Complaint Form For Separate Maintenance Without Commencement Of Divorce Proceedings Page 2

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STATE OF RHODE ISLAND AND
PROVIDENCE PLANTATIONS
FAMILY COURT
That the following cause is in existence which if continued will be a cause for
divorce: ______________________________________________________________________.
That the Plaintiff has no property of the Plaintiff’s for the purpose of enabling the
Plaintiff to prosecute this Complaint.
3. The Plaintiff has no knowledge of the pendency of other actions between the parties
seeking divorce, separate maintenance, custody of children or other similar relief except for the
following: _____________________________________________________________________
_____________________________________________________________________________.
WHEREFORE, the Plaintiff demands that, pursuant to statute, this Honorable Court make an
allowance to the Plaintiff for the purpose of enabling the Plaintiff to prosecute this Complaint,
assign to the Plaintiff a separate maintenance out of the estate of property of the Defendant;
regulate the custody and provide for the education, maintenance, and support of the children, if
any, and restrain the Defendant from interfering with the personal liberty of the Plaintiff.
Name of the Plaintiff
_____________________________________________________________________
Signature of the Plaintiff
_____________________________________________________________________
Address:
Telephone Number:
Date:
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: ________________________
FC- 60 (revised November 2014)
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