Preview
FILED: OSWEGO COUNTY CLERK 03/30/2018 04:36 PM INDEX NO. EFC-2018-0527
NYSCEF DOC. NO. 19 RECEIVED NYSCEF: 03/30/2018
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
ucs-840 (7/2012)
IAS EntryDate
Oswego Supreme COURT, COUNTY OF Oswego
Judge Assigned
Index No: EFC-2018-0527 Date Index Issued: 03/30/2018
Enter the complete case caption. Do not use et al or et ano. If more space is required, RJI Date
CAPTION: attach a caption rider sheet.
MICHAEL CLARK, CAROL CLARK
Plaintiff(s)/Petitioner(s)
-against-
-a ainst-
WINTER HARBOR LLC
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: CheckONEbox o 7ly and specify where indicated.
MATRIMONIAL COMMERCIAL
Contested BusinessEntity (including corporations, partnerships, LLCs,etc.)
Contract
NOTE: For all Matrimonial actions where the parties have children under the
age of 18, complete and attach the MATRIMONIAL RJIAddendum.
For
UncontestedMatrimonial actions, use RJIform UD-13. Insurance(where insurer is a party, except arbitration)
UCC(including sales, negotiable instruments)
TORTS
X Other Commercial:
division
Asbestos
NOTE: For Commercial Division assignment requests [22 NYCRR§ 202.70(D)],
Breast Implant complete and attach the COMMERCIALDIV RJIAddendum.
REAL PROPERTY: How many properties does the application include?
P Environmental:
Condemnation
Medical, Dental, or Podiatric Malpractice
Mortgage Foreclosure: Residential Commercial
Motor Vehicle Property Address:
NOTE: For Mortgage Foreclosureactions involving a one- to four-family, owner-
P ProductsLiability:
occupied, residential property, or an owner-occupiedcondominium, complete and
attach the FORECLOSURERjI Addendum.
Other Negligence:
Tax Certiorari - Section: Block: Lot:
Other ProfessionalMalpractice:
Tax Foreclosure
Other Tort: Other RealProperty:
OTHER MATTERS SPECIAL PROCEEDINGS
Certificate of Incorporation/Dissolution
[see NOTE under Commercial] CPLRArticle 75 (Arbitration)
[see NOTE under Commercial]
Emergency MedicalTreatment CPLRArticle 78 (Body or Officer)
HabeasCorpus Election Law
LocalCourt Appeal MHLArticle 9.60 (Kendra's Law)
Mechanic'sLien MHLArticle 10 (Sex Offender Confinement-Initial)
NameChange MHLArticle 10 (Sex Offender Confinement-Review)
Pistol Permit Revocation Hearing MHLArticle 81 (Guardianship)
Saleor Financeof Religious/Not-for-ProfitProperty Other Mental Hygiene:
Other: Other SpecialProceeding:
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor EVERYquestion ANDenter additional information where indicated.
YES NO
Hasa summons and complaint or summons w/notice been filed? X If yes, date filed:
03/30/2018
Hasa summons and complaint or summons w/notice been served? X If yes, date served:
Is this action/proceeding being filed post-judgment? X If yes, judgment date:
1 of 2
FILED: OSWEGO COUNTY CLERK 03/30/2018 04:36 PM INDEX NO. EFC-2018-0527
NYSCEF
NATURE DOC.OF NO. 19
JUDICIAL INTERVENTION: RECEIVED NYSCEF:
CheckONEbox only ANDenter additional information where indicated. 03/30/2018
Infant's Compromise
Note of Issueand/or Certificate of Readiness
Notice of Medical, Dental, or Podiatric Malpractice
Date IssueJoined:
Notice of Motion Relief Sought: Return Date:
Notice of Petition Relief Sought: Return Date:
X Order to ShowCause Relief Sought:
Injunction/RestrainingOrder Return Date:
Other Ex ParteApplication Relief Sought:
PoorPersonApplication
Requestfor Preliminary Conference
ResidentialMortgage ForeclosureSettlement Conference
Writ of HabeasCorpus
Other:
RELATED CASES: List any
relatedactions.For Matrimonial include
actions, any relatedcriminal
and/or FamiyCourt cases.If
additional
space is required,
complete and attachthe RJi Addendum. If none,
leaveblank.
Case Title Index/Case No. Court Judge (ifassigned) Relationship to Instant Case
None
For parties
withoutan attorney,
check "Un-Rep" box AND enter phone number and e-mail
PARTIES: partyaddress,
address in space
provided.If additional
space is required,
complete and attachtheRJI Addendum.
Parties: Attorneysand/or Unrepresented
Litigants:
Un- ISSUe
Provide attorney name, firm name, business address, phone number and e-
List parties in caption order and indicate tef(s).
InsUf~nce C~ff
mail address of all attorneys that have appeared in the case.
party role(s) (e.g., defendant; 3rd-party For Joined
Rep plaintiff). (y(N).
unrepresented litigants, provide address, phone number and e-mail address.
(Y/N):
Name: CLARK, MICHAEL DAVID ANTONUCCI, ANTONUCCI LAW FIRM LLP, 12 PUBLIC SQ ,
WATERTOWN, NY 13601, antonlaws@nnymail.com
O Role(s): Plaintiff/Petitioner
NO
Name: CLARK, CAROL DAVID ANTONUCCI, ANTONUCCI LAW FIRM LLP, 12 PUBLIC SQ ,
WATERTOWN, NY 13601, antonlaws@nnymail.com
O Role(s): Plaintiff/Petitioner
NO
Name: WINTER HARBOR LLC 604 County Rt. 37, Central Square, NY
13601
X NO
Role(s): Defendant/Respondent
Name:
O Role(s):
Name:
O Role(s):
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE
ARE AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL
INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING.
Dated: 03/30/2018 DAVID PETER ANTONUCCI
SIGNATURE
2163905 DAVID PETER ANTONUCCI
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
This form was generated by NYSCEF
2 of 2
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FILED: OSWEGO COUNTY CLERK 03/30/2018 04:36 PM INDEX NO. EFC-2018-0527 NYSCEF DOC. NO. 19 RECEIVED NYSCEF: 03/30/2018 REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only: ucs-840 (7/2012) IAS EntryDate Oswego Supreme COURT, COUNTY OF Oswego Judge Assigned Index No: EFC-2018-0527 Date Index Issued: 03/30/2018 Enter the complete case caption. Do not use et al or et ano. If more space is required, RJI Date CAPTION: attach a caption rider sheet. MICHAEL CLARK, CAROL CLARK Plaintiff(s)/Petitioner(s) -against- -a ainst- WINTER HARBOR LLC Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING: CheckONEbox o 7ly and specify where indicated. MATRIMONIAL COMMERCIAL Contested BusinessEntity (including corporations, partnerships, LLCs,etc.) Contract NOTE: For all Matrimonial actions where the parties have children under the age of 18, complete and attach the MATRIMONIAL RJIAddendum. For UncontestedMatrimonial actions, use RJIform UD-13. Insurance(where insurer is a party, except arbitration) UCC(including sales, negotiable instruments) TORTS X Other Commercial: division Asbestos NOTE: For Commercial Division assignment requests [22 NYCRR§ 202.70(D)], Breast Implant complete and attach the COMMERCIALDIV RJIAddendum. REAL PROPERTY: How many properties does the application include? P Environmental: Condemnation Medical, Dental, or Podiatric Malpractice Mortgage Foreclosure: Residential Commercial Motor Vehicle Property Address: NOTE: For Mortgage Foreclosureactions involving a one- to four-family, owner- P ProductsLiability: occupied, residential property, or an owner-occupiedcondominium, complete and attach the FORECLOSURERjI Addendum. Other Negligence: Tax Certiorari - Section: Block: Lot: Other ProfessionalMalpractice: Tax Foreclosure Other Tort: Other RealProperty: OTHER MATTERS SPECIAL PROCEEDINGS Certificate of Incorporation/Dissolution [see NOTE under Commercial] CPLRArticle 75 (Arbitration) [see NOTE under Commercial] Emergency MedicalTreatment CPLRArticle 78 (Body or Officer) HabeasCorpus Election Law LocalCourt Appeal MHLArticle 9.60 (Kendra's Law) Mechanic'sLien MHLArticle 10 (Sex Offender Confinement-Initial) NameChange MHLArticle 10 (Sex Offender Confinement-Review) Pistol Permit Revocation Hearing MHLArticle 81 (Guardianship) Saleor Financeof Religious/Not-for-ProfitProperty Other Mental Hygiene: Other: Other SpecialProceeding: STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor EVERYquestion ANDenter additional information where indicated. YES NO Hasa summons and complaint or summons w/notice been filed? X If yes, date filed: 03/30/2018 Hasa summons and complaint or summons w/notice been served? X If yes, date served: Is this action/proceeding being filed post-judgment? X If yes, judgment date: 1 of 2 FILED: OSWEGO COUNTY CLERK 03/30/2018 04:36 PM INDEX NO. EFC-2018-0527 NYSCEF NATURE DOC.OF NO. 19 JUDICIAL INTERVENTION: RECEIVED NYSCEF: CheckONEbox only ANDenter additional information where indicated. 03/30/2018 Infant's Compromise Note of Issueand/or Certificate of Readiness Notice of Medical, Dental, or Podiatric Malpractice Date IssueJoined: Notice of Motion Relief Sought: Return Date: Notice of Petition Relief Sought: Return Date: X Order to ShowCause Relief Sought: Injunction/RestrainingOrder Return Date: Other Ex ParteApplication Relief Sought: PoorPersonApplication Requestfor Preliminary Conference ResidentialMortgage ForeclosureSettlement Conference Writ of HabeasCorpus Other: RELATED CASES: List any relatedactions.For Matrimonial include actions, any relatedcriminal and/or FamiyCourt cases.If additional space is required, complete and attachthe RJi Addendum. If none, leaveblank. Case Title Index/Case No. Court Judge (ifassigned) Relationship to Instant Case None For parties withoutan attorney, check "Un-Rep" box AND enter phone number and e-mail PARTIES: partyaddress, address in space provided.If additional space is required, complete and attachtheRJI Addendum. Parties: Attorneysand/or Unrepresented Litigants: Un- ISSUe Provide attorney name, firm name, business address, phone number and e- List parties in caption order and indicate tef(s). InsUf~nce C~ff mail address of all attorneys that have appeared in the case. party role(s) (e.g., defendant; 3rd-party For Joined Rep plaintiff). (y(N). unrepresented litigants, provide address, phone number and e-mail address. (Y/N): Name: CLARK, MICHAEL DAVID ANTONUCCI, ANTONUCCI LAW FIRM LLP, 12 PUBLIC SQ , WATERTOWN, NY 13601, antonlaws@nnymail.com O Role(s): Plaintiff/Petitioner NO Name: CLARK, CAROL DAVID ANTONUCCI, ANTONUCCI LAW FIRM LLP, 12 PUBLIC SQ , WATERTOWN, NY 13601, antonlaws@nnymail.com O Role(s): Plaintiff/Petitioner NO Name: WINTER HARBOR LLC 604 County Rt. 37, Central Square, NY 13601 X NO Role(s): Defendant/Respondent Name: O Role(s): Name: O Role(s): I AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE ARE AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING. Dated: 03/30/2018 DAVID PETER ANTONUCCI SIGNATURE 2163905 DAVID PETER ANTONUCCI ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME This form was generated by NYSCEF 2 of 2