WPC A*m2ףͳ&~a! I)q0ҲvX#F=I@+@K33=?6<:'䍔bbLNp]qgvTv>6-1]l@NWz>WH)r?Zs:&2a#[pB|#䱀b2j~"p! C /t>~Jkxo(%>ՃN(DQ_єk~L^ ^U~I0HSix|ԑ6Yx>e/v=1x>=[1-v ¾($ by=AO' S"i%NJE*AzYvadp81Unkr6<#7BM5.E{&}NqleDs(L|EuL.] ʾ==q9F=9#UN % 0(U: U:C^ }w4 mN\\KJCDC01\SAVIN 90600(@ Z6Times New Roman RegularX($,ZAZ"Arial Regular,  AZ"Arial Regular (#(# v   `    0 h )     p   CaseNo._________ $ h(#h(#    `  ,0  0h(#(#) h(#h(#   Defendant.   0 h ) h(#h(#  XX'ProceedingPursuanttoK.S.A.Chapter61 #X'X # l    PETITIONPURSUANTTOCHAPTER61OF R THEKANSASSTATUTESANNOTATED 8     Statementofclaim:    I, `     h ,havingreadtheinstructionbelow,herebyassertthe U followingclaimagainst   h     ,defendant: B    `     h      p      x     `     h      p      x     `     h      p      x    Demandforjudgment: f    Basedontheclaimstatedabove,judgmentisdemandedagainstdefendantas !W" follows: "$   1.Paymentof$   h ,plusinterest,costsandanydamagesawardedunder A$& K.S.A.602610andamendmentsthereto. %.!(   2.Recoveryofthefollowingdescribedpersonalproperty,pluscosts: {'"*    `     h      p      x     `     h      p      x  . *&. Thispropertyhasanestimatedvalueof$   p   . R,'0    -?)2   Instructionstoplaintiff:    1.Statetheclaimyouhaveagainstdefendantinthespaceprovided.Beclearand Q concise. 7   2.Yourtotalclaimagainstdefendantmaynotexceed$4,000,notincludinginterest,  S costsandanydamagesawardedunderK.S.A.602610andamendmentsthereto.Ifyou  9 areseekingtherecoveryofpersonalproperty,thevalueofthatpropertyshallbebasedon   yourestimateofitsvalueunderoath.     3.Youmustbepresentinpersonatthehearinginordertoavoiddefaultjudgment    againstyouonanyclaimdefendantmayhavewhicharisesoutofthetransactionor g  occurrencewhichisthesubjectofyourclaimagainstthedefendant. M    4.Youmustmakedemandforjudgmentinoneorbothofthespacesprovided i  above. O    5.Exceptasprovidedbylaw,neitheryounorthedefendantispermittedtoappear  withanattorneyatthehearing.    6.Youmaynotfilemorethan20smallclaimsunderthesmallclaimsprocedureact } inthiscourtduringanycalendaryear. c   7.Aftercompletingthisform,youmustsubscribetothefollowingoath: / 0   ` I,    h     ,herebyswearthat,tothebestofmy K knowledgeandbelief,theforegoingclaimassertedagainstthedefendant(including 1 theestimateofvalueofanypropertysoughttoberecovered)isajustandtrue  statement,exclusiveofanyvalidclaimordefensewhichdefendantmayhave.(#(# #X/~XXX'כ#X'XXX/~  0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(# p    XX'   x #X'X #  (#(#   0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#PlaintiffsSignatureE! (#(#   Subscribedandsworntobeforemeonthe p dayof   x ,2 . #a"   0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(# p      x #X/~XXX':#X'XXX/~  (#(#   0 ` 0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#Judge(clerkornotary)&!&p(#p(# #X/~XXX'ם#