COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Commonwealth of ennsylvaniaIndex No.Court of Common Pleas of Philadelphia CountyCalendar No.Orphans Court DivisionJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)No.ofEstate ofSubpoena. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .To:(Name of Witness)THE PEOPLE OF THE STATE OF NEW YORK TO(Address)1.You Are Ordered by the Court to come to, at Philadel-phia, Pennsylvania, on, ato'clock.M., to testify on behalf ofGREETINGS:in the above case, and to remain until excused.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,2.And bring with you the following:located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomNOTICEIf 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.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theday ofWITNESS my hand and seal of said Court, thisCourt in Witness, Honorableday of, 20 County,., A.D. 2FOR THE COURT:(Attorney must sign above and type name below)Asst. Clerk of Orphans' Court DivisionAttorney(s) forInquiries Concerning This Subpoena Should Be Addressed To:Office and P.O. Address(Attorney Name and I.D. No.)Address:TelephoneNo.: Fax No.: E-mail Address:Telephone No.: Facsimile No.: E-Mail Address:11-21 (Rev. 7/00)Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Return of ServiceCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)On theday of, 20 ,I,, served with the foregoing subpoena by (de-scribe method of service):. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOI 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. � 4904 relating to unsworn falsification to authorities.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomSignature DateYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,Name of Person Served(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com