Free Court of Common Pleas Form #10-200 - Pennsylvania

Commonwealth of Pennsylvania County of Philadelphia
In the matter of: COURT OF COMMON PLEAS

(Plaintiff) vs. (Defendant)

(Demandante) No. (Demandado)

Term, Yr.

Subpoena
To: (Name of Witness) 1. (Nombre del Testigo) YOU ARE ORDERED BY THE COURT TO COME TO (El tribunal le ordena que venga a) , AT PHILADELPHIA, PENNSYLVANIA ON (en Filadelfia, Pennsylvania el) TESTIFY ON BEHALF OF (para atestiguar a favor de) , AT (a las) O'CLOCK .M., TO IN THE ABOVE

CASE, AND TO REMAIN UNTIL EXCUSED (en el caso arriba mencionado y permanecer hasta que le autoricen irse). 2. AND BRING WITH YOU THE FOLLOWING (Y traer con usted lo siguiente):

NOTICE 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.

AVISO Si usted falla en comparecer o producir los documentos o cosas requeridas por esta cita, usted estara sujeto a las sanciones autorizadas por la regla 234.5 de las reglas de procedimiento civil de Pensilvania, incluyendo pero no limitado a los costos, remuneracion de abogados y encarcelamiento.

INQUIRIES CONCERNING THIS SUBPOENA SHOULD BE ADDRESSED TO (Las preguntas que tenga acerca de esta Citacion deben ser dirigidas a): ISSUED BY: (Attorney) ADDRESS (Direccion) TELEPHONE NO. (No. de Telefono) ATTORNEY (Abogado ID #) BY THE COURT (Por El Tribunal) JOSEPH H. EVERS PROTHONOTARY (Protonotario) PRO
10-200 (Rev. 7/99)

(Abogado/Abogada)

(Clerk)

(Escribano)

Completed Subpoena must be signed and sealed by the Prothonotary (Room 266 City Hall) before service.

Commonwealth of Pennsylvania County of Philadelphia
In the matter of: COURT OF COMMON PLEAS

(Plaintiff) vs.

(Demandante)

Term, Yr.

No. (Defendant) (Demandado)

Return of Service
On the I, scribe method of service): day of ,Yr. , , served with the foregoing subpoena by (de-

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. § 4904 relating to unsworn falsification to authorities.

Date

Signature

Name of Witness

Name of Person Served

10-200 (Rev. 7/99) (Reverse)