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FILED: QUEENS COUNTY CLERK 04/26/2018 11:30 AM INDEX NO. 703510/2018
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 04/26/2018
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
UCS-840 (7/2012) IAS Entry ae
Supreme COURT, COUNTY OF Queens
Judge Assigned
Index No: 703510/18 Date Index Issued: 03/07/2018
Enter the complete
case caption.
Do not use et al or et ano.
If more spaceis required, WJI bale
CAPTION:
attacha caption
rider sheet.
DIANNE DAVIS,
Plaintiff(s)/Petitioner(s)
-against-
-a ainst-
FRANZ A. MATZELLE,
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check ONE box 3nly and specify
where indicated.
MATRIMONIAL COMMERCIAL
O Contested O BusinessEntity corporations,
(including partnerships,
LLCs, etc.)
NOTE: For all Matrimonial where the parties
actions have children
under O Contract
the age of 18, complete
and attach the MATRIMONIAL RJi Addendum. O Insurance(whereinsureris a party, except
arbitration)
For UncontestedMatrimonial
actions,use RJl form
UD-13· O UCC (including
sales,negotiableinstruments)
TORTS O OtherCommercial:
(5Pedfy)
O Asbestos
O BreastImplant NOTE: For CommercialDivisionassignmentrequests[22 NYCRR §
complete
202.70(d)], and attachthe COMMERCIAL DIV RJi Addendum.
O Environmental:
(spedfy) REAL PROPERTY: How many properties does the application include?
O Medical, or Podiatric
Dental, Malpractice O Condemnation
O' Motor Vehicle O Mortgage Foreclosure
(spedfy): O Residential OCommerciai
Q ProductsLiability: PropertyAddress:
(Spedfy) streetAddress city State Zlp
O OtherNegligence: NOTE: For MortgageForeclosure
actions a one- to four-family,
involving
(SPedfY) OWner-OcCupied, residential or an owner-occupied
property,
O OtherProfessionalMalpractice: condominium,complete and attach the FORECLOSURE RJI Addendum.
(SPedly) - Section:
O Tax Certiorari Block: Lot:
O Other Tort: O Tax Foreclosure
(SPedfY) O OtherReal Property:
OTHER MATTERS (SPedfy)
Û [see NOTE
of Incorporation/Dissolution
Certificate under Commercial] SPECIAL PROCEEDINGS
O Emergency Medical Treatment O CPLR Article [see NOTE
75 (Arbitration) under Commercial]
OuabeasCorpus O CPLR Article78 (Body or Officer)
O Local Court Appeai O Election
Law
O Mechanic'sLien O 9.60 (Kendra's
MHL Article Law)
O Name Change O MHL Article10 (Sex Offender Confinement-Initial)
O Pistol Permit
Revocation Hearing Q MHL Article10 (Sex Offender Confinement-Review)
O of Religious/Not-for-Profit
Sale or Finance Property O MHL Article81 (Guardianship)
O Other: O OtherMental Hygiene:
(spedfy) (spedfy)
O Proceeding:
Other Special
(8PedfY)
STATUS OF ACTION OR PROCEEDING: Answer YES or NO for EVERY AND enter additional
question where indicated.
information
YES | NO
Has a summons and complaint
or summons w/noticebeen filed? Qs Q filed:. 03/07/2018
If yes, date filed:03/07/2018
been served? Qs served:03/09/2018
if yes, date served:
Has a summons and complaintor summons w/notice Q
being filed post-judgment7
Is this action/proceeding Q Qe date:
If yes, judgment
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FILED: QUEENS COUNTY CLERK 04/26/2018 11:30 AM INDEX NO. 703510/2018
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 04/26/2018
NATURE OF JUDICIAL INTERVENTION: Check ONE box only AND enter additional
information
where indicated.
Û Infant's
Compromise
O Note of Issue and/or
Certificate
of Readiness
O Noticeof Medical,
Dental,or Podiatric
Malpractice Date Issue Joined:
Q' Notice of Motion Relief Sought:Dismiss
Sought: RetumDate:05/30/2018
O Notice of Petition Relief Sought: Retum Date:
O Order to Show Cause Relief Sought: Retum Date:
O OtherEx Parte Application Relief Sought:
O Poor PersonApplication
O Request for Preliminary
Conference
O Residential
Mortgage ForeclosureSettlement
Conference
O Writ of Habeas
Corpus
O Other (specify):
CASES· List any related
actions.
For Matrimonial include
actions, criminal
any related and/orFamily Court cases.
RELATED
If additional
space is required,
complete the RJi Addendum.
and attach If none, leave blank.
'
Case Title Index/Case No. Court Judge (if
assigned) Relationship to Instant Case
an attorney,
check"Un-Rep" box AND enter party address,
MUES, For parties
without phone number and e-mail
address in spaceprovided.
If additional
space is required,
completeand attach the RJi Addendum.
Parties: Attorneys and/or Unrepresented Litigants:
Un- Issue
List parties order
in caption and Provideattorneyname,firm name,businessaddress,phone number and e-mail Insurance
Joined
Rep party role(s) (e.g. defendant;
indicate addressof all attorneys
that have appeared For unrepresented
in the case. Carrier(s):
(Y/N):
plaintiff).
3rd-party provide
litigants, address,phone number and e-mailaddress.
Davis
LastName LastName First Name
Dianne erner, Arnold & Winston, LLP
_erner,
FirstName FirmName
PrimaryRole:
175ParkAvenue South,28th Floor NewYork NewYork 10016
Plaintiff StreetAddress City State Zip
SecondaryRole(If any): NO
M (212)686-4655
Phone Fax e-mail
Matzelle
LastName LastName FirstName
Franz A. lichard T. Lau 8 Associates
FirstName . FirmName
StateFarm
PrimaryRole: .O.Box9040 NewYork 11753-9040
Jericho
Defendant StreetAddress City State Zip
O
SecondaryRole(if any):
I (516)229-6000
Phone Fox e-mail
LastName LastName First Name
FirstName FirmName
PrimaryRole:
StreetAddress City State Zip
SecondaryRole(If any):
Phone Fax e-mail
LastName LastName FirstName
FirstName FirmName
PrimaryRole:
StreetAddress City State Zlp
NO
SecondaryRole(if any):
Phone Fax 11
'
I AFF RM UNDER THE PENALTY OF PE RJURY THAT, TO MY KNOWLEDGE, OTHER THA ED BOV;1, THERE ARE AND HAVE
BEEENO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICI E 0 PF EVIOUSL" BEEN FILED IN
THIS ACTION OR PROCEEDING.
Dated: 04/26/2018
SIGNATURE
2383149 Kathleen E. Fioretti,
Esq.
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
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FILED: QUEENS COUNTY CLERK 04/26/2018 11:30 AM INDEX NO. 703510/2018
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 04/26/2018
Index No: 703510/18 SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF QUEENS
DIANNE DAVIS,
Plaintiff,
-against-
FRANZ A. MATZELLE
Defendant.
REQUEST FOR JUDICIAL INTERVENTION
RICHARD T. LAU 4 ASSOCIATES
Attorneys for Defendant
Franz A. Matzelle
P. O. Box 9040
300 Jericho Quadrangle, Suite 260
Jericho, NY 11753
(516) 229-6000
Attorney Certification:
The undersigned, an attorney admitted to practice in the Courts of rk tate, certifies that, upon
information, belief and reasonable inquiry, the contentions containe e ove ferenced document(s) are
not frivolous.
Dated: Jericho, New York
April 26, 2018 KATHLEEN E. FIORETTI, ESQ.
Sincerely,
LERNER, ARNOLD & WINSTON, LLP RICHARD T. LAU & ASSOCIATES
Attorneys for Plaintiff Attorneys for Defendant
Dianne Davis Franz A. Matzelle
475 Park Avenue South P. 0. Box 9040
28th Floor 300 Jericho Quadrangle, Suite 260
New York, NY 10016 Jericho, New York 11753
(212) 686-4655 (516) 229-6000
I
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