Free PDF - Kansas


File Size: 64.4 kB
Pages: 2
Date: December 18, 2006
File Format: PDF
State: Kansas
Category: Court Forms - State
Author: ptull
Word Count: 248 Words, 1,830 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.kansasjudicialcouncil.org/Documents/Miscellaneous%20Forms/PDF/KSA19_4738_UniformComplaint_NoticeToAppear.pdf

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K.S.A. 19-4738 Uniform Complaint & Notice to Appear (12-1-06)

IN THE DISTRICT COURT OF

COUNTY, KANSAS

UNIFORM COMPLAINT AND NOTICE TO APPEAR State of Kansas County of ______________ The undersigned complains that on the ____ day of __________, 2___, at __________ p.m. (a.m.) Name ___________________________________________________________ (Please Print) Street Address _________________________________________________ County ________________ State _________________ Birth Date ______________* Sex _______________ Did unlawfully at

All in violation of Section(s) _________________________________ of Code or Resolution No. __ of __________ County, Kansas. Signature of Officer or Complainant __________________ No. ____ **Sworn to positively before me this ____ day of ________, 2___. _____________________________________________ Judge
*Pursuant to Supreme Court Rule 123(e), if an individual's date of birth must be included in a pleading filed with the court, only the year shall be used and the remainder shall be redacted. **This complaint is not required to be sworn if it is signed by a law enforcement officer or code enforcement officer.

NOTICE TO APPEAR The County of _____________, Kansas, to the above-named person: You are hereby summoned to appear before the District Court of __________, Kansas, at __________ on the ____ day of __________, 2____, at __________ o'clock _.m., to answer the above complaint. If you fail to appear a warrant will be issued for your arrest. Dated __________, 2____.

Signature of Official Title of Official

I agree to appear in the Court at the stated time and place. (You do not admit guilt by signing.) RETURN The undersigned hereby certifies that on the notice to appear was served, mailed or delivered. day of ,2 , the

Law Enforcement Officer or Code Enforcement Officer