STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT ADDRESS VERIFICATION Plaintiff Civil Action File Number Defendant The Plaintiff's attorney or the Plaintiff is required to submit this form when filing subsequent pleadings in cases that existed prior to November 5, 2014. Please provide the name and most current address information for all the parties on the case. The address information will be entered into the court's case management system. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Rhode Island Bar Number: /s/ _________________________________________________________ Attorney for the Plaintiff or the Plaintiff Date: Telephone Number: DC-65 (revised November 2014) American LegalNet, Inc. www.FormsWorkFlow.com