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Rev. 6/2017 KSJC 1 [CAPTION] COUNTERCLAIM The defendant for his counterclaim against plaintiff, states and alleges as follows: 1. The automobile accident described in the petition was caused by the plaintiff222s failure to operate her motor vehicle at a safe speed under existing conditions; 2. Due to plaintiff222s negligence, defendant has suffered injury, has incurred expenses for necessary medical treatment and will incur additional expenses for future treatment, has lost wages and will continue to lose wages in the future, and has suffered and will continue to suffer pain. WHEREFORE, defendant prays that he be awarded judgment against plaintiff for damages (in an amount of $ insert dollar figure if $75,000 or less ) (in an amount in excess of $75,000), for costs and other relief as the Court deems just and proper. (Signature of attorney) (Name), Attorney for (party) Bar Registration Number Address Telephone [Facsimile number] [Email address] American LegalNet, Inc. www.FormsWorkFlow.com Rev. 6/2017 KSJC 2 CERTIFICATE OF SERVICE I certify that a copy of the above Counterclaim was served on (name) on the day of , 20 , as follows: . (Signature of attorney) Authority K.S.A. 60-213. American LegalNet, Inc. www.FormsWorkFlow.com