Return Of Service For Certified Mail Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
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Rev.12/2016251KSJCPage1of1INTHEDISTRICTCOURTOFCOUNTY,KANSASIntheMatterofCaseNo.(NameofpersonwhofiledthePetition)and(NameofpersonwhodidnotfilethePetition)RETURNOFSERVICEFORCERTIFIEDMAIL IcertifyunderpenaltyofperjuryunderthelawsofthestateofKansasthatIserved(nameofdocumentsmailed)on(nameofotherperson)andtheirattorneyofrecord,ifany,andthefollowingReturnforReceiptofServicewasservedbycertifiedmailonthedayof,20,atthetimeandplacelistedontheattachedcard.(Whenyoureceivethesigned223greencard224backfromtheotherparty,attachithereandfilethisformwiththeClerkoftheDistrictCourtpriortothehearing.)Checkhereifservicebycertifiedmailwasrefused.(Ifrefused,IcertifythatIsentatruecopyofthemotionbyfirst-classmailafterthecertifiedletterwasrefused.)XYourSignatureSelf-RepresentedName(Print): American LegalNet, Inc. www.FormsWorkFlow.com