Commonwealth of Pennsylvania County of Lancaster Plaintiff/s VS Defendant/s Docket No. SUBPOENA TO ATTEND AND TESTIFY To: [Name(s) of Witness(es) : 1. You are ordered by the Court to come to [Courtroom or other Place] at behalf of , Pennsylvania, on at o'clock .M., to testify on in the above case, and to remain until excused. 2. And bring with you the following: If you fail to attend or to produce the documents or things required by this subpoena, you may be subject to the sanctions authorized by Rule 234.5 of the Pennsylvania Rules of Civil Procedure, including but not limited to costs, attorney fees and imprisonment. Requested by: Attorney: Address: Telephone: Identification #: BY THE COURT: Date: Seal of the Court By: Official Note: This form of subpoena shall be used whenever a subpoena is issuable under Rule 234.1, including hearings in connection with depositions and before arbitrators, masters, commissioners, etc. To require the production of documents, or things in addition to testimony, complete paragraph 2. American LegalNet, Inc. www.FormsWorkflow.com