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CONFIDENTIAL Superior-69 (revised May 2018) STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS SUPERIOR COURT PETITIONERMOTION TO RENEW THE ONE-YEAR EXTREME RISK PROTECTION ORDER Petitioner Civil Action File Number Respondent Murray Judicial Complex Newport County 45 Washington Square Newport, Rhode Island 02840 - 2913 Noel Judicial Complex Kent County 222 Quaker Lane Warwick, Rhode Island 02886 - 0107 McGrath Judicial Complex Washington County 4800 Tower Hill Road Wakefield, Rhode Island 02879 - 2239 Licht Judicial Complex Providence/Bristol County 250 Benefit Street Providence, Rhode Island 02903 - 2719 Now comes the Petitioner and moves this Honorable Court to renew the One-Year Extreme Risk Protection Order presently in place against the Respondent. WHEREFORE, the Petitioner requests a hearing date for this motion. The hearing is scheduled for at in courtroom . /s/ Attorney for the Petitioner or the Petitioner Rhode Island Bar Number: Date: CERTIFICATE OF SERVICE I hereby certify that, on the day of , : I filed and served this document through the electronic filing system on the following: . The document electronically filed and served is available for viewing and/or downloading from the Rhode Island I served this document through the electronic filing system on the following: . Electronic Filing System. I mailed or hand-delivered this document to the attorney for the opposing party and/or the opposing party if self-represented, whose name is at the following address . /s/ Name American LegalNet, Inc. www.FormsWorkFlow.com