3. Plaintiff claims that defendant has breached the obligations of the rental agreement
or law in relation to this landlord-tenant relationship, as follows:
_________________________________________
_________________________________________
_________________________________________
(brief description of claim, attach extra sheet, if necessary)
4. Plaintiff seeks the following judgment or relief from the Court:
_________________________________________
_________________________________________
_________________________________________
Date Complaint Filed ____________________
With Clerk: _____ (Signature of plaintiff or plaintiff's attorney)
____________________
(address)
(g) The summons in an action for eviction for nonpayment of rent pursuant to § 34-18-35 shall be in substantially the following form:
STATE OF RHODE ISLAND
DISTRICT COURT SUMMONS
EVICTION-NONPAYMENT OF RENT
DIVISION COUNTY CIVIL ACTION-FILE NO.
Address of Court:
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
_________________________________________
(name & address of plaintiff
(name & address of defendant-
landlord)
tenant)