliciously) (unlawfully but not maliously) caused bodily injury to .........................................................................................................................
(Name of victim)
with intent to maim, disfigure, disable or kill.
Va. Code § 18.2-51.
Rape
On or about ..............., 20..... in the (County) (City) of...................................................... the accused ............................................................................................................
(Name of accused)
feloniously did rape ................................................................................................
(Name of victim)
Va. Code § 18.2-61.
Rape (Statutory, of Female of Age 13 or 14)
On or about ..............., 20.....in the (County) (City) of ........................................
the accused ..........................................................................................................
(Name of accused)
feloniously had (sexual intercourse with) (carnal knowledge of)
(Name of victim)
age ...........................................
(Age of victim at time of offense)
Va. Code § 18.2-63.
Robbery
On or about ..............., 20..... in the (County) (City) of...................................................... the accused ............................................................................................................
(Name of accused)
feloniously did rob .................................................................................................
(Name of victim)
of ..........................................................................................................................
(Describe property)
Va. Code § 18.2-58.
Uttering - Check
On or about ..........., 20..... in the (County) (City) of ........................................... the accused ..........................................................................................................
(Name of accused)
feloniously uttered with the intent to defraud a forged check of the following words and figures:
..........................., 20.....
(Bank) (Date)
Pay to the order of .................. $.................Dollars
(Endorsed ..........................................)
Va. Code § 18.2-172.
Va. Sup. Ct. Form 4