(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 SPECIAL EXECUTION AND ORDER OF SALE To the Sheriff or other Process Server: WHEREAS, on the ____ day of ____________, ______, in an action then pending in this court ________, plaintiff, recovered judgment against ________, defendant, for the sum of ______ dollars, and court costs, actual and estimated, in the sum of ______ dollars; AND WHEREAS, on the same day, this court granted judgment foreclosing the security interest of the plaintiff and charging certain articles of personal property with the payment of such debt and costs and that if such judgment is not satisfied within 10 days from the date thereof, such articles shall be sold, which articles of personal property are described as follows, to wit: ___. Now, therefore, you are hereby commanded to cause the above-described articles of personal property to be advertised and sold according to law and the proceeds of such sale to be delivered to the court to be disbursed as the court shall direct. You will make return of this execution showing the manner in which you have executed the same, within 30 days from the time of your receipt thereof. ________________________________ Signature, Judge American LegalNet, Inc. www.USCourtForms.com Dated: ____________________ RETURN On ____________, _____, ___ o'clock ___M., received this writ. On ____________, _____, ___ o'clock ___M., levied on the non-exempt personal property of __________, described in the following schedules. On ____________, _____, advertised the same for sale. On ____________, _____, sold the following items of personal property at prices indicated, and the moneys received from such sale are herewith delivered to the court. ____________________ $_______________ _______________ $_______________ ____________________ $_______________ _______________ $_______________ Total received $_______________ The following goods remain unsold __________ for want of bidders. _________________________________ Signature and Title of Officer American LegalNet, Inc. www.USCourtForms.com