(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. Defendant’s name Defendant’s address Case No. ______ Defendant Pursuant to Chapter 61 of Kansas Statutes Annotated PETITION (eviction) The plaintiff states the following claim(s): 1. The plaintiff is the owner of or the agent of the owner of the following described premises: _______________________________________________________________________________. 2. The defendant(s) is in possession of the premises pursuant to a rental agreement dated ________________, ______. 3. The defendant(s) has failed to pay rent due under the agreement described above. 4. The plaintiff gave the defendant(s) a notice to leave the premises described above dated ________________, ______ as required by law. WHEREFORE, the plaintiff demands judgment against the defendant(s) and all other occupants for: restitution and possession of the premises, writ of restitution, and costs. _________________________________ Plaintiff or Plaintiff Attorney Signature SC# American LegalNet, Inc. www.FormsWorkflow.com