Free 01-12 Subpoena Form - Pennsylvania

Commonwealth of Pennsylvania County of Philadelphia
Commonwealth of Pennsylvania vs.
(Defendant) COURT OF COMMON PLEAS MUNICIPAL COURT CRIMINAL DIVISION Term, Yr No.

Subpoena
(Not to be Used as a Subpoena Duces Tecum)
To: (Name of Witness) (Address) You are Ordered by the Court to come to at Philadelphia, Pennsylvania on matter of Commonwealth vs. to testify and to remain until excused. , at o'clock .M., in the

, charged with

NOTICE
This subpoena is issued pursuant to Pa. R. Crim. P. No. 9016. If you fail to attend, you may be subject to sanctions including but not limited to imprisonment and attorneys fees.

INQUIRIES CONCERNING THIS SUBPOENA SHOULD BE ADDRESSED TO:
(Name of Attorney) (I.D. No.)

ADDRESS E-MAIL ADDRESS TELEPHONE NO. FAX NO.

WITNESS the Honorable Frederica A. Massiah-Jackson, President Judge of the Court of Common Pleas, and/or Louis J. Presenza, President Judge of the Municipal Court of Philadelphia, the day of , . By The Court:
VIVIAN T. MILLER Clerk of Quarter Sessions
(Clerk) The subpoena must be signed and sealed by the Clerk of Quarter Sessions before service.
01-12 (Rev. 2/01)

Return of Service
On the I, method of service): day of , 20 , , served with the foregoing subpoena by (describe

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 Person Served

01-12 (Reverse)