Subpoena (Order To Appear) - Return On Service Form Page 2

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RETURN ON SERVICE
Check one: (1 or 2 are for the return of an authorized officer or attorney; an attorney’s return must be sworn to; 3 is for
the witness who will acknowledge service and requires the witness’s signature.)
1. ___ I certify that on the date indicated below I served a copy of this subpoena on the witness stated above by
_____________________________________________________________________________________________
2. ___ I failed to serve a copy of this subpoena on the witness because
________________________________________________________________________________________________
3.
___ I acknowledge being served with this subpoena on the date indicated below:
DATE OF SERVICE
Sworn to and subscribed before me on this ____
day of
_______________________, 20 ___.
Signature of ___ Notary Public or ___ Deputy Clerk
SIGNATURE OF WITNESS, OFFICER, ATTORNEY OR
ATTORNEY’S AGENT
My Commission Expires:
Submit three:
Original, Witness Copy & File Copy

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