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FILED: KINGS COUNTY CLERK 08/13/2020 02:45 PM INDEX NO. 526061/2019
NYSCEF DOC. NO. 23 RECEIVED NYSCEF: 08/13/2020
REQUEST FOR JUDICIAL INTERVENTION 58,4g°g1,)
Kings Supreme COURT, COUNTY OF Kings
Index No: 526061/2019 Date Index Issued: 11/27/2019 For Court Use Only:
IAS EntryDate
Joseph Hertz
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
Samuel Hertz |d|v|±-c!!y, and as the Nem!=ted Executor of the Purported Last Will& Testament of Mira Hertz,
dated Navember 26, 2008, and as Trustee of the Mira Hertz PurpGi-tedRevocable Trust ^.rrec-ent dated N; ;-.t;r RJIFiled Date
26, 2008, et al.
Dar=a aMc)/°cepondent(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 duthG
For UncontestedMatdmc;ûci actions, use the UncontestedDivorce RJi(UD-13).
O UCC(includes sales and negotiable instruments)
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:
O Coreemnct!en Medical,Dental, or Podiatric Malpractice
O O iniut-niiai
Mortgage Foreclosure(specify): O Commercial O 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 FORECLDSURERJRADDENDUM (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./Disc!ution
[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 Confinement-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
Other (specify): Contract - Other
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 11/27/2019
If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O 12/05/2019
If yes, date served:
Is this action/proceeding being filed pe&judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional info=ction
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):
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FILED: KINGS COUNTY CLERK 08/13/2020 02:45 PM INDEX NO. 526061/2019
NYSCEF DOC. NO. 23 RECEIVED NYSCEF: 08/13/2020
RELATED CASES: List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank. If additional space
is required, complete and attach the RJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (if assigned) Relationship to instant case
PARTIES: For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and email in the space
provided. If additional space is required, complete and attach the RJI Addendum (UCS-840A).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance
Un-
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; 3rd party plaintiff, etc.)email. been joined. carrier, if applicable.
Name: Hertz, Joseph
☐ IRMA NIMETZ, McCarthy Fingar LLP, 11 Martine Avenue ,
White Plains, NY 10606, 914-946-3700, ☒ YES ☐ NO
Role(s): Plaintiff/Petitioner inimetz@mccarthyfingar.com
Name: Hertz, Samuel
☐ DENNIS WILEY, Rivkin Radler LLP, 926 RXR Plz , Uniondale,
NY 11556, 5169677864, dennis.wiley@rivkin.com ☒ YES ☐ NO
Role(s): Defendant/Respondent
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ 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 IN THIS
ACTION OR PROCEEDING.
Dated: 08/13/2020 IRMA K. NIMETZ
Signature
2176659 IRMA K. NIMETZ
Attorney Registration Number Print Name
This form was generated by NYSCEF
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