STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT APPLICATION FOR CITATION IN SUPPLEMENTARY PROCEEDINGS Plaintiff Civil Action File Number Defendant Murray Judicial Complex 2nd Division District Court 45 Washington Square Newport, Rhode Island 02840-2913 (401) 841-8350 McGrath Judicial Complex 4th Division District Court 4800 Tower Hill Road Wakefield, Rhode Island 02879-2239 (401) 782-4131 Noel Judicial Complex 3rd Division District Court 222 Quaker Lane Warwick, Rhode Island 02886-0107 (401) 822-6750 Garrahy Judicial Complex 6th Division District Court One Dorrance Plaza Providence, Rhode Island 02903-2719 (401) 458-5400 TO THE HONORABLE DISTRICT COURT LISTED ABOVE: Respectfully Represents _______________________________________________________ of ______________________________________________ in the County of _______________ and State of Rhode Island, that the Plaintiff is Judgment Creditor of ______________________________________ of _____________________________________ in the County of _____________________ and State of Rhode Island, that the Plaintiff obtained a judgment against said __________________________________________________________ in the ________________ Court, County of _______________________, on the ____________ day of _____________________________________, 20____, that thereafter on the __________ day of _______________________, 20___, execution issued on said judgment, and said execution has been returned to said court: Wholly unsatisfied and unpaid Unsatisfied and unpaid to the extent of $__________________________________ Said Judgment Creditor ___________________________________ respectfully prays this court to issue a citation to said Judgment Debtor to appear before said court at a time and place in such Citation to be named to show cause why an examination into the Judgment Debtor's circumstances should not be made and an order be entered ordering him to pay said judgment in full or by installments, weekly, monthly, or otherwise. _________________________________ Judgment Creditor DC-46 (revised October 2014) American LegalNet, Inc. www.FormsWorkFlow.com