State of Rhode Island
_________________________________________ , Sc.
DISTRICT COURT
_________________________________________
________ DIVISION
PLAINTIFF
DEFENDANT
_________________________________________
_________________________________________
(Landlord's Name)
(Tenant's Name)
V
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
(address)
(address of rental premises)
COMPLAINT FOR EVICTION
FOR NONPAYMENT OF RENT
R.I.G.L. 34-18-35
1. Plaintiff is the owner/landlord of the rental premises listed above, in which the
Defendant Tenant currently resides.
2. Defendant is more than fifteen days in arrears in rental payments due to the plaintiff
from the defendant. The rent is $______ per ______ , and the amount in arrears is $______ as of the _____ day of ______ , 20___ .
(month)
3. Plaintiff has served the five-day demand notice as required by law, and a copy
of that notice is attached to this complaint. The notice was mailed to the defendant
on the _____ day of ______ , 20___ .
4. Defendant has not paid the rent in arrears or offered the full amount in arrears,
either before or after the demand notice. Defendant remains in possession of the rental
premises.
WHEREFORE, Plaintiff requests that this Court grant a judgment for possession of the
premises (eviction of the tenant) and for back rent in the amount of $______ , plus costs.
__________________
(Name & address of landlord/owner
or attorney for landlord)
__________________
Date complaint
filed with clerk _____