Rev. 6/2017 KSJC 1 [CAPTION] PETITION CLAIMING FRAUD Plaintiff ( name) states the following claim for relief against the defendant, (name) : 1. On or about (date) plaintiff purchased the following goods and services from defendant (describe the transaction) 2. During the course of this transaction the defendant made the following false or untrue representations of material fact: (describe the false representations). 3. At the time of making the representations, defendant had knowledge that they were false or untrue. 4. Defendant made the representations with the intent that plaintiff would rely on the defendant222s representations. 5. Plaintiff, being unaware that defendant222s representations were false or untrue, did reasonably rely and act on defendant222s representations 6. Plaintiff suffered the following loss due to plaintiff222s reliance on the defendant222s false or untrue representations: (describe damage suffered). 7. Plaintiff claims total damages (in an amount of $ insert dollar figure if $75,000 or less ) (in an amount in excess of $75,000), together with interest, costs of this action and other appropriate relief. (Signature of Attorney) (Name), Attorney for (name of plaintiff) Bar Registration Number Address Telephone number [Facsimile number] [Email address] Authority K.S.A. 60-208; K.S.A. 60-209(h); K.S.A 60-210 American LegalNet, Inc. www.FormsWorkFlow.com