WPC  
           j-]@nHl?%Mұf*#u/qMg&E&DU31vk/XǿyPhD0x0+ǭ`*mj10@v^{ipu`o-A[D.m^Xa	tMO`ۈu#6OB0 D@^K+I~-#ByPjSx1)Fd.-E^9EmJRrk|Aζф'ЉRm/@*?RHW~xSߒٓ7!"\4xv+gvMnZ-FwT4EV;h#3]DBKV(cGsnn!;T"5?NԹqnea5p߉H^VkO[`H> i`LчifB_a/eBV!fQbI            #        U   N     	%        0   :      U   N      U   >   [  ^        w        4                        	m         H P   L a s e r J e t   4 0 0 0   S e r i e s   P C L 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               V,,,, V0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          USUS. ,  ( hH  	   Z   6 T i m e s   N e w   R o m a n   R e g u l a r          \	  	   `   & T i m e s   N e w   R o m a n         C4         Do4    :i +003| x                    U  
   !    USUS. ,      _                w    X. X  X X            = (#         (Revised7/05)           #   X`  X X X.Y   #    X. X  X X` Ԉ   	                `	               h               p      FileStampDate   	              `	               h               p      CaseNumber______   	    Preparedby:   	    Filersname,SC#   	    Filersaddress   	    Filersphonenumber   	    {Filersfaxphonenumber}   	 t   {Filersemailaddress}   	 m	`   AttorneyforPlaintiff   	 Y
L	   @    *  @    ee  InTheDistrictCourtof______County,Kansas   	 1$
   @    *  Plaintiffsname          Plaintiff   	 	            `	               h      vs.         `	               h           CaseNo.______   	    Defendantsname          Defendant   	    Defendantsaddress   	    PursuanttoChapter61of   	 }p   KansasStatutesAnnotated   	 i\   @    //&  PETITION   	 A4   @      (tortattorneyfees)   	 -    Theplaintiffstatesthefollowingclaim(s):   	         1.Atalltimesmaterialtheplaintiffwastheownerofthefollowingdescribedmotor   	    vehicle:   	        ""J (# .   	         2.Thatonorabout_______________,_______saidmotorvehiclewasdamageddueto   	    thenegligentandcarelessdrivingofthedefendantintheamountof$______.   	         3.Thatdemandhasbeenmadeforpaymentofsaiddamagebutthedefendanthasfailed,   	     refusedandneglectedtopaythesame.   	 y l!        4.Thattheplaintiffisentitledtoanallowanceofreasonableattorneyfeesinanamount   	 e!X"   ofnotlessthan$______tobetaxedaspartofthecostsofthislawsuitpursuanttoK.S.A.60   	 Q"D #   2006.   	 =#0!$        WHEREFORE,theplaintiffdemandsjudgmentagainstthedefendant(s)for:   	 )$"%   principalamount              h $______,   	 &#'   attorneyfees    `	               h $______,   	 &$(   interestafterjudgment         h 0     ______%peryear,    '%) (#(#  andcosts.   	 (&*            `	               h _________________________________   	 )'+            `	               h PlaintifforPlaintiffAttorneySignature   	 *(,            `	               h SC#   	 +|)-   {Ifapplicable,includethefollowing:   	 a-T+/   Thisisacommunicationfromadebtcollector.Thisisanattempttocollectadebtandany   	 9/,-1   informationobtainedwillbeusedforthatpurpose.}#   X`  X X X.   # 