Rev. 7/2018 KSJC IN THE DISTRICT COURT OF COUNTY, KANSAS , Plaintiff vs. Case No. , Defendant STIPULATION OF DISMISSAL OF PFA OR PFSSAHT (K.S.A. 60-241(a)(1)(ii)) On , 20 , it is stipulated and agreed by the undersigned Plaintiff and Defendant that the above referenced case should be dismissed without prejudice. Signature of Plaintiff Print Name: Signature of Defendant Print Name: CLERK222S ORDER OF DISMISSAL On , 20 , having examined the stipulation of the parties, the clerk of the court hereby orders this case dismissed without prejudice. CLERK OF THE COURT American LegalNet, Inc. www.FormsWorkFlow.com