STATE OF RHODE ISLAND AND
PROVIDENCE PLANTATIONS
DISTRICT COURT
COMPLAINT FOR EVICTION FOR REASON OTHER THAN NON-PAYMENT OF RENT
Civil Action File Number
Plaintiff/Landlord
Plaintiff/Landlord’s Attorney
Plaintiff/Landlord’s Attorney or Plaintiff/Landlord Address
Defendant/Tenant
Defendant/Tenant’s Address
2
Division District Court
3
Division District Court
nd
rd
Murray Judicial Complex
Noel Judicial Complex
45 Washington Square
222 Quaker Lane
Newport, Rhode Island 02840-2913
Warwick, Rhode Island 02886-0107
4
Division District Court
6
Division District Court
th
th
McGrath Judicial Complex
Garrahy Judicial Complex
4800 Tower Hill Road
One Dorrance Plaza
Wakefield, Rhode Island 02879-2239
Providence, Rhode Island 02903-2719
1. The Plaintiff/Landlord owns the rental premises listed above in which Defendant/Tenant resides.
2. Check one:
The Defendant/Tenant breached the Defendant/Tenant’s obligations under the rental agreement or G.L.
1956 § 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.)
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
Plaintiff/Landlord’s consent after expiration of the term of the rental agreement.
3. The Plaintiff/Landlord requests judgment for possession and damages in the sum of $__________________
for ____________________________________________________________________________________
_______________________________________________________________________________________
______________________________________________________________________________________,
(EXPLAIN BASIS FOR MONEY CLAIM)
plus interest, costs, and attorney’s fees (if applicable).
_________________________________
By _____________________________________________
Date filed with clerk
Plaintiff/Landlord or Attorney
DC-38 (revised September 2012)