(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 WRIT OF RESTITUTION AND EXECUTION To the Sheriff or other Process Server: WHEREAS, on the ____ day of ________________, ____, in an action pending in this court, ______________, plaintiff, recovered judgment against, ______________, defendant, for restitution of the following described premises, to wit: ______________, for court costs, actual and estimated, in the sum of ________ dollars, and for rent in the sum of ________ dollars. You are hereby commanded to cause such defendant to be forthwith removed from such premises and the plaintiff to be restored to possession of the same and that of the non-exempt personal property of such judgment debtor, ______________, you cause judgment and costs, together with your fees for execution of this writ, to be satisfied as provided by law. You shall execute that portion of this writ requiring you to restore the plaintiff to the possession of such premises within 10 days, and make return of this execution, showing the manner in which you have executed the same, within 60 days from the date hereof. _________________________________ Signature, Judge Dated ______________ American LegalNet, Inc. www.USCourtForms.com RETURN On _________, ____, at __ o'clock __M., received this writ. On _________, ____, above described premises vacated and plaintiff(s) restored to possession. On _________, ____, advertised the same for sale. On _________, ____, sold the following goods and chattels at the 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