Consent Order Form - State Of Rhode Island And Providence Plantations Family Court
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1
2STATE OF RHODE ISLAND AND
PROVIDENCE PLANTATIONS
FAMILY COURT
CONSENT ORDER
Plaintiff
Civil Action File Number
Defendant
This matter came before the court, the Honorable _____________________________
presiding, on the ______ day of __________________________________________, 20____ for
hearing on ____________________________________________________________________.
Upon consideration of the parties’ agreement, it is hereby
ORDERED, ADJUDGED, AND DECREED as follows:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Attorney for the Plaintiff or the Plaintiff
Attorney for the Defendant or the Defendant
/s/ ___________________________________
/s/ ____________________________________
Entered as an Order of the court on
ENTER:
___________________________________.
/s/ ____________________________________
Judicial Officer
Check if continuation page is used.
Page _____ of _____
FC-76 (revised December 2015)
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