WPC  
           w`*h* %5owLE7\:N@`-Kd"U eJ &TP3a4Ov)-H F>S.1'6v-XZ} \}]P)clۓy~k.}c.7iKީjD"H̎Xb9c (v3	4Hv89-'UՓx
ZV"yQZ}	+f(O?!I{MG7ÉX@AGYToH_tUI;=0WDTŷ 7(N;ꋚ+P>;/6o'	~Yv2`ot+.6"F5?㻫q)
nz7tUr^ޝZ_gy!'55J럷IC㟃.kɆ            #        U   N     	%        0   (      U   :      U   :   5  ^      o  w      {  4                        	m         \ \ K J C D C 0 1 \ S A V I N   4 0 6 0   P C L   6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          0                                                                                                                                                                 ( @  	   Z   6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                    $       , Z  A   Z   " A r i a l   R e g u l a r         ,  
  A   Z  " A r i a l   R e g u l a r         r:Z         PK:    o r e l   03| x                    U  
    !     _              X X            : (# K.S.A.612713(a)   	           6 (# SmallClaimsPetition   	 `        @!@!C (# (7/1/05)#   X&&  X  +   #       X X&& Ԉ   	 `   #   X&&  X  	  #         X.w X  X X&& INTHE򀀀JUDICIALDISTRICT   	 p   ЀDISTRICTCOURTOF򀀀COUNTY,KANSAS   	 V                `	      ,0     0    h(#(# )    X h(#h(#       Plaintiff,     0         h )    >	 (#(#  v         `	           0    h )              p      CaseNo._________    $
 h(#h(#           `	      ,0     0    h(#(# )    
	 h(#h(#       Defendant.          0    h )    	 h(#h(#     $  X X.w ProceedingPursuanttoK.S.A.Chapter61#   X.w X  $l  #    	 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$4,000,notincludinginterest,   	 	S   costsandanydamagesawardedunderK.S.A.602610andamendmentsthereto.Ifyou   	 	9   areseekingtherecoveryofpersonalproperty,thevalueofthatpropertyshallbebasedon   	 
   yourestimateofitsvalueunderoath.   	         3.Youmustbepresentinpersonatthehearinginordertoavoiddefaultjudgment   	 
   againstyouonanyclaimdefendantmayhavewhicharisesoutofthetransactionor   	 g	   occurrencewhichisthesubjectofyourclaimagainstthedefendant.   	 M
        4.Youmustmakedemandforjudgmentinoneorbothofthespacesprovided   	 i   above.   	 O        5.Exceptasprovidedbylaw,neitheryounorthedefendantispermittedtoappear   	    withanattorneyatthehearing.   	         6.Youmaynotfilemorethan_        20_        Ԁsmallclaimsunderthesmallclaimsprocedureact   	 }   inthiscourtduringanycalendaryear.   	 c        7.Aftercompletingthisform,youmustsubscribetothefollowingoath:   	 /   0         `	 I,              h           ,herebyswearthat,tothebestofmy   	 K   knowledgeandbelief,theforegoingclaimassertedagainstthedefendant(including   	 1   theestimateofvalueofanypropertysoughttoberecovered)isajustandtrue   	    statement,exclusiveofanyvalidclaimordefensewhichdefendantmayhave.     (#(#  #   X&&  X X X.wn  #    X.w X  X X&&      0    `	 0    `	(#`	(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(#     p         $  X X.w (Signature)    x       #   X.w X  $  #  @        _  (#(#       0    `	 0    `	(#`	(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# Plaintiff    !o  (#(#       Subscribedandsworntobeforemeonthe    p dayof          x ,2      .   	 ";"        0    `	 0    `	(#`	(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(#     p         $  X X.w (Signature)#   X.w X  $V  #     x       #   X&&  X X X.w-  #    X.w X  X X&&  @        % % (#(#       0    `	 0    `	(#`	(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# Judge(clerkornotary)    ]&!& p(#p(#  #   X&&  X X X.w  # 
