In the District Court of ______County, Kansas s1

IN THE DISTRICT COURT OF ______COUNTY, KANSAS

______) Case No. ______□ Mother □ Father ) ) vs. ) ) ______) □ Mother □ Father )

NOTICE OF HEARING

The court will hold a hearing in this matter on ______day of ______, 20______at _____:_____ □ a.m. □ p.m. at the ______County Courthouse, in division

______\ room ______.

______Your Signature Self-Represented Name (Print): ______Address 1: ______Address 2: ______City, State, Zip: ______Telephone Number: ______

CERTIFICATE OF SERVICE AND MAILING

I certify that on this ______day of ______, 20____, I sent a true copy of this notice of hearing by (□ depositing it in the United States mail, postage prepaid) (□ depositing it in the United States mail, postage prepaid, certified mail, return receipt requested) addressed to:

______.

(Address)

______

Name (Print):______