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Petition (Small Claims) PS-223 - Kansas

Petition (Small Claims) Form. This is a Kansas form and can be used in 18th Judicial District (Sedgwick County) Local District Court .
 Fillable pdf Last Modified 7/29/2014
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IN THE EIGHTEENTH JUDICIAL DISTRICT DISTRICT COURT, SEDGWICK COUNTY, KANSAS CIVIL DEPARTMENT ______________________________________________________________________________ (Print Name) Plaintiff(s) _______________________________________________________________________________ (Address) (Phone Number) _______________________________________________________________________________ (City) (State) (Zip Code) VS _______________________________________________________________________________ (Print Name) Defendant(s) _______________________________________________________________________________ (Address) (Phone Number) _______________________________________________________________________________ (City) (State) (Zip Code) CASE NO. ___________________________________________ PETITION (Small Claims Procedure) PURSUANT TO CHAPTER 61 OF KANSAS STATUTES ANNOTATED INSTRUCTIONS TO PLAINTIFF: 1. State the claim you have against the defendant(s) in the space provided. Be clear and concise. 2. Your total claim against defendant(s) may not exceed $4,000, not including interest, costs and any damages awarded under K.S.A. 1993 Supp. 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(s) may have which arises out of the transaction or occurrence which is the subject to your claim against the defendant(s). 4. You must make demand for judgment in one or both of the spaces provided below. 5. Neither you nor the defendant(s) is permitted to appear with an attorney at the hearing. 6. You may not file more than twenty (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. STATEMENT OF CLAIM: Plaintiff, having read the instructions above, asserts the following claim against the above defendant(s): ____________________________________________________________ ___________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________ 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. 1993 Supp. 60-2610 and amendments thereto. 2. Recovery of the following described personal property, plus costs: ______________________________________________________________________________________ ________________________________________________________________________________________________This property has an estimated value of $ _________________. The plaintiff, hereby declares under penalty of perjury under the laws of the State of Kansas that, to the best of plaintiff's knowledge and belief, the above claim asserted against the defendant(s) (including the estimate of value of any property sought to be recovered) is a just, true, and correct statement, exclusive of any valid claim or defense which defendant(s) may have. Executed on _____________________________________________ , ___________ . _______________________________________________________________________ Signature of Plaintiff Indicate this box to request conventional sheriff or process server service of the summons and not certified mail service. If you do not mark this box the sheriff may make certified mail service or you may make certified mail service. Follow strict terms of the "returns" on the summons forms if you make the service yourself. REASONABLE ACCOMMODATIONS WILL BE PROVIDED IN ACCORDANCE WITH THE AMERICANS WITH DISABILITIES ACT. CIVIL - SC NO. 2 (6/94) - (REFERENCE ONLY PS-223) American LegalNet, Inc. www.FormsWorkFlow.com
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