COMMONWEALTH OF MASSACHUSETTS 

_______________, SS:

 HOUSING COURT DEPARTMENT
 ______________________DIVISION 
DOCKET NO. 
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___________________________________ 
Plaintiff(s) 

VS. 

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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