Free Subpoena to Employer: Sample and Form - Massachusetts

COMMONWEALTH OF MASSACHUSEITS

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ME T81AL COURT

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DISTRICT COURT OEPARTMEM

Plaintiff
V.

:

SUBPOENA

Defendant
TO:

The Keeper of the Payroll Records of the

Massachusetts t attend and o County, Massachusetts, on the Afvi/ehac and from day to day thereafter, un heard by said Court, to give evidence o what you know relating to an action #en and f there t be heard and tried between %C a b c ' Plaintiff*and =abe , Wfendant, and you ate further required to bring with you any and all records relating to the wages, tips, salary or other income pald to the Defendant.
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. Yware

For a failure to attend you may be deemed guilty of a contempt of Court,

and
I

liable for such penatties as ate provided by law.

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Dated at

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, Massachusetts, on the

day of

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COMMONWEALTH OF MASSACHUSRTS

, ss.

WE TRIAL COURT
DISTRICT COURT DEPARTMENT

DISTRICT COURT
NO.

Plaintiff
V.

:

SUBPOENA

Defendant

TO: The Keeper of the Payroll Records of tfie
You are hereby required, in the name of the Commonwealth of Massachusetts to attend and appear before Court, County, Massachusetts, on the ,1996, at AM/PM, and from day to day thereafter, until the action hereinafter named is heard by said Court, to give evidence of what you know relating to an adion then and there to be heard and tried between , Plaintiff, and , Defendant, and you are further required t bring with you any and o ail records relating to the wages, tips, salary or other income paid to the Defendant,

.

For a failure t attend you may be deemed guiky of a contempt of Court, and o liable for such penalties as are provided by law. Dated at
1996.

, Massachusetts, on the
Signed:

-day of

t

My Commission Expires:

,PWntiff:

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-tk geflrpc the attached subpoena on lbLL C S -

hereby certify and rehvn that on m

h y, D 3,I served a copy of

in the following manner:

I further certiQ that I am not a party to the above-entitled action and I am not less than 18
years of age.
Signed:

=I;-thm

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