Subpoena - Order To Appear And/or Produce Page 2
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1
2SUBPOENA
Case No.
PROOF OF SERVICE
TO PROCESS SERVER: You must make and file your return with the court clerk. If you are unable to complete service, you must
return this original and all copies to the court clerk.
CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE
OR
OFFICER CERTIFICATE
AFFIDAVIT OF PROCESS SERVER
Being first duly sworn, I state that I am a legally competent
I certify that I am a sheriff, deputy sheriff, bailiff, appointed
adult who is not a party or an officer of a corporate party, and
court officer, or attorney for a party [MCR 2.104(A)(2)], and
that:
that:
(notarization required)
(notarization not required)
I served a copy of the subpoena, together with
by
(including any required fees)
Attachment
personal service
registered or certified mail (copy of return receipt attached)
on:
Name(s)
Complete address(es) of service
Day, date, time
I have personally attempted to serve the subpoena and required fees, if any, together with
Attachment
on the following person(s) and have been unable to complete service.
Name(s)
Complete address(es) of service
Day, date, time
Signature
Service fee
Miles traveled Fee
$
$
Name (type or print)
Incorrect address fee Miles traveled Fee
TOTAL FEE
$
$
$
Title
Subscribed and sworn to before me on
,
County, Michigan.
Date
My commission expires:
Signature:
Date
Deputy court clerk/Notary public
Notary public, State of Michigan, County of
ACKNOWLEDGMENT OF SERVICE
I acknowledge that I have received service of the subpoena and required fees, if any, together with
Attachment
on
Day, date, time
on behalf of
.
Signature
AFFIDAVIT FOR JUDGMENT DEBTOR EXAMINATION
I request that the court issue a subpoena that orders the party named on this form to be examined under oath before a judge
concerning the money or property of:
for the following reasons:
Signature
Subscribed and sworn to before me on
,
County, Michigan.
Date
My commission expires:
Signature:
Date
Deputy court clerk/Notary public
Notary public, State of Michigan, County of
MCR 2.105
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