COMMONWEALTH OF MASSACHUSETTS _______________, SS: HOUSING COURT DEPARTMENT ______________________DIVISION DOCKET NO. / / /-/ / /-/ / / / / / ___________________________________ Plaintiff(s) VS. ___________________________________ Defendant(s) HABEAS CORPUS FOR PRISONER AD TESTIFICANDUM To the Superintendent of Massachusetts Correctional Institution, or the Sheriff of our County of ____________________________, his Deputies, or the Master of the House of Correction and the Keeper of the Jail at _____________________________GREETINGS: You are hereby commanded in the name of the Commonwealth of Massachusetts to have the body of ____________________________________________________________ detained in said prison under your custody, as it is said, under safe and secure conduct, before the _______________________________Court at _________________________________________ at _________ o'clock, _____.m., on _______________ day , ___________________, 200___, and from day to day thereafter, then and there to answer and testify what __he knows relative to a Complaint now pending in said court by ___________________________ of ________________ against __________________________ of ____________________________ for ______________ ____________________________________________ and immediately after ___he shall have answered and given testimony as aforesaid, to return the said _____________________________ to our prison under safe and secure conduct, and have you there this writ. WITNESS, _______________________, Justice of the ______________________Court, this ____________________day of ______________________________, 200 _____.
____________________________________ Clerk-Magistrate