(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 (recovery of money & attorney fees) The plaintiff states the following claim(s): 1. The defendant(s) is indebted to the plaintiff in the amount of $______. 2. The defendant(s) signed an agreement dated ________________, ______ which allows for the recovery of attorney fees. WHEREFORE, the plaintiff demands judgment against the defendant(s) for: principal amount attorney fees interest before judgment interest after judgment and costs. $______, $______, ______% per year from _________________, _______, ______% per year, _________________________________ Plaintiff or Plaintiff Attorney Signature SC# American LegalNet, Inc. www.USCourtForms.com {If applicable, include the following: This is a communication from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose.} American LegalNet, Inc. www.USCourtForms.com