Rev. 6/2017 KSJC 1 [CAPTION] REQUEST FOR ADMISSIONS UNDER K.S.A. 60-236 The (plaintiff) (defendant) asks the (plaintiff) (defendant) to respond within (30) (45) days to these requests by admitting, for purposes of this action only and subject to objections to admissibility at trial: 1. The genuineness of the following documents, copies of which (are attached) (are or have been furnished or made available for inspection and copying): (List each document.) 2. The truth of each of the following statements: (List each statement .) (Signature of attorney) (Name), Attorney for plaintiff Bar Registration Number Address Telephone [Facsimile number] [Email address] American LegalNet, Inc. www.FormsWorkFlow.com Rev. 6/2017 KSJC 2 CERTIFICATE OF SERVICE I certify that a copy of the above Request for Admissions was served on (name) on the day of , 20 , as follows: . (Signature of attorney) Authority K.S.A. 60-236. American LegalNet, Inc. www.FormsWorkFlow.com