(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 Defendant’s address Pursuant to Chapter 61 of Kansas Statutes Annotated REPLEVIN AFFIDAVIT (prejudgment replevin) ______________, being duly sworn, says that he or she is the plaintiff (or an agent for the corporate plaintiff) in the above-entitled action; that the plaintiff is the owner of the property claimed and described below, or is lawfully entitled to the possession thereof; that said property is wrongfully detained by the defendant, or, if it is held by an officer under legal process, that demand for the same has been made and refused; and that the property claimed by the plaintiff, together with the value of the article stated as nearly as practicable, is described as follows, to wit: Description of Property Value of Each Article __________________________________________________ $ ____________________ __________________________________________________ $ ____________________ all of the aggregate value of $ ____________________ Pursuant to K.S.A. 53-601, as amended, I declare under penalty of perjury that the foregoing is true and correct. EXECUTED on __________________, ______. _________________________________ Signature American LegalNet, Inc. www.USCourtForms.com