Grand Jury Subpoena

____________ Court GRAND JURY SUBPOENA Case Number ______________County ________________Tennessee Page 1 of 1 _____________________________________ vs. ______________________________ ___ To Any Lawful Officer of Said County: Under penalty prescribed by law, you are commanded to summon: ______________________________________ ______________________________________ ______________________________________ to appear personally before the ___________ Court of ____________ County , at the ________________ in _________, Tennessee, on _____________, before the Grand Jury then and there to testify ( in behalf of the State of Tennessee) in this matter: and bring the following: Duces Tecum: Issued: ________________________ __________________________________________ Clerk / Deputy Clerk - Circuit Court OFFICERS RETURN: Came hand this date and executed by: Delivering the within subpoena to the witness named herein Unable to serve because Date:___________________ By:_________________________________ Officer, Title ATTORNEYS RETURN OF SERVICE: Attorneys Name, Address and Telephone Number Designees Name, Address and Telephone Number ____________________________________ ___________________________________ _____ ____________________________________ ___________________________________ _____ ____________________________________ ___________________________________ _____ I certify that on the date indicated below I served a copy of this subpo ena on the witness ____________, by ______________________________ . Date:_____________________ ____________________________________ Signature of Attorney/Designee Sworn to and subscribed before me on ________________ Notary Public/Deputy Clerk__________________ Commission Expires: ___________________________________________