The notice to produce required by Rule 234.3(b) shall be substantially in the following form:

(Caption)

NOTICE TO PRODUCE

To

____________

: (Name(s) of Party/Parties)

You are directed to produce the following:

______________________________________

______________________________________

______________________________________

______________________________________

at

_________________________

,

_________________________

, Pennsylvania, (Courtroom or other place) (Address)

on

____________

at

___

o’clock

___

. M.

If you fail to produce the documents or things required by this notice to produce, you may be subject to the sanctions authorized by Rule 234.5 of the Pennsylvania Rules of Civil Procedure. Date:

____________

_________________________

(Party or Party’s Attorney)

_________________________

(Address)

_________________________

(Telephone Number)