Subpoena To Testify Before A Grand Jury
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Subpoena To Testify Before A Grand Jury Form. This is a Official Federal Forms form and can be use in Administrative Office - Criminal Federal District.
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Tags: Subpoena To Testify Before A Grand Jury, AO 110, Official Federal Forms Federal District, Administrative Office - Criminal
AO 110 (Rev. 06/09) Subpoena to Testify Before a Grand Jury
UNITED STATES DISTRICT COURT
for the
__________ District of __________
SUBPOENA TO TESTIFY BEFORE A GRAND JURY
To:
YOU ARE COMMANDED to appear in this United States district court at the time, date, and place shown
below to testify before the court’s grand jury. When you arrive, you must remain at the court until the judge or a court
officer allows you to leave.
Place:
Date and Time:
You must also bring with you the following documents, electronically stored information, or objects (blank if not
applicable):
Date:
CLERK OF COURT
Signature of Clerk or Deputy Clerk
The name, address, e-mail, and telephone number of the United States attorney, or assistant United States attorney, who
requests this subpoena, are:
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AO 110 (Rev. 06/09) Subpoena to Testify Before Grand Jury (Page 2)
PROOF OF SERVICE
This subpoena for (name of individual or organization)
was received by me on (date)
.
’ I served the subpoena by delivering a copy to the named person as follows:
on (date)
; or
’ I returned the subpoena unexecuted because:
.
I declare under penalty of perjury that this information is true.
Date:
Server’s signature
Printed name and title
Server’s address
Additional information regarding attempted service, etc:
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