(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 Plaintiff In The District Court of ______ County, Kansas Plaintiff’s name Plaintiff vs. Case No. ______ Defendant’s name Defendant’s address Defendant Pursuant to Chapter 61 of Kansas Statutes Annotated CERTIFICATE OF SALE This is to certify that, by virtue of a special execution and order of sale issued by the above-named court in the above-entitled action on _______________, ____, and after giving notice of sale according to law and the order of said court, I did on the ____ day of __________, ____, sell to __________, the highest qualified bidder, the following articles of personal property, to wit: I further certify that I made a return of said execution and my proceedings under said execution to said court; that the said sale was approved and confirmed by said court on the ____ day of _____________, ____, and I was directed by said court to make and execute this certificate of sale to said purchaser, vesting title to the above articles of personal property in said purchaser. ______________________________________ Signature and Title of Officer Dated: ______________ [Acknowledgment] American LegalNet, Inc. www.USCourtForms.com