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FILED: KINGS COUNTY CLERK 05/07/2019 12:31 PM INDEX NO. 524057/2018
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 05/07/2019
For Court Clerk Uee O~nly:
REQUEST FOR JUDICIAL INTERVENTION
IAS Entry
Date
UCS-840 (7/2012)
SUPREIVIE COURT, COUNTY OF KINGS
Judge Assigned
Index No: 524057/2018 Date Index Issued: 11/30/2018
CAPTION: Enterthe completecase caption.Do not use et al or et ano.
If morespace is required,
attacha caption sheet.
rider
RJI Date
TAIYIIKADIAZ,
~
Plaintiff(s)/Pegitio
1
-against-
GHANA SARA BAR-CHAIM,
Defetluan".c)/Res-
NATURE OF ACTION OR PROCEED! NG: Check ONE box only and specify
where indicated.
MATRIMONIAL COM
( ) Contested ( )B
NOTE: actions
For all Matrimonial where the parties
have childrenunder ( )C
":--" —
the age of 18, complete
and attachthe MATRIMONIAL RJI ( ) In
For UncontestedMatrimonialactions.use RJI formUD-13. ( )U
TORTS ( )o
( ) Asbestos (specify)
C- tell requests[22 NYCRR
NOTE: For rlgtlDivision
a i","„mont fJ
)E ':". complete
202.70(d)], and attachthe COMll/IERCIALDIV RJI "-'"=:=....—..
(
(specify)
( ) Medical, or Podiatric
Dental, Ma!greet!ce REAL PROPERTY: How many properties does the
p!Idcn include?
(X) MotorVehicle
( ) ProductsLiability: —-=--
) ReSidential
) IMiulIagtge FOreCIOSure (SpeCify)
( ( ) CC
(specify) ( ) PropertyAddress:
( ) OtherNegligence: Street Address City State Zip
(specify) NOTE; For MortgageForeclosureactionsinvolvinga one-to-fc
r ',emily,
( ) OtherProtean!en"!Malpractice: owner-occupied,r~oid~»io! or an owner-occupied
property,
(specify) c----' complete
-::::::::, and attachtheFORECLOSURE RJI
( ) OtherTort: dulll
s ecif
OTHER MATTERS —Section: Block: Lot:
( ) TaxCertiorari
( ) Certificate
of Incorporation/D!sso!Irt!on
[seeNOTE under Commercial] ( ) TaxForoctooiir~
( Medical
) Eii-iergen-y Treatment ( ) OtherReal Property:
( ) Habeas Corpus (specifvl
( ) LocalCourtAppeal SPECIAL PROI:-EE»iNt 'S
( ) Mechanic'sLien ( ) CPLR Article
75 (Arbitration)
(see NOTE under C"mmercial]
( ) Name Change ( ) CPLR Article
78 (Body or Officer)
( ) Pistol
Permitrevocationhearing ( Law
) Election
( ) Saleor Financeof Religious/Not-for-Profit
Property ( ) MHL Article
9.60(Kendra's Law)
--'!."."'
( ) Other: ( ) MHLArticle
10 (SexO(fender Cc;:::.:.:: t)
(specify) ( )MHL Article
10 (SexOffender Confinement-Review)
( ) MHL Article
81 (C r"lonsh!0)
( ) OtherMentalHygiene:
(specify)
) Other
Special Proceeding;
' '- ="--
STATUS OF ACTION OR PROCEEDING: Answer YES or NO forEVERY questionAND enteradd!t!on! where
YES NO
Has a srrmm .". and comp!a!ntor summons w/noticebeen filed? (X) ( ) If yes, date
filed:
11/30/2018
Has a ollmmon and complaint or sl.!mmons
W/nOtiCe beenSerVed? (X) ( ) If yes, date
served:01/21/2019
IS thiS aoticn/pruueeUIII'JJ being
filed
pOSt-judgment? ( ) (X) If yeS, juugnllellt
date:
NATURE OF JUDICAL INTERVENTION: Check ONE box only AND enter d"iti..!: .:-:::=':-:-.:
where indicated.
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FILED: KINGS COUNTY CLERK 05/07/2019 12:31 PM INDEX NO. 524057/2018
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 05/07/2019
( ) Infant's
Compromise
( ) Noteof Issueand/orCertificate
of Readiness
( ) Noticeof Medical,
Dental, Malpractice
or Podiatric Date IssueJoined:02/15/2019
( ) Noticeof Motion ReliefSought: ReturnDate:
( ) Noticeof Petition ReliefSought: ReturnDate:
( ) Orderto Show Cause ReliefSought: ReturnDate:
( ) OtherEx ParteApplication ReliefSought:
( ) PoorPerson Application
(X) Request Conference
for Preliminary
( ) Residential
Mortgage ForeclosureRatt1amantConference
( ) Writof HabeasCorpus
( } Other(specify):
RELATED CASES: List anyrelated
actions.
For Matrimonial inc[ude
actions, any relatedcriminal
and/orFamily Courtcases.
If aMipnor space is required,
complete and attachthe RJI Addendum.If none,
leave blank.
Case Title Index/Case No. Court |Judge (ifessigned) Relatiüñchip to Instant Case
"Un-Rep" provided.
PARTIES: For parties
without check
an attorney, box AND enterpartyaddress,phone number and e-mailaddressin space
If addit|üñal
space complete
is required, and attachtheRJI Addeadüm.
Un- Parties: Attorneys: Issue [nsurance
Rep List parties
in caption
order and Provide firmname, businessaddress,phone number and e- Joined Carrier(s):
attorneyname,
indicateparty (e.g.
role(s) mail addressof all attorneys
thathave appeared in the case.
For (Y/N)
defendant:3rd-party unrepresented
plaintifi____ provide
litigants, address,phone number and e-mail
address.
Name: Zwirn& Saulino
Tamika Diaz Attorneysfor Plaintiff(s) (X) YES Not applicable
( ) Tamika Diaz
2606 East Suite
15th Street, 205 ( ) NO
Role:Plaintiff NY 11235
Brooklyn,
Phone:718-615-7400 Fax: 718-615-9460
Name: ToniAnn VultaggioEsq.
Chana Sara Bar-Chaim JAMES G. BILELLO & ASSOCIATES (X) YES GEICO
( ) 100 DuffyAvenue, Suite500
NY 11801
Hicksville, ( ) NO
Role:Defendant Phone: 516-861-1828 Fax: 516-861-1801
Email:bilelloandassociates@qeico.com
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 JUD!C!AL INTERVENTION
PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING.
Dated: May 6,2019
Toni Aiin Vultaggio, Esq.
PRINT OR TYPE NAME
2038408 JAMES G. BILELLO & ASSOCIATES
ATTORNEY REGISTRATION NUMBER Attóiriéÿs for Defendant(s)
Chana Sara Bar-Chaim
100 Duffy Avenue, Suite 500
Hicksville, NY 11801
bileiloandasscciates@qeico.com
516-861-1828
Our FileNo.: 19K0218
Our Claim No.: 0610850180101016 (J805)
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FILED: KINGS COUNTY CLERK 05/07/2019 12:31 PM INDEX NO. 524057/2018
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 05/07/2019
Index No.: 524057/2018
SUPREME COURT OF THE STATE OF NEW YORK
COU TY F NGS ________ _____
Plaintiff(s)
-
REQUEST FOR JUDICIAL
- against
INTERVENTION
CHANA SARA BAR-CHAIM,
Defendantis
JAMES G. BILELLO & ASSOCIATES
Attorneys for the Defendant(s)
Chana Sara Bar-Chaim
100 Duffy Avenue, Suite 500
Hicksville, NY 11801
bilelloandassociates@qeico.com
516-861-1828
____---------_________------- ______________ _____
TO:
Zwirn & Saulino
Attorneys for Plaintiff(s)
Tamika Diaz
2606 East 15th Street,
Suite 205
Brooklyn, NY 11235
Due and timely service of a copy of the within REQUEST FOR JUDICIAL
INTERVENTION is hereby admitted.
Dated May 6, 2019
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