STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT DISTRICT COURT NOTICE OF APPEAL Civil Action File Number Plaintiff Defendant Attorney for the Plaintiff or the Plaintiff Address of the Plaintiff's Attorney or the Plaintiff Address of the Defendant's Attorney or the Defendant Attorney for the Defendant or the Defendant The Plaintiff/Petitioner Defendant/Respondent hereby appeals the above-entitled case to the Superior Court and files this Notice of Appeal in the District Court. The case and documents shall be submitted to the Superior Court from the District Court. Type of Appeal ­ Please Check One Domestic Abuse District Court Appeal (including small claims) Trespass and Ejectment Rhode Island Bar Number: Date: /s/ _____________________________________________________________ Attorney for the Plaintiff/Petitioner the Defendant/Respondent or the Plaintiff/Petitioner Defendant/Respondent Telephone Number: DC-52 (revised October 2014) American LegalNet, Inc. www.FormsWorkFlow.com