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FILED: KINGS COUNTY CLERK 05/21/2020 11:14 AM INDEX NO. 526735/2019
NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 05/21/2020
REQUEST FOR JUDICIAL INTERVENTION 58,4g°g1,)
Kings Süpi-ême COURT, COUNTY OF Kings
Index No: 526735/2019 Date Index Issued: 12/09/2019 For Court Use Only:
IAS EntryDate
Andrey Pikalov
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
HCd-;-
Lam Chi Chi,Paul Scott Rhaorklor, Yoel cz
RJIFiled Date
Defendant(s)/Respondent(s)
COMMERCIAL MATRIMONIAL
O Contested
O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
Contract MATRIMONDALRJRAddendum (UCS-840M).
O Insurance(where insurance company is a party, except =rb!trat!en)
For Uncon½s½dMatn'monialactions, use the UncontestedDivorce RJi(UD-13).
O UCC(includes sales and negotiable irictmments)
O Other Commercial(specify):
TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDEVISIONRJRADDENDUM (UCS-840C). Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the application includes: . .
Envronmente! (specify):
O Condemnation Medical,Dental, or Podiatric Malpractice
O Residential
Mortgage Foreclosure(specify):
O O Commercial Motor Vehicle
Property Address: O Products Liability (specify):
O Other Negligence(specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner-
occupied residential property or owner-occupiedcondominium, complete and
O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJRADDENDUM (UCS-840F). Other Tort (specify):
O
Tax Certiorari - Section: Block: Lot:
Tax Foreclosure SPECIAL PROCEEDINGS
Other Real Property (specify): O CPLRArticle 75 (Arbitration)
[see NOTE in COMMERCIALsection]
O
O CPLRArticle 78 (Body or Officer)
OTHER MATTERS
O Election Law
O Certificate of Incorporatior./D|::::st|:=
[see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder
O Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial)
O LocalCourt Appeal MHLArticle 10 (Sex Offender Confinemant-Review)
O Mechanic'sLien MHLArticle 81 (Guardianship)
O NameChange O Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated.
YES NO
Hasa summons and complaint or summonswith notice been filed? O 12/09/2019
If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O 02/04/2020
If yes, date served:
Is this action/proceeding being filed post-judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional information where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder Application
O Note of Issue/Certificateof Readiness
O Date Issuejoined:
Notice of Medical, Dental, or Podiatric Malpractice
Notice of Motion Relief Requested: Return Date:
O
Notice of Petition Relief Requested: Return Date:
O
Order to ShowCause Relief Requested: Return Date:
O
Other Ex ParteApplication Relief Requested:
O
O PoorPersonApplication
Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSettlement Conference
O Writ of HabeasCorpus
O Other (specify):
1 of 2
FILED: KINGS COUNTY CLERK 05/21/2020 11:14 AM INDEX NO. 526735/2019
NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 05/21/2020
RELATED CASES: List any related
actions.For Matrimonial
cases,list any
relatedcriminal
or FamilyCourtcases.If none,
leave blank.If additional
space
is required,
complete and attachthe RJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase
For parties
withoutan attorney,
check the"Un-Rep" box and enter
the party's phone number and emailin thespace
PARTIES: address,
provided.If additional
space is required,
completeand attachthe RJI Addendum (UCS-840A).
Un- Parties | Attorneys and/or Unrepresented Litigants Issue Joined | Insurance
Rep List parties in same order as listed in the
For represented parties, provide attorney's name, firm name, address, phone
For each defendant,
For each defendant,
caption and indicate roles (e.g., plaintiff,
and email. For unrepresented parties, provide party's address, phone and
indicate if issue has
indicate insurance
defendant; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable.
Name: Pikalov,Andrey DMITRY LEVITSKY, Law Firm,3163 Island
Levitsky Coney
Avenue 2nd Floor,Brooklyn, NY 11235, 3474621660, E YES O NO
Role(s):Plaintiff/Petitioner dmitry@levitskylawfirm.com
Name: Chi Chi,Lam 1563 West 10th Street,Brooklyn, NY 11204 GEICO
O YES E NO
Role(s):Defendant/Respondent
Name: Schaedtler, Paul S· 845 Highland Avenue, Waynesboro, VA 22980 GEICO
O YES E NO
Role(s):Defendant/Respondent
Name: Henriquez, Yoel DANIEL HONG, James G. Bilello& Associates, 100 Duffy
Avenue, Suite 500 NY
, Hicksville, 11801, E YES O NO
Role(s):Defendant/Respondent bilelloandassociates@geico.com
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
I 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 INTHIS
ACTION OR PROCEEDING.
Dated: 05/21/2020 DMITRY LEVITSKY
Signature
5197033 DMITRY LEVITSKY
Attorney Registration Number PrintName
This form was generated by NYSCEF
2 of 2
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FILED: KINGS COUNTY CLERK 05/21/2020 11:14 AM INDEX NO. 526735/2019 NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 05/21/2020 REQUEST FOR JUDICIAL INTERVENTION 58,4g°g1,) Kings Süpi-ême COURT, COUNTY OF Kings Index No: 526735/2019 Date Index Issued: 12/09/2019 For Court Use Only: IAS EntryDate Andrey Pikalov Judge Assigned -against- Plaintiff(s)/Petitioner(s) HCd-;- Lam Chi Chi,Paul Scott Rhaorklor, Yoel cz RJIFiled Date Defendant(s)/Respondent(s) COMMERCIAL MATRIMONIAL O Contested O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) NOTE: If there are children under the age of 18, complete and attach the Contract MATRIMONDALRJRAddendum (UCS-840M). O Insurance(where insurance company is a party, except =rb!trat!en) For Uncon½s½dMatn'monialactions, use the UncontestedDivorce RJi(UD-13). O UCC(includes sales and negotiable irictmments) O Other Commercial(specify): TORTS NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d), complete and attach the COMMERCIALDEVISIONRJRADDENDUM (UCS-840C). Asbestos O Child Victims Act REAL PROPERTY: Specify how many properties the application includes: . . Envronmente! (specify): O Condemnation Medical,Dental, or Podiatric Malpractice O Residential Mortgage Foreclosure(specify): O O Commercial Motor Vehicle Property Address: O Products Liability (specify): O Other Negligence(specify): NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner- occupied residential property or owner-occupiedcondominium, complete and O Other ProfessionalMalpractice (specify): attach the FORECLOSURERJRADDENDUM (UCS-840F). Other Tort (specify): O Tax Certiorari - Section: Block: Lot: Tax Foreclosure SPECIAL PROCEEDINGS Other Real Property (specify): O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIALsection] O O CPLRArticle 78 (Body or Officer) OTHER MATTERS O Election Law O Certificate of Incorporatior./D|::::st|:= [see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder O Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law) O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial) O LocalCourt Appeal MHLArticle 10 (Sex Offender Confinemant-Review) O Mechanic'sLien MHLArticle 81 (Guardianship) O NameChange O Other Mental Hygiene (specify): Pistol Permit Revocation Hearing O Other Special Proceeding(specify): O Saleor Financeof Religious/Not-for-ProfitProperty O Other (specify): STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated. YES NO Hasa summons and complaint or summonswith notice been filed? O 12/09/2019 If yes, date filed: Hasa summons and complaint or summonswith notice been served? O 02/04/2020 If yes, date served: Is this action/proceeding being filed post-judgment? O If yes, judgment date: NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional information where indicated. O Infant's Compromise O Extreme Risk ProtectionOrder Application O Note of Issue/Certificateof Readiness O Date Issuejoined: Notice of Medical, Dental, or Podiatric Malpractice Notice of Motion Relief Requested: Return Date: O Notice of Petition Relief Requested: Return Date: O Order to ShowCause Relief Requested: Return Date: O Other Ex ParteApplication Relief Requested: O O PoorPersonApplication Requestfor Preliminary Conference O ResidentialMortgage ForeclosureSettlement Conference O Writ of HabeasCorpus O Other (specify): 1 of 2 FILED: KINGS COUNTY CLERK 05/21/2020 11:14 AM INDEX NO. 526735/2019 NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 05/21/2020 RELATED CASES: List any related actions.For Matrimonial cases,list any relatedcriminal or FamilyCourtcases.If none, leave blank.If additional space is required, complete and attachthe RJI Addendum (UCS-840A). Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase For parties withoutan attorney, check the"Un-Rep" box and enter the party's phone number and emailin thespace PARTIES: address, provided.If additional space is required, completeand attachthe RJI Addendum (UCS-840A). Un- Parties | Attorneys and/or Unrepresented Litigants Issue Joined | Insurance Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, and email. For unrepresented parties, provide party's address, phone and indicate if issue has indicate insurance defendant; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable. Name: Pikalov,Andrey DMITRY LEVITSKY, Law Firm,3163 Island Levitsky Coney Avenue 2nd Floor,Brooklyn, NY 11235, 3474621660, E YES O NO Role(s):Plaintiff/Petitioner dmitry@levitskylawfirm.com Name: Chi Chi,Lam 1563 West 10th Street,Brooklyn, NY 11204 GEICO O YES E NO Role(s):Defendant/Respondent Name: Schaedtler, Paul S· 845 Highland Avenue, Waynesboro, VA 22980 GEICO O YES E NO Role(s):Defendant/Respondent Name: Henriquez, Yoel DANIEL HONG, James G. Bilello& Associates, 100 Duffy Avenue, Suite 500 NY , Hicksville, 11801, E YES O NO Role(s):Defendant/Respondent bilelloandassociates@geico.com Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): I 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 INTHIS ACTION OR PROCEEDING. Dated: 05/21/2020 DMITRY LEVITSKY Signature 5197033 DMITRY LEVITSKY Attorney Registration Number PrintName This form was generated by NYSCEF 2 of 2