STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT WRIT OF ATTACHMENT Civil Action File Number Plaintiff Defendant Defendant's Trustee Address of the Defendant's Trustee Attorney for the Plaintiff or the Plaintiff Address of the Plaintiff's Attorney or the Plaintiff Attorney for the Defendant or the Defendant Address of the Defendant's Attorney or the 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 Plaintiff's Demand $ 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 Amount of Costs $ TO THE DULY AUTHORIZED OFFICER IN ACCORDANCE WITH TITLE 9, CHAPTER 5 (WRITS, SUMMONS, AND PROCESS) OF THE RHODE ISLAND GENERAL LAWS, IN THIS COUNTY: You are commanded to attach the goods and chattels, real estate, personal estate, and stocks and shares in any banking association or incorporated company of the Defendant or in the hands or possession of the Defendant's trustee for the amount of the Plaintiff's demand, including a reasonable amount for interest, and costs as stated above. DC-47 (revised April 2015) Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT WRIT OF ATTACHMENT You are commanded to make return of this Writ of Attachment and your doings thereon. You are also commanded to serve the Defendant with a copy of this Writ of Attachment and the Proof of Service thereof (when summons and complaint are served upon the Defendant in an action in connection with which said attachment is made unless this is a subsequent attachment.) THE PLAINTIFF'S AFFIDAVIT I, attorney for the Plaintiff or the Plaintiff, say that the Plaintiff has just claim against the Defendant that is due and expects to recover in said action a sum sufficient to give jurisdiction to the court to which this Writ of Attachment is returnable. __________________________________________________ Signature of the Plaintiff's Attorney or the Plaintiff State of _______________________________ County of _____________________________ On this ________ day of ________________, 20____, before me, the undersigned notary public, personally appeared _____________________________________________________ personally known to the notary or proved to the notary through satisfactory evidence of identification, which was _____________________________________________, to be the person who signed above in my presence, and who swore or affirmed to the notary that the contents of the document are truthful to the best of his or her knowledge. Notary Public: ____________________________________ My commission expires: ____________________________ Notary identification number: ________________________ Date of Writ of Attachment Clerk /s/ ______________________________ Witness the seal/watermark of the District Court next to the clerk's signature DC-47 (revised April 2015) Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT WRIT OF ATTACHMENT Civil Action File Number Plaintiff Defendant Defendant's Trustee Attorney for the Plaintiff or the Plaintiff Address of the Plaintiff's Attorney or the Plaintiff Attorney for the Defendant or the Defendant Address of the Defendant's Trustee Address of the Defendant's Attorney or the Defendant PROOF OF SERVICE I hereby certify that on the date below I served a copy of this Writ of Attachment received herewith upon ___________________________________________________________ by delivering or leaving said papers in the following manner: With ___________________________________ personally. At __________________________________'s dwelling house or usual place of abode with a person of suitable age and discretion then residing therein. Name of person of suitable age and discretion _______________________________________ Address of dwelling house or usual place of abode ___________________________________ ____________________________________________________________________________ Age ___________ Relationship __________________________________________________________________ With an agent authorized by appointment or by law to receive service of process. Name of authorized agent _______________________________________________________ If the agent is one designated by statute to receive service, further notice as required by statute was given as noted below. ____________________________________________________________________________ With a guardian or conservator of ___________________________________. Name of person and designation __________________________________________________ DC-47 (revised April 2015) Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT WRIT OF ATTACHMENT By delivering said papers to the attorney general or an assistant attorney general. Upon a public corporation, body, or authority by delivering said papers to any officer, director, or manager. Name of person and designation _________________________________________________ Upon a private corporation, domestic or foreign: By delivering said papers to an officer or a managing or general agent. Name of person and designation _________________________________________________ By leaving said papers at the office of the corporation with a person employed therein. Name of person and designation _________________________________________________ By delivering said papers to an agent authorized by appointment or by law to receive service of process. Name of authorized agent ________________________________________________________ If the agent is one designated by statute to receive service, further notice as required by statute was given as noted below. _____________________________________________________________________________ I was unable to make service after the following reasonable attempts: _____________________ _____________________________________________________________________________ SERVICE DATE: ______/______/______ TIME OF SERVICE SERVICE FEE $____________ Month Day Year Signature of SHERIFF or DEPUTY SHERIFF or CONSTABLE DC-47 (rev