(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 PROCEEDINGS WHEREAS, the above entitled action commenced pursuant to the code of civil procedure for limited actions, being case number ______ in the District Court of __________ County, Kansas, has been appealed from said court to (or, has been ordered transferred and consolidated pursuant to statute with an action commenced in the district court pursuant to chapter 60 of the Kansas Statutes Annotated which action is now pending in said district court) (or, wherein a district magistrate judge has entered a finding that title to real estate is sought to be recovered or an interest in real estate is sought to be established and has ordered that all papers and process herein be transmitted pursuant to statute). This is to certify that attached hereto are all papers and process filed in the action pursuant to the code of civil procedure for limited actions, that court costs have accrued in this court to this date in the sum of $________, and 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 Total costs deposits $_______________ $_______________ $_______________ Plaintiff Case No. ______ American LegalNet, Inc. www.USCourtForms.com _________________________________ Signature, Clerk of the Court Dated: ______________ American LegalNet, Inc. www.USCourtForms.com