COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) : Index No. Calendar No. (Rev. 10/04) (Rev. 2/04 JUDICIAL SUBPOENA ) : In the-against- Common Pleas of York County, Pennsylvania Court of Orphans' Court Division : : In re : : ...................................................... : : No. Defendant(s) : Subpoena THE PEOPLE OF THE STATE OF NEW YORK To: TO [Name(s) of Witness(es)] You are ordered by the Court to come to [courtroom or other place] ,York, Pennsylvania, on [date] COMMAND YOU, that all business and excuses being laid aside, you to testify on behalf before at [time] , and each of you attend WE of [party] , the Honorable at the in the above captioned matter, and to Court remain located at County ofuntil excused. GREETINGS: in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date,2. testify andbring evidence as a witness in this action on the part of the to And give with you the following: 1. If you fail to attend or to produce the documents or things required by you Your failure to comply with this subpoena is punishable as a contempt of court and will make this liable to subpoena, whosemay bethis subpoena was issued for a maximum penalty of $50 andthe damages sustained as a you behalf subject to the sanctions authorized by Rule 234.5 of all Pennsylvania the party on Rules your failure to comply. result of of Civil Procedure, including but not limited to costs, attorney fees, and imprisonment. Requested by: Honorable Witness, Court in Name of Attorney: County, day of Supreme Court I.D. No.: Address: Telephone Number: , one of the Justices of the , 20 By the Court, (Attorney must sign above and type name below) Date: By Attorney(s) for (Deputy) Clerk of Orphans'Court Division Seal of Court Office and P.O. Address [This form of subpoena shall be used whenever a subpoena is issuable under Rule 234.1. To require the production of documents or things in addition to testimony, complete Telephone No.: paragraph 2.] Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) Return of Service -against: : : : Index No. Calendar No. JUDICIAL SUBPOENA On [date of service] , served [name of person served] the foregoing subpoena by [method of service]: , I [name] with Defendant(s) : ...................................................... I verify that the statements THE PEOPLE OF THE STATE OF NEW YORK 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. § 4904 TO relating to unsworn falsification to authorities. GREETINGS: Date: Signature WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 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. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: 2 American LegalNet, Inc. www.USCourtForms.com