Commonwealth Of Pennsylvania COUNTY OF PHILADELPHIA : : : : : : : Court of Common Pleas Term, 20 Plaintiff vs. No. Defendant Subpoena to Produce Documents or Things for Discovery Pursuant to Rule 4009.22 TO: (Name of Person or Entity) Within twenty (20) days after the service of this subpoena, you are ordered by the Court to produce the following documents or things: at (Address) You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together with the certificate of compliance, to the party making this request at the address listed above. You have the right to seek in advance the reasonable cost of preparing the copies or producing the things sought. If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service, the party serving this subpoena may seek a court order compelling you to comply with it. This subpoena was issued at the request of the following person: Name: Address: Telephone: Supreme Court ID#: Attorney for: BY THE COURT: Eric Feder Director, Office of Judicial Records PRO 10-238 (Rev. 03/2015) American LegalNet, Inc. www.FormsWorkFlow.com Commonwealth Of Pennsylvania County Of Philadelphia : : : : : : : : : Court of Common Pleas Term, 20 Plaintiff vs. No. Defendant TO: (Person Served with Subpoena) You are required to complete the following Certificate of Compliance with producing documents or things pursuant to the Subpoena. Send the documents or things, along with this Certificate of Compliance (with your original signature), to the person at whose request the subpoena was issued (see address on the reverse). Do not send the documents, things or the Certificate of Compliance, to the Office of Judicial Records. Certificate of Compliance With Subpoena to Produce Documents or Things Pursuant to Rule 4009.23 I, (Person Served with Subpoena) certify to the best of my knowledge, information and belief that all documents or things required to be produced pursuant to the subpoena issued on (Date of Subpoena) have been produced. Date: (Signature of Person Served with Subpoena) 10-238 (Rev. 03/2015 - Reverse) American LegalNet, Inc. www.FormsWorkFlow.com