(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 vs. Defendant's name Defendant Defendant's address Pursuant to Chapter 61 of Kansas Statutes Annotated TRANSCRIPT OF JUDGMENT This is to certify, that in the District Court of ______________ County, Kansas, in case No. ____, on the ____ day of _____________, ____, judgment was rendered in the above entitled action in favor of ______________, plaintiff (or defendant), against ______________, defendant (or plaintiff) pursuant to the code of civil procedure for limited actions, as follows, to wit: In the principal amount of $_______________ Interest to the date of judgment $_______________ And court costs accrued to this date $_______________ Total amount $_______________ and that said principal amount is to bear interest at ________ until paid. I further certify that to date there has been received by this court from or on behalf of said judgment debtor, to be applied to the judgment, the sum of $________. I further certify that this court has received deposits as security for costs as follows, to wit: From the plaintiff the sum of $_______________ From the defendant the sum of $_______________ Plaintiff Case No. ______ American LegalNet, Inc. www.USCourtForms.com For a total cost deposits of $_______________ The following were attorneys of record in this action: For the plaintiff For the defendant _________________________________ Signature, Clerk of the Court Dated: ______________ American LegalNet, Inc. www.USCourtForms.com