Prejudgment Information Sheet

IN THE DISTRICT COURT OF RILEY COUNTY, KANSAS

Limited Actions
Pre-judgment Information Sheet and Answer of Defendant
Case Number*
Example: 2020-LM-001234
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
Last 4 digits of SSN*
DEFENDANT ANSWERS AS FOLLOWS:

1. I am not represented by an attorney.

2. I received a copy of the petition. I understand Plaintiff has made a claim against me.
3. SELECT*

I DENY the statements and allegations in the petition as follows: (FAILURE TO STATE YOUR DEFENSE WILL RESULT IN A JUDGMENT BEING TAKEN AGAINST YOU WITHOUT FURTHER NOTICE.)I ADMIT the statements and allegations in the petition. I understand that the Court will grant judgment against me as requested in the Plaintiff's petition.
State your defense:
My signature below certifies:

I am a Defendant in this case. I have read the Prejudgment Information Sheet and Answer. I understand the information it contains; the information is accurate and complete.
Signature*

Clear
Click and drag your mouse to scribe your signature
Should be Empty: