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K.S.A. 61-2713(a) Small Claims Petition (7/1/05)

IN THE DISTRICT COURT OF

JUDICIAL DISTRICT COUNTY, KANSAS

, Plaintiff, v , Defendant.

) ) ) ) )

Case No. _________

Proceeding Pursuant to K.S.A. Chapter 61

PETITION PURSUANT TO CHAPTER 61 OF THE KANSAS STATUTES ANNOTATED Statement of claim: I, following claim against , having read the instruction below, hereby assert the , defendant:

Demand for judgment: Based on the claim stated above, judgment is demanded against defendant as follows: 1. Payment of $ , plus interest, costs and any damages awarded under

K.S.A. 60-2610 and amendments thereto. 2. Recovery of the following described personal property, plus costs:

. This property has an estimated value of $ .

Instructions to plaintiff: 1. State the claim you have against defendant in the space provided. Be clear and concise. 2. Your total claim against defendant may not exceed $4,000, not including interest, costs and any damages awarded under K.S.A. 60-2610 and amendments thereto. If you are seeking the recovery of personal property, the value of that property shall be based on your estimate of its value under oath. 3. You must be present in person at the hearing in order to avoid default judgment against you on any claim defendant may have which arises out of the transaction or occurrence which is the subject of your claim against the defendant. 4. You must make demand for judgment in one or both of the spaces provided above. 5. Except as provided by law, neither you nor the defendant is permitted to appear with an attorney at the hearing. 6. You may not file more than 20 small claims under the small claims procedure act in this court during any calendar year. 7. After completing this form, you must subscribe to the following oath: , hereby swear that, to the best of my I, knowledge and belief, the foregoing claim asserted against the defendant (including the estimate of value of any property sought to be recovered) is a just and true statement, exclusive of any valid claim or defense which defendant may have.
(Signature)

Plaintiff Subscribed and sworn to before me on the day of
(Signature)

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Judge (clerk or notary)