Preview
INDEX NO. 2023-50393
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 12/27/2023
Ucs-840
REQUEST FOR JUDICIAL INTERVENTION (rev. 11/24/2022)
SUPREME COURT, COUNTY OF DUTCHESS &
Index No: 2023-50393 Date Index Issued: 02/01/2023 For Court Use Only:
CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet. IAS Entry Date
The Estate of Raymond V. Leinen, by his Executrix, Suzanne French
Plaintiff(s)/Petitioner(s) Judge Assigned
~against-
POUGHKEEPSIE CROSSINGS, LLC d/b/a THE PINES AT POUGHKEEPSIE CENTER FOR NURSING
& REHABILITATION, ABC CORPORATION, ABC PARTNERSHIP RJl Filed Date
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.
[COMMERICIAL MATRIMONIAL
IO Business Entity (includes corporations, partnerships, LLCs, LPs, etc.) © Contested
© Contract NOTE: If there are children under the age of 18, complete and attach the
© Insurance (where insurance company is a party, except arbitration) MATRIMONIAL Ril ADDENDUM (UCS-840M).
IO UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce Ril (UD-13).
© other Commercial (specify) REAL PROPERTY Specify how many properties the application includes:
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), IO Condemnation
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). © Mortgage Foreclosure (specify): OResidential Ocommercial
[TORTS Property Address:
IO Adult Survivors Act NOTE: For Mortgage Foreclosure actions involving a one to four-family,
|O Asbestos owner-occupied residential property or owner-occupied condominium,
CO Environmental (specify): complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F)
© Medical, Dental or Podiatric Malpractice O Partition
|O Motor Vehicle NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P).
O Products Liability (specify): O Tax Certiorari (specify): Section: Block: Lot:
'O Other Negligence (specify): IO Tax Foreclosure
'O Other Professional Malpractice (specify): ‘© Other Real Property (specify)
© other Tort (specify): OTHER MATTERS
SPECIAL PROCEEDINGS IO Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section]
IO Child-Parent Security Act (specify): C)Assisted Reproduction (C)Surrogacy Agreement|) Emergency Medical Treatment
IO CPLR Article 75 — Arbitration [see NOTE in COMMERCIAL section] IO Habeas Corpus
© CPLR Article 78 — Proceeding against a Body or Officer O Local Court Appeal
O Election Law O Mechanic’s Lien
|O Extreme Risk Protection Order © Name Change/Sex Designation Change
'O MHL Article 9.60— Kendra’s Law O Pistol Permit Revocation Hearing
IO MHL Article 10 — Sex Offender Confinement (specify): Onitial Oneview © Sale or Finance of Religious/Not-for-Profit Property
|O MHL Article 81 (Guardianship) © other (specify):
|O Other Mental Hygiene (specify)
© Other Special Proceeding (specify):
ISTATUS OF ACTION OR PROCEEDING Answer YES or NO for every question and enter additional information where indicated.
YES NO
Has a summons and complaint or summons with notice been filed? © ° If yes, date filed: 02/01/2023
Has a summons and complaint or summons with notice been served? © O° If yes, date served 03/02/2023
\s this action/proceeding being filed post-judgment? O° © If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated.
Infant's Compromise
Extreme Risk Protection Order Application
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined
Notice of Motion Relief Requested Return Date:
Notice of Petition Relief Requested Return Date:
Order to Show Cause Relief Requested Return Date:
Other Ex Parte Application Relief Requested
Partition Settlement Conference
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify) Request to file oversized Memo of Law
1 of 2
=: .: INDEX NO. 2023-50393
RELATED USES “UList Sty related actions. For Matrimonial cases, list any related criminal or Family Court cases. Whore
ewe Blank. EF + 7 6
If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A).
[Case Title index/Case Number [Court liudge (if assigned) Relationship to instant case
PARTIES For parties without an attorney, check the “Un-Rep” box and enter the party’s address, phone number and email in the space provided.
If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A).
lUn- Parties [Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers
Rep List parties in same order as listed in the For represented parties, provide attorney’s name, firm name, address, phone and For each defendant, For each defendant,
caption and indicate roles (e.g., plaintiff, lemail. For unrepresented parties, provide party’s address, phone and email. indicate if issue has indicate insurance
ldefendant, 3 party plaintiff, etc.) been joined. cartier, if applicable.
Name: RAYMOND LV. LEINEN |Joseph Ciaccio, Esq..
O Role(s
” Plaintiff
400 Broadhollow Road, Suite 305 Oves @®no
Melville, New York 11747
Joseph Ciaccio, Esq..
oO Name:
Role(s
SUZANNE FRENCH
Oves @no
” Plaintiff
400 Broadhollow Road, Suite 305
Melville, New York 11747
Name: rouchieersie crossincs. Lic DBA WILSON, ELSER MOSKOWITZ, EDELMAN & DICKER LLP.
Role(s) 1133 Westchester Avenue Ovyes @no
Defendant el White Plains, NY 10604
Name: mepwesarroucrecesie center ror wursine WILSON, ELSER MOSKOWITZ, EDELMAN & DICKER LLP
Role(s) 1133 Westchester Avenue Ovyes @no
Defendant El White Plains, NY 10604
Name:
Role(s) Ovyes Ono
Name:
Role(s) Ovyes Ono
Name:
Role(s) Oyes Ono
Name:
Role(s) Oves Ono
Name:
Role(s) Oyes Ono
Name:
Role(s) Oves Ono
Name:
Role(s) Oves Ono
Name:
Role(s) Oves Ono
Name:
Role(s) Oves Ono
Name:
O Role(s) Ovyes Ono
Name:
O Role(s) Oves Ono
1 AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS,
EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS ACTION OR PROCEEDING.
Dated: 12/27/2023 REN BBS
Signature
5216882 Steven DeBraccio
Attorney Registration Number Print Name
2 of 2
Preview
INDEX NO. 2023-50393 NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 12/27/2023 Ucs-840 REQUEST FOR JUDICIAL INTERVENTION (rev. 11/24/2022) SUPREME COURT, COUNTY OF DUTCHESS & Index No: 2023-50393 Date Index Issued: 02/01/2023 For Court Use Only: CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet. IAS Entry Date The Estate of Raymond V. Leinen, by his Executrix, Suzanne French Plaintiff(s)/Petitioner(s) Judge Assigned ~against- POUGHKEEPSIE CROSSINGS, LLC d/b/a THE PINES AT POUGHKEEPSIE CENTER FOR NURSING & REHABILITATION, ABC CORPORATION, ABC PARTNERSHIP RJl Filed Date Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated. [COMMERICIAL MATRIMONIAL IO Business Entity (includes corporations, partnerships, LLCs, LPs, etc.) © Contested © Contract NOTE: If there are children under the age of 18, complete and attach the © Insurance (where insurance company is a party, except arbitration) MATRIMONIAL Ril ADDENDUM (UCS-840M). IO UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce Ril (UD-13). © other Commercial (specify) REAL PROPERTY Specify how many properties the application includes: NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), IO Condemnation complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). © Mortgage Foreclosure (specify): OResidential Ocommercial [TORTS Property Address: IO Adult Survivors Act NOTE: For Mortgage Foreclosure actions involving a one to four-family, |O Asbestos owner-occupied residential property or owner-occupied condominium, CO Environmental (specify): complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F) © Medical, Dental or Podiatric Malpractice O Partition |O Motor Vehicle NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P). O Products Liability (specify): O Tax Certiorari (specify): Section: Block: Lot: 'O Other Negligence (specify): IO Tax Foreclosure 'O Other Professional Malpractice (specify): ‘© Other Real Property (specify) © other Tort (specify): OTHER MATTERS SPECIAL PROCEEDINGS IO Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section] IO Child-Parent Security Act (specify): C)Assisted Reproduction (C)Surrogacy Agreement|) Emergency Medical Treatment IO CPLR Article 75 — Arbitration [see NOTE in COMMERCIAL section] IO Habeas Corpus © CPLR Article 78 — Proceeding against a Body or Officer O Local Court Appeal O Election Law O Mechanic’s Lien |O Extreme Risk Protection Order © Name Change/Sex Designation Change 'O MHL Article 9.60— Kendra’s Law O Pistol Permit Revocation Hearing IO MHL Article 10 — Sex Offender Confinement (specify): Onitial Oneview © Sale or Finance of Religious/Not-for-Profit Property |O MHL Article 81 (Guardianship) © other (specify): |O Other Mental Hygiene (specify) © Other Special Proceeding (specify): ISTATUS OF ACTION OR PROCEEDING Answer YES or NO for every question and enter additional information where indicated. YES NO Has a summons and complaint or summons with notice been filed? © ° If yes, date filed: 02/01/2023 Has a summons and complaint or summons with notice been served? © O° If yes, date served 03/02/2023 \s this action/proceeding being filed post-judgment? O° © If yes, judgment date: NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated. Infant's Compromise Extreme Risk Protection Order Application Note of Issue/Certificate of Readiness Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined Notice of Motion Relief Requested Return Date: Notice of Petition Relief Requested Return Date: Order to Show Cause Relief Requested Return Date: Other Ex Parte Application Relief Requested Partition Settlement Conference Poor Person Application Request for Preliminary Conference Residential Mortgage Foreclosure Settlement Conference Writ of Habeas Corpus Other (specify) Request to file oversized Memo of Law 1 of 2 =: .: INDEX NO. 2023-50393 RELATED USES “UList Sty related actions. For Matrimonial cases, list any related criminal or Family Court cases. Whore ewe Blank. EF + 7 6 If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A). [Case Title index/Case Number [Court liudge (if assigned) Relationship to instant case PARTIES For parties without an attorney, check the “Un-Rep” box and enter the party’s address, phone number and email in the space provided. If additional space is required, complete and attach the RJI ADDENDUM (UCS-840A). lUn- Parties [Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers Rep List parties in same order as listed in the For represented parties, provide attorney’s name, firm name, address, phone and For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, lemail. For unrepresented parties, provide party’s address, phone and email. indicate if issue has indicate insurance ldefendant, 3 party plaintiff, etc.) been joined. cartier, if applicable. Name: RAYMOND LV. LEINEN |Joseph Ciaccio, Esq.. O Role(s ” Plaintiff 400 Broadhollow Road, Suite 305 Oves @®no Melville, New York 11747 Joseph Ciaccio, Esq.. oO Name: Role(s SUZANNE FRENCH Oves @no ” Plaintiff 400 Broadhollow Road, Suite 305 Melville, New York 11747 Name: rouchieersie crossincs. Lic DBA WILSON, ELSER MOSKOWITZ, EDELMAN & DICKER LLP. Role(s) 1133 Westchester Avenue Ovyes @no Defendant el White Plains, NY 10604 Name: mepwesarroucrecesie center ror wursine WILSON, ELSER MOSKOWITZ, EDELMAN & DICKER LLP Role(s) 1133 Westchester Avenue Ovyes @no Defendant El White Plains, NY 10604 Name: Role(s) Ovyes Ono Name: Role(s) Ovyes Ono Name: Role(s) Oyes Ono Name: Role(s) Oves Ono Name: Role(s) Oyes Ono Name: Role(s) Oves Ono Name: Role(s) Oves Ono Name: Role(s) Oves Ono Name: Role(s) Oves Ono Name: O Role(s) Ovyes Ono Name: O Role(s) Oves Ono 1 AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS ACTION OR PROCEEDING. Dated: 12/27/2023 REN BBS Signature 5216882 Steven DeBraccio Attorney Registration Number Print Name 2 of 2