On June 14, 2021 a
Request for Judicial Intervention
was filed
involving a dispute between
Juan Sinchi ,
and
Holly A. Gibbs ,
for Torts - Motor Vehicle
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 10/26/2021 10:54 AM INDEX NO. 611267/2021
NYSCEF DOC. NO. 7 RECEIVED NYSCEF: 10/26/2021
REQUEST FOR JUDICIAL INTERVENTION r Court Clerk Use Only:
ucs-840(7/2012) IAS Entry Date
SUPREME COURT, COUNTYOF SUFFOLK
Judge Assigned
Index No, 611267/2021 Date Index Issued: June 14, 2021
Enterthe completecase caption. If more
Do not use et al or et ano. space is required, RJI Date
attacha captionrider
sheet.
JUAN SINCHI,
Plaintiff(s)/Petitioner(s)
-against-
HOLLY A. GlBBS
Defendant(s)/Respóñdent(s)
NATURE OF ACTION OR PROCEEDING: Check ONE box onlyand specifywhere irdicated
MATRIMONIAL COMMERCIAL
Contested
NOTE: For all MatrimGñial
actionswhere thepartieshavechildren O Business Entity corporations,
(including partnerships,LLCs, etc.)
under the age of 18, complete
and attachthe MATRIMONIAL RJI O Contract
Add=ndem For Uncontested MatrimGñ|al use RJI form
actions, UD-13 Insurance(where insureris a party,
exceptarbitration)
UCC sales,
(Including negotiableinstruments)
TORTS Other Commercia _ _
Asbestos (8Pecify)
BreastImplant NOTE: For ComrnercialDivisionassignmentrequests[22 NYCRR
Environmental: _ complete
§202.70(d)], snd attachthe COMMERCIAL DIV RJI
(specify) Addendum.
Medical,Dental,or Podiatric
Malpractice REAL PROPERTY: How many does
properties the application
include?_
Motor Vehicle O Condemnation
O ProductsLiability: O Foreclosure
(specify) Address:
Property
Other Negligence: S eelAddress city State Zip
(specify) NOTE: For foreclcsure
actionsinvolveda one-to owner-
four-family,
Other Negligence:
Professional occupied,residenial property,
or an owner-occupiedcGñdeminium,
(specify) Complete and atta-.h the FORECLOSURE RJI Aff:±r
Other Tort: Tax Certiorari-Secion: Block: Lot:
(8pecify) Other RealPropery:
(specify)
OTHER MATTERS SPECIAL PROCEEDIbGS
O of inceir,0ration/Dissolution
Certificate [seeNOTE under Commercial] O CPLR Article
75 (#rbitration)
[seeNOTE under CGmmerciai]
O Emergency MedicalTreatment O CPLR Article
78 (Body or Officer)
D Habeas Corpus O ElectionLaw
LocalCourt Appeal O MHL Article9.60(Kendra'sLaw)
Mechanic'sLien O MHL Article10 (S=x OffenderCGñfiñêm66t-|ñ|tial)
Name Change O MHL Article10 (SEx OffenderConfinement-Review)
Pistol
Permit R6vacaticaHearing O MHL Article
81 (GJardianship)
Sale or Financeof Religious/Not-for-Profit
Property O Other MentalHygene:
Other: (specify)
("P°°¹'Y) Other SpecialPro·eeding:
(SPecify)
STATUS OF ACTION OR PROCEEDING: Answer YES or NO for EVERY questionAND enterEdditional where
information |ñdicated
YES O
Has a summons & complaintor summons w/noticebeen filed? If yes,
date filEd: June 14, 2021
Has a summons & complaintor 5ümmGñs w/noticebeen served? If yes,
dateseNed: June 25, 2021
Is this action/proceeding
beingfiledpost-judgment? O If yes, judgment
date:
1 of 2
FILED: SUFFOLK COUNTY CLERK 10/26/2021 10:54 AM INDEX NO. 611267/2021
NYSCEF DOC. NO. 7 RECEIVED NYSCEF: 10/26/2021
NATURE OF JUDICIAL INTERVENTION: Check ONE box only AND enteradd!!!cña!
|ñfGimatian
where indicated.
InfantsCompromise
Note of Issue
and/or Certificate
of Readiness
Noticeof Medical, or Podiatric
Dental, Me!practice Date IssueJoined:
O Noticeof Motion ReliefSought: Re-urn Date:
Notionof Petition ReliefSought Rewrn Date
Order to Show Cause ReliefSought Re-urn Date
Other Ex ParteApplication ReliefSought ____ _ ___
Poor Person Application
Request for Preliminary
Conference
ResidentialMortgage ForeclosureS6tt|ém6GiConference
Writof Habeas Corpus
Other (specify) __
List anyrelated
actions.For Matrimonial include
actions, and/or
any related:riminal FamilyCourt cases.
RELATED CASES:
If addit!ene!
space is required,
complete and attachthe RJI Addendum. If none,
leaveblank.
Case Title Index/Case No. Court Judge (ifassigned) / Re:ât|=ship to InstantCase
NONE
If additicñal
space is required,
cGmp|êts and attachtheRJI Addendum.
PARTIES: "Un-Rep" "Attorn3ys"
For parties
withoutan attorrey,
check box AND enterpartyaddress,phone nLmber and e-mailaddressin space.
Parties: Attomeys:
_ ___ issue
pa e n cap on o er and
Providename, firmnSTle, bUsineSs address,
phone number and e-mail Joined
r e s
3rd_ address of all attorneys
thathave appeared in the case. (Y/N):
defendant;
LastName LastName FirstNme
SINCHI
FirstName FirmName
JUAN FERRO,KUBA,MANGANO, P.C.
PrimaryRole: StreetAddress City State Zip NO
Plaintiff 825VeteransHighway Hauppauge NY 11788
Phone Fax Email
(631)581-9494 (631)883-9494
LastName LastName FirstNme
GlBBS
FirstName FirmName
HOLLY GENTILE& TAMBASCO
PrimaryRole: StreetAddress City State Zip
Defendant 115BroadHollowRoad,Suite300 Melville NY 11747
NO
Phone Fax Email
(631)760-0917
LastName LastName FirstNme
FirstName FirmName O YES
PrimaryRole:
Plaintiff StreelAddress City State Zip
SecondaryRole(if any) Phone Fax
D NO
Email
Plaintiff
LastName LastName FirstNme
FirstName YES
FirmName
PrimaryRole:
Plaintiff StreetAddress City State Zip
SecondaryRole(if any)
Plaintiff Phone Fax
O NO
Email
AFFIRM UNDER THE PENALTY OF PEFiURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NC-ED ABOVE, THERE ARE AND H,ÑE BEEN NO
RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION F VIOUSLY BEEN FILED IN THISACTION OR
PROCE EDINGS.
Dated: October 26, 2021
SIGNATURE
5753363 KYLE MCLAUGHLIN
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
2 of 2
Judge
Adr Alternate Dispute Resolution
Track Judge’s New Case
Document Filed Date
October 26, 2021
Case Filing Date
June 14, 2021
Category
Torts - Motor Vehicle
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Preview
FILED: SUFFOLK COUNTY CLERK 10/26/2021 10:54 AM INDEX NO. 611267/2021 NYSCEF DOC. NO. 7 RECEIVED NYSCEF: 10/26/2021 REQUEST FOR JUDICIAL INTERVENTION r Court Clerk Use Only: ucs-840(7/2012) IAS Entry Date SUPREME COURT, COUNTYOF SUFFOLK Judge Assigned Index No, 611267/2021 Date Index Issued: June 14, 2021 Enterthe completecase caption. If more Do not use et al or et ano. space is required, RJI Date attacha captionrider sheet. JUAN SINCHI, Plaintiff(s)/Petitioner(s) -against- HOLLY A. GlBBS Defendant(s)/Respóñdent(s) NATURE OF ACTION OR PROCEEDING: Check ONE box onlyand specifywhere irdicated MATRIMONIAL COMMERCIAL Contested NOTE: For all MatrimGñial actionswhere thepartieshavechildren O Business Entity corporations, (including partnerships,LLCs, etc.) under the age of 18, complete and attachthe MATRIMONIAL RJI O Contract Add=ndem For Uncontested MatrimGñ|al use RJI form actions, UD-13 Insurance(where insureris a party, exceptarbitration) UCC sales, (Including negotiableinstruments) TORTS Other Commercia _ _ Asbestos (8Pecify) BreastImplant NOTE: For ComrnercialDivisionassignmentrequests[22 NYCRR Environmental: _ complete §202.70(d)], snd attachthe COMMERCIAL DIV RJI (specify) Addendum. Medical,Dental,or Podiatric Malpractice REAL PROPERTY: How many does properties the application include?_ Motor Vehicle O Condemnation O ProductsLiability: O Foreclosure (specify) Address: Property Other Negligence: S eelAddress city State Zip (specify) NOTE: For foreclcsure actionsinvolveda one-to owner- four-family, Other Negligence: Professional occupied,residenial property, or an owner-occupiedcGñdeminium, (specify) Complete and atta-.h the FORECLOSURE RJI Aff:±r Other Tort: Tax Certiorari-Secion: Block: Lot: (8pecify) Other RealPropery: (specify) OTHER MATTERS SPECIAL PROCEEDIbGS O of inceir,0ration/Dissolution Certificate [seeNOTE under Commercial] O CPLR Article 75 (#rbitration) [seeNOTE under CGmmerciai] O Emergency MedicalTreatment O CPLR Article 78 (Body or Officer) D Habeas Corpus O ElectionLaw LocalCourt Appeal O MHL Article9.60(Kendra'sLaw) Mechanic'sLien O MHL Article10 (S=x OffenderCGñfiñêm66t-|ñ|tial) Name Change O MHL Article10 (SEx OffenderConfinement-Review) Pistol Permit R6vacaticaHearing O MHL Article 81 (GJardianship) Sale or Financeof Religious/Not-for-Profit Property O Other MentalHygene: Other: (specify) ("P°°¹'Y) Other SpecialPro·eeding: (SPecify) STATUS OF ACTION OR PROCEEDING: Answer YES or NO for EVERY questionAND enterEdditional where information |ñdicated YES O Has a summons & complaintor summons w/noticebeen filed? If yes, date filEd: June 14, 2021 Has a summons & complaintor 5ümmGñs w/noticebeen served? If yes, dateseNed: June 25, 2021 Is this action/proceeding beingfiledpost-judgment? O If yes, judgment date: 1 of 2 FILED: SUFFOLK COUNTY CLERK 10/26/2021 10:54 AM INDEX NO. 611267/2021 NYSCEF DOC. NO. 7 RECEIVED NYSCEF: 10/26/2021 NATURE OF JUDICIAL INTERVENTION: Check ONE box only AND enteradd!!!cña! |ñfGimatian where indicated. InfantsCompromise Note of Issue and/or Certificate of Readiness Noticeof Medical, or Podiatric Dental, Me!practice Date IssueJoined: O Noticeof Motion ReliefSought: Re-urn Date: Notionof Petition ReliefSought Rewrn Date Order to Show Cause ReliefSought Re-urn Date Other Ex ParteApplication ReliefSought ____ _ ___ Poor Person Application Request for Preliminary Conference ResidentialMortgage ForeclosureS6tt|ém6GiConference Writof Habeas Corpus Other (specify) __ List anyrelated actions.For Matrimonial include actions, and/or any related:riminal FamilyCourt cases. RELATED CASES: If addit!ene! space is required, complete and attachthe RJI Addendum. If none, leaveblank. Case Title Index/Case No. Court Judge (ifassigned) / Re:ât|=ship to InstantCase NONE If additicñal space is required, cGmp|êts and attachtheRJI Addendum. PARTIES: "Un-Rep" "Attorn3ys" For parties withoutan attorrey, check box AND enterpartyaddress,phone nLmber and e-mailaddressin space. Parties: Attomeys: _ ___ issue pa e n cap on o er and Providename, firmnSTle, bUsineSs address, phone number and e-mail Joined r e s 3rd_ address of all attorneys thathave appeared in the case. (Y/N): defendant; LastName LastName FirstNme SINCHI FirstName FirmName JUAN FERRO,KUBA,MANGANO, P.C. PrimaryRole: StreetAddress City State Zip NO Plaintiff 825VeteransHighway Hauppauge NY 11788 Phone Fax Email (631)581-9494 (631)883-9494 LastName LastName FirstNme GlBBS FirstName FirmName HOLLY GENTILE& TAMBASCO PrimaryRole: StreetAddress City State Zip Defendant 115BroadHollowRoad,Suite300 Melville NY 11747 NO Phone Fax Email (631)760-0917 LastName LastName FirstNme FirstName FirmName O YES PrimaryRole: Plaintiff StreelAddress City State Zip SecondaryRole(if any) Phone Fax D NO Email Plaintiff LastName LastName FirstNme FirstName YES FirmName PrimaryRole: Plaintiff StreetAddress City State Zip SecondaryRole(if any) Plaintiff Phone Fax O NO Email AFFIRM UNDER THE PENALTY OF PEFiURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NC-ED ABOVE, THERE ARE AND H,ÑE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION F VIOUSLY BEEN FILED IN THISACTION OR PROCE EDINGS. Dated: October 26, 2021 SIGNATURE 5753363 KYLE MCLAUGHLIN ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME 2 of 2