___________________________________
___________________________________
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COMMONWEALTH OF MASSACHUSETTS
_______________, SS: HOUSING COURT DEPARTMENT
______________________DIVISION
DOCKET NO.
/ / / - / / / - / / / / / /
Plaintiff(s)
VS.
Defendant(s)
HABEAS CORPUS FOR PRISONER
AD TESTIFICANDUM
To the Superintendent of Massachusetts Correctional Institution, or the Sheriff of
our County of ____________________________, his Deputies, or the Master of the House
of Correction and the Keeper of the Jail at _____________________________GREETINGS:
You are hereby commanded in the name of the Commonwealth of Massachusetts
to have the body of ____________________________________________________________
detained in said prison under your custody, as it is said, under safe and secure conduct, before the
_______________________________Court at _________________________________________
at _________ o’clock, _____.m., on _______________ day , ___________________, 200___, and
from day to day thereafter, then and there to answer and testify what __he knows relative to a
Complaint now pending in said court by ___________________________ of ________________
against __________________________ of ____________________________ for ______________
____________________________________________ and immediately after ___he shall have
answered and given testimony as aforesaid, to return the said _____________________________
to our prison under safe and secure conduct, and have you there this writ.
WITNESS, _______________________, Justice of the ______________________Court,
this ____________________day of ______________________________, 200 _____.
Clerk-Magistrate