DC-38 (revised July 2018) Page 1 of 2 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT COMPLAINT FOR EVICTION FOR REASON OTHER THAN NON-PAYMENT OF RENT Plaintiff /Landlord Civil Action File Number Defendant /Tenant Attorney for the Plaintiff/Landlord or the Plaintiff/Landlord Address of the Defendant/Tenant Plaintiff/Landlord Murray Judicial Complex 2 nd Division District Court 45 Washington Square Newport, Rhode Island 02840 - 2913 (401) 841 - 8350 Noel Judicial Complex 3 rd Division District Court 222 Quaker Lane Warwick, Rhode Island 02886 - 0107 (401) 822 - 6750 McGrath Judicial Complex 4 th Division District Court 4800 Tower Hill Road Wakefield, Rhode Island 02879 - 2239 (401) 782 - 4131 Garrahy Judicial Complex 6 th Division District Court One Dorrance Plaza Providence, Rhode Island 02903 - 2719 (401) 458 - 5400 1. The Plaintiff/Landlord owns the rental premises listed above in which the Defendant/Tenant resides. 2. Check one: agreement or G.L. 1956 247 34-18-24 as set forth in the attached copy of the notice of noncompliance which was mailed to the Defendant/Tenant. The Defendant/Tenant has not cured or remedied the breach. (The Plaintiff/Landlord must attach a copy of the required notice of noncompliance.) American LegalNet, Inc. www.FormsWorkFlow.com DC-38 (revised July 2018) Page 2 of 2 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT agreement or G.L. 1956 247 34-18-36(f) and violated G.L. 1956 247 34-18-24 (8), (9), and (10). The Plaintiff/Landlord is not required to send a notice of noncompliance to the Defendant/Tenant and may immediately file this complaint. The Defendant/Tenant has remained in possession of the rented premises following the period set forth in the attached notice of termination of tenancy, which was mailed to the Defendant/Tenant. (The Plaintiff/Landlord must attach a copy of the required termination notice.) The Defendant/Tenant has remained in possession of the rented premises without the agreement. 3. The Plaintiff/Landlord requests judgment for possession and damages in the sum of $ for , (EXPLAIN BASIS FOR MONEY CLAIM) p /s/ Attorney for the Plaintiff/Landlord or the Plaintiff/Landlord Rhode Island Bar Number: Date: Telephone Number: American LegalNet, Inc. www.FormsWorkFlow.com