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
Format: (000) 000-0000.
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
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

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