Va. Code § 8.01-241.1
Any extension of the limitations of the right to enforce the lien of a deed of trust or mortgage shall conform substantially with the following form:
CERTIFICATE OF EXTENSION OF LIMITATION OF RIGHT TO ENFORCE DEED OF TRUST OR MORTGAGE
Place of Record............................................................Date of Deed of Trust/Mortgage............................................Deed Book............... Book Page.....................................Name of Guarantor(s).......................................................Name of Trustee(s).........................................................Maker(s) of Note...........................................................Date of Note(s)............................................................
I/we, the beneficial title holder(s) of the property encumbered by the above mentioned deed of trust/mortgage, do hereby certify that the lien of the same is hereby extended 10 years from the date of my/our endorsement upon this certificate.
............................................................
Beneficial Titleholder/Attorney-in-Fact/AgentCommonwealth of VirginiaCounty/City of.................:
Subscribed, sworn to and acknowledged before me by
............, this . day of........, 20.
My Commission expires:.................
Notary Public
Va. Code § 8.01-241.1