IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS Seventh Judicial District Plaintiff Plaintiff, vs. Defendant Defendant- and third party Plaintiff vs 3rd Pty Name 3P ADD1 3PA ADD2 3PA CITY, 3PA STATE 3PA ZIP1 3PA ZIP2 Third Party Defendant Case No. CASE N0. SUMMONS Out of State- Third Party To the above named third party defendant: You are notified that an action has been filed against you in this court. You are required to file a written response to the petition and third party petition with the Clerk of District Court and to serve a copy upon both the plaintiff’s attorney, PLT'S ATTY, PLA ADD1 PLA ADD2, PLA CITY, PLA STATE PLA ZIP1 PLA ZIP2, and upon the defendant-third party plaintiff’s attorney, DEF'S ATTY, DAT ADD1 ADD2, DAT CITY,STATE DAT ZIP within 30 days after service of this summons upon you. If you fail to do so, judgment by default will be taken against you for the relief demanded in the third party petition. A related claim which you may have against the third party plaintiff may be stated as a counterclaim in your written response. Official Seal of the District Court Douglas County, Kansas Date: 8/10/2004 Court Clerk Clerk of the District Court By ____________________________________, Deputy American LegalNet, Inc. www.USCourtForms.com Case No. CASE NO. *******************************RETURN ON SERVICE OF SUMMONS*************************** I hereby certify that I have served this summons: Personal Service: By delivering a copy of such summons and copy of the petition to the defendant on _______________________________, ______. Residence Service: By leaving a copy of such summons and a copy of the petition at the usual place of residence of the defendant on ______________________, ______ with _____________________, person of suitable age and discretion residing therein, at ____________________________________________________ _________________________________________________________________________________________. Agent Service: By delivering a copy of such summons and a copy of the agent,______________ ______________________________, authorized by appointment or by law to receive service of process on_________________________,______. Residence Service and Mailing: By leaving a copy of such summons and a copy of the petition at the usual place of residence of the defendant and mailing by first-class mail a notice that such copies have been left on _________________________, ______ at _______________________________________________________ _________________________________________________________________________________________. Certified Mail Service: By mailing a copy of such summons and a copy of the petition certified mail return receipt requested to the above named defendant on ____________________________, ______. The name and address on the envelope was as follows __________________________________________________________ _________________________________________________________________________________________. Certified Mail Return Receipt Was Refused: A copy of the summons and petition were mailed by first class mail, postage prepaid on _________________, ______ addressed to the above named defendant at _________________________________________________________________________________________. No Service: The defendant was not found in this county. DECLARATION I declare (or verify, certify or state) under penalty of perjury that the foregoing return of service is true and correct. Executed on__________________________ ____________________________________ Signature of Law Enforcement Officer ____________________________________ Sheriff COMPLETE AND RETURN TO: Douglas County District Court 11 E. 11th Room 144 Lawrence, Kansas 66044 American LegalNet, Inc. www.USCourtForms.com IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS Seventh Judicial District Plaintiff Plaintiff, vs. Defendant Defendant- and third party Plaintiff vs 3rd Pty Name 3P ADD1 3PA ADD2 3PA CITY, 3PA STATE 3PA ZIP1 3PA ZIP2 Third Party Defendant Case No. CASE N0. SUMMONS Out of State- Third Party To the above named third party defendant: You are notified that an action has been filed against you in this court. You are required to file a written response to the petition and third party petition with the Clerk of District Court and to serve a copy upon both the plaintiff’s attorney, PLT'S ATTY, PLA ADD1 PLA ADD2, PLA CITY, PLA STATE PLA ZIP1 PLA ZIP2, and upon the defendant-third party plaintiff’s attorney, DEF'S ATTY, DAT ADD1 ADD2, DAT CITY,STATE DAT ZIP within 30 days after service of this summons upon you. If you fail to do so, judgment by default will be taken against you for the relief demanded in the third party petition. A related claim which you may have against the third party plaintiff may be stated as a counterclaim in your written response. Official Seal of the District Court Douglas County, Kansas Date: 8/10/2004 Court Clerk Clerk of the District Court By ____________________________________, Deputy American LegalNet, Inc. www.USCourtForms.com