DISTRICT COURT OF ______________COUNTY, KANSAS Small Claims Procedure ______________________________________________________________ Plaintiff-name and address vs. ______________________________________________________________ Defendant-name and address Case No. _________________ SUMMONS Pursuant to Chap. 61 of K.S.A. TO THE ABOVE NAMED DEFENDANT(S): You are hereby notified that the above named plaintiff has filed against you under the small claims procedure of this court. Plaintiff, having read the instructions on page two of the petition, asserts the following claim against the above named defendant (s). __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Based on the claim stated above, judgment is demanded against defendant (s) as follows: ______Payment of $__________, plus interest, costs and any damages awarded under K.S.A. 60-2610. ______Recovery of the following described personal property, plus costs-estimated value of property $____________. (Not to exceed $4,000) The plaintiff, hereby swears that, to the best of his/her knowledge and belief, the above claim asserted against the defendant (s) ( including the estimate of value of a property sought to be recovered) is just and true statement, exclusive of any valid claim or defense which defendant(s) may have. Executed On _________________________. __________________________________________ Signature of Plaintiff American LegalNet, Inc. www.USCourtForms.com r To process server: Personal or Residential service is requested when box is indicated The trial on this matter is set for _______________________________, at ____________ ___.m. at Place of hearing and address ______________________________________________________________ Plaintiff-name and address vs. ______________________________________________________________ Defendant-name and address Case No. _________________ RETURN OF SERVICE I certify under penalty of perjury that I served this summons containing a copy of the petition on _________________________________________________(give name) r by personally serving defendant. r by leaving a copy at defendant’s residence with a person of suitable age residing therein. r Other _______________________________________________________________ ______________________ Law Enforcement Officer American LegalNet, Inc. www.USCourtForms.com