Petition Pursuant To Chapter 61 Of Kansas Statutes Annotated Page 2

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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:
I,
, hereby swear that, to the best of my
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
, 2
.
(Signature)
Judge (clerk or notary)

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