WPC $'m ď9t'uu`E͢y/*9Ul‰?W/WeWt(pVKHi`!e( chFt>$nZ'f-,?w' 1mb)z5p@>G邾ZƬZkZ֙F11ma`74?z̾4^ w4& m( ? O _ o    NU> 0UbXz`HPLJ33000(9 Z6Times New Roman RegularX($USUS.,\  `&Times New Roman6Z DM6:i+003|xUText1Text2Text3Text4Text5Text6Check1Check2\  `&Times New Roman(-2$ !USUS.,  - - p 'USUS.,  _"X C"8/1/07 !USUS.,  _@VV)126   8XXdd8=XXdd=XXXX@INTHEDISTRICTCOURTOF  %  -  ________________-  % hԀCOUNTY,KANSAS   3 p x (#X333INTHEINTERESTOF: R Ѐ m  _.0p"(#pX0Name%  -  ____________________________-  % _____ p CaseNo.%  -  _____________%!____   ._<  z  x (#p"(#<33DOB%  xx/xx/____%%  % %  -  %)0 A#XXXX#XXXX&#XXXX#XXXX%  %Ԁmale%  #XXXX#XXXXԀ#XXXX?#XXXX&#XXXX#%XXXXԀfemale  (# (#  6 z pX z X6Name-  __________________________________ p -  CaseNo.-  __________________-   {   ?  z  x (# z pX?DOB-  xx/xx/____-  0 A#XXXX#XXXX&#XXXX#XXXXԀmale#XXXX#XXXXԀ#XXXX;#XXXX&#XXXX#XXXXԀfemaleg  (# (# _.< z p"(# z X<33#XXXX#XXXX Name____________________________________ p CaseNo.__________________ n  DOBxx/xx/____0 A&#XXXX #XXXXԀmale&#XXXXf #XXXXԀfemale  (# (# #XXXX #XXXX#XXXX #@ MOTIONFORINTERESTEDPARTYSTATUS S @ PursuanttoK.S.A.382241  n    IamaskingthattheCourtdeterminethatIamaninterestedparty.Iwishtobean F interestedpartyandIamrelatedtothechild(ren)namedaboveasfollows: a XXXX0#XXXX #maternalgrandparent XXXX& #XXXX3 #Ԁpaternalgrandparentof____________________________________  XXXX0personwithwhomthechildhasresidedforasignificantperiodoftimewithin6monthsofthe / datethepetitionwasfiled________________________________________________________ J _____________________________________________________________________________#XXXX # !e XXXX0personwithwhomthechildhasresidedandwithinthefourthdegreeofrelationship________ =# _____________________________________________________________________________#XXXXU# X$ XXXX0#XXXXp#persontowhomthechildhascloseemotionalties___________________________________ &!  _____________________________________________________________________________ '#! XXXX0#XXXX#Ԁother______________________________________________________________________ )=%# _____________________________________________________________________________ *X&$  ,s'% < z pX z p"(#<  0 0z (# (#0pz (#z (#____________________________p(#p(#   0 0z (# (#0pz (#z (#Signature6p(#p(# _PrintName,AddressandPhoneNumber  l ________________________________ )  ________________________________ D  ________________________________ _  ________________________________ z  ________________________________   @ CERTIFICATEOFSERVICE  D    Theundersignedsolemnlycertifiesthatacopyoftheforegoingmotionwasmailedor  ~ handdeliveredtothefollowingonthe______dayof________________,_______. ;  XXXX& #XXXX@#ԀMother V  XXXX& #XXXX#ԀFather u  XXXX& #XXXX#ԀCounty/DistrictAttorney   XXXX& #XXXX#ԀGAL   XXXX& #XXXX#ԀTheSecretary 0  XXXX& #XXXX^#Ԁ_________________________ O  XXXX& #XXXX#Ԁ_________________________ n  XXXX& #XXXXT#Ԁ_________________________ /  XXXX& #XXXX#Ԁ_________________________ N   0 0z (# (#0pz (#z (#0p(#p(#_______________________!(#(#   0 0z (# (#0pz (#z (#0p(#p(#_Movant_"(#(# @jj&Authority $7  K.S.A.382241. 'm" @* {+&#   NotesonUse      K.S.A.382202(l)definesaninterestedpartyasagrandparent,apersonwithwhomthechild 6 hasbeenlivingforasignificantperiodoftime,oranypersonthecourtdesignatesassuch,pursuant Q toK.S.A.382241.K.S.A.382241requiresagrandparentorotherpersondesiringtobean  l interestedpartytonotifythecourtofthedesireinordertobesodesignated;thedesignationisnot )  automatic.Thisformservesthatpurpose. D