COMMONWEALTH OF PENNSYLVANIA COUNTY OF BUCKS : : : : File No. : : : SUBPOENA TO ATTEND AND TESTIFY TO: 1. You are ordered by the court to come to (Specify courtroom or other place) at , County, Pennsylvania, on at o'clock, M., to testify on behalf of 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 A PARTY/ATTORNEY IN COMPLIANCE WITH Pa.R.C.P. No. 234.2(a): NAME: ADDRESS: TELEPHONE: SUPREME COURT ID # BY THE COURT: Judith J. Reiss Prothonotary Date: Seal of the Court Deputy OFFICIAL NOTE: This form of subpoena shall be used whenever a subpoena is issuable, including hearings in connection with depositions and before arbitrators, masters, commissioners, etc. in compliance with Pa.R.C.P. No. 234.1. If a subpoena for production of documents, records or things is desired, complete paragraph 2. C-1F-1 (Rev. 12/17) Completed Subpoena must be signed and sealed by the Prothonotary before service American LegalNet, Inc. www.FormsWorkFlow.com RETURN OF SERVICE: On the day of , , I, served (name of person served) with the foregoing subpoena by: (Describe method of service) I verify that the statements in this return of service are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. 247 4904 relating to unsworn falsification to authorities. DATE: (signature) C-1F-1 American LegalNet, Inc. www.FormsWorkFlow.com