____________ Court ______________County GRAND JURY SUBPOENA ________________Tennessee Case Number Page 1 of 1 _____________________________________ vs. _________________________________ To Any Lawful Officer of Said County: Under penalty prescribed by law, you are commanded to summon: ______________________________________ ______________________________________ ______________________________________ to appear personally before the ___________ Court of ____________ County, at the ________________ in _________, Tennessee, on _____________, before the Grand Jury then and there to testify ( on behalf of the State of Tennessee) in this matter: and bring the following: Duces Tecum: Issued: ________________________ __________________________________________ Clerk / Deputy Clerk - Circuit Court OFFICER’S RETURN: Came hand this date and executed by: Delivering the within subpoena to the witness named herein Unable to serve because Date: ___________________ By:_________________________________ Officer, Title ATTORNEY'S RETURN OF SERVICE: Attorney’s Name, Address and Telephone Number ____________________________________ ____________________________________ ____________________________________ Designee’s Name, Address and Telephone Number ________________________________________ ________________________________________ ________________________________________ I certify that on the date indicated below I served a copy of this subpoena on the witness ____________, by ______________________________ . Date:_____________________ ____________________________________ Signature of Attorney/Designee Sworn to and subscribed before me on ________________ Notary Public/Deputy Clerk __________________ Commission Expires: __________________________________________ Legal Authority: TRCP 6, 17 TCA §40-13-213 American LegalNet, Inc. www.USCourtForms.com