(Revised 7/05) File Stamp Date Case Number ______ Prepared by: Filer’s name, SC# Filer’s address Filer’s phone number {Filer’s fax phone number} {Filer’s e-mail address} {Attorney for Defendant} In The District Court of ______ County, Kansas Plaintiff’s name Plaintiff vs. Defendant’s name Defendant’s address Case No. ______ Defendant Pursuant to Chapter 61 of Kansas Statutes Annotated ANSWER The defendant states the following: 1. I deny the claim of the plaintiff for the following reasons: ____________________________ ______________________________________________________________________________ _ (FAILURE TO STATE YOUR DEFENSE MAY RESULT IN JUDGMENT BEING TAKEN AGAINST YOU) 2. I claim the following affirmative defenses: __________________________________________ ______________________________________________________________________________ _ ___________________________________ Defendant or Defendant Attorney Signature SC# NOTE: This form must be filed with the clerk of the district court on or before the date you have been given to appear and a copy sent to the plaintiff’s attorney or to the plaintiff if he or she has no attorney. American LegalNet, Inc. www.USCourtForms.com CERTIFICATE OF SERVICE I certify that on ____________________, _______, I mailed the foregoing answer to the [plaintiff’s attorney] [plaintiff] at the following address: ________________________________________ ________________________________________ _____________________________________ Defendant or Defendant Attorney Signature American LegalNet, Inc. www.USCourtForms.com