The Commonwealth of Massachusetts

ss.
To
   
   
   
Greetings:
You are hereby commanded, in the name of The Commonwealth of Massachusetts, to appear before the Court holden at within and for the county of on the of at o'clock in the , 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 action of then and there to be heard and tried between
Plaintiff, and
Defendant, and you are further required to bring with you:
(Use Schedule "A" if the space provided is insufficient)

Hereof fail not, as you will answer your default under the pains and penalties in the law in that behalf made and provided.

Dated at the day of , 20

Notary Public