Preview
INDEX NO. 150260/2017
NYSCEF DOC. NO. 7 RECEIVED NYSCEF: 01/12/2017
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
Ucs-840 (7/2012) TAS Entry Date
Supreme COURT, COUNTY OF New York i
Judge Assigned
Index No: 150260/17 Date Index Issued: 1/10/17
CAPTION: Enter the complete case caption. Do not use et al or et ano. If more space is required, Ral Date
attach a caption rider sheet.
CPW TOWERS, LLC
Plaintiff(s)/Petitioner(s)
-against-
DOROTHI FOX
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated,
MATRIMONIAL COMMERCIAL
O Contested © Business Entity (induding corporations, partnerships, LLCs, etc.)
NOTE: For all Matrimonial actions where the parties have children under O contract
the age of 18, complete and attach the MATRIMONIAL Rul Addendum. O Insurance (where insurer is a party, except arbitration)
For Uncontested Matrimonial actions, use Rul form UD-13. © UCC (induding sales, negotiable instruments)
TORTS © other Commercial:
O Asbestos (specify)
O Breast Implant NOTE: For Commercial Division assignment requests [22 NYCRR §
O Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJl Addendum.
(specify) REAL PROPERTY: How many properties does the application include?
O Medical, Dental, or Podiatric Malpractice © Condemnation
O Motor Vehicle © Mortgage Foreclosure (specify): O Residential © commercial
© Products Liability: Property Address:
(specify) Street Address city State
© other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family,
(specify) owner-occupied, residential property, or an owner-occupied
© Other Professional Malpractice: condominium, complete and attach the FORECLOSURE Rul Addendum.
(specify) O Tax Certiorari - Section: Block: Lot:
O other Tort: © Tax Foreclosure
(specify) © other Real Property; injunctive relief
OTHER MATTERS. (specify)
© Certificate of incorporation/Dissolution [see NOTE under Commercial] SPECIAL PROCEEDINGS
© Emergency Medical Treatment O CPLR Article 75 (Arbitration) [see NOTE under Commercial]
O Habeas Corpus O CPLR Article 78 (Body or Officer)
O Local Court Appeal O Election Law
O Mechanic's Lien © MHL Article 9.60 (Kendra's Law)
OvName Change © MUL Article 10 (Sex Offender Confinement-Initial)
O Pistol Permit Revocation Hearing © MHL Article 10 (Sex Offender Confinement-Review)
OSale or Finance of Religious/Not-for-Profit Property © MHL Article 81 (Guardianship)
O Other, © Other Mental Hygiene:
(specify) (specify)
© other Special Proceeding:
(specify)
STATUS OF ACTION OR PROCEEDING: Answer YES or NO for EVERY question AND enter additional information where indicated.
YES | NO
Has a summons and complaint or summons w/notice been filed? @ Oo
If yes, date filed: to) I /
Has a summons and complaint or summons w/notice been served? Ifyes, date served:
Oo 6
Is this action/proceeding being filed post-judgment? Oo ®@ If yes, judgment date:
1 of 2
[NATURE OF JUDICIAL INTERVENTION: Check ONE box only AND enter additional information where indicated.
O Infant's Compromise
© Note of Issue and/or Certificate of Readiness
O Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined:
O Notice of Motion Relief Sought: nn, Return Date: ja
O Notice of Petition Relief Sought: Return Date: $$
© order to Show Cause Relief Sought: Return Date: _—_____,
O other Ex Parte Application Relief Sought: oo
O Poor Person Application
© Request for Preliminary Conference
© Residential Mortgage Foredosure Settlement Conference
© wit of Habeas Corpus
© Other (specify):
RELATED CASES: List any related actions. For Matrimonial actions, indude any related criminal and/or Family Court cases.
If additional space is required, complete and attach the Rul Addendum. If none, leave blank.
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
PARTIES: For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail address in space provided,
If additional space is required, complete and attach the RJI Addendum.
Parties: Attorneys and/or Unrepresented Litigants:
Un- List parties in caption order and Provide attorney name, firm name, business address, phone number and e-mail Issue
Rep indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case. For unrepresented Joined Insurance
Carrier(s):
3rd-party plaintiff), litigants, provide address, phone number and e-mail address. (YIN):
CPW TOWERS , LLC Cullen Kevin
Last Name Last Name First Name
|Cullen & Associates, P.C. (ves
O First Name
Primary Rol 2 Rector Street, Suite 903
Firm Name
New York New reo] roe
Plaintiff
‘Secondary Role (if any):
El Street Address city
J2122339772 2122339771 kevinecullenpe.com Ke)NO
Phone Fax e-mail
Fox Fox Dorothi
Last Name Last Name First Name
Dorothi (yes
First Namo Firm Namo
Primary Role: 1392 Central Park West, Apt. 17V New York New York> ] 10025
Defendant
Secondary Role (if any):
= Street Address city State Zip
Ke)No
Phone Fax e-mail
Last Name Last Name First Name
(Yes
First Namo Firm Namo
Primary Role:
Street Address city State Zip
‘Secondary Role (if any): (No
Phone Fax e-mail
Last Name Last Namo First Name
(ves
O First Name
Primary Role: Firm Name
Street Address city State Zip
Secondary Role (if any): (no
Phone Fax e-mail
| 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,
THIS ACTION OR PROCEEDING.
Dated: 1/10/16
ATTORNEY
2920502
REGISTRATION NUMBER
<_teinorct IGNATURE
Cullen, Esq.
PRINT OR TYPE NAME
2 of 2
Preview
INDEX NO. 150260/2017 NYSCEF DOC. NO. 7 RECEIVED NYSCEF: 01/12/2017 REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only: Ucs-840 (7/2012) TAS Entry Date Supreme COURT, COUNTY OF New York i Judge Assigned Index No: 150260/17 Date Index Issued: 1/10/17 CAPTION: Enter the complete case caption. Do not use et al or et ano. If more space is required, Ral Date attach a caption rider sheet. CPW TOWERS, LLC Plaintiff(s)/Petitioner(s) -against- DOROTHI FOX Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated, MATRIMONIAL COMMERCIAL O Contested © Business Entity (induding corporations, partnerships, LLCs, etc.) NOTE: For all Matrimonial actions where the parties have children under O contract the age of 18, complete and attach the MATRIMONIAL Rul Addendum. O Insurance (where insurer is a party, except arbitration) For Uncontested Matrimonial actions, use Rul form UD-13. © UCC (induding sales, negotiable instruments) TORTS © other Commercial: O Asbestos (specify) O Breast Implant NOTE: For Commercial Division assignment requests [22 NYCRR § O Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJl Addendum. (specify) REAL PROPERTY: How many properties does the application include? O Medical, Dental, or Podiatric Malpractice © Condemnation O Motor Vehicle © Mortgage Foreclosure (specify): O Residential © commercial © Products Liability: Property Address: (specify) Street Address city State © other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family, (specify) owner-occupied, residential property, or an owner-occupied © Other Professional Malpractice: condominium, complete and attach the FORECLOSURE Rul Addendum. (specify) O Tax Certiorari - Section: Block: Lot: O other Tort: © Tax Foreclosure (specify) © other Real Property; injunctive relief OTHER MATTERS. (specify) © Certificate of incorporation/Dissolution [see NOTE under Commercial] SPECIAL PROCEEDINGS © Emergency Medical Treatment O CPLR Article 75 (Arbitration) [see NOTE under Commercial] O Habeas Corpus O CPLR Article 78 (Body or Officer) O Local Court Appeal O Election Law O Mechanic's Lien © MHL Article 9.60 (Kendra's Law) OvName Change © MUL Article 10 (Sex Offender Confinement-Initial) O Pistol Permit Revocation Hearing © MHL Article 10 (Sex Offender Confinement-Review) OSale or Finance of Religious/Not-for-Profit Property © MHL Article 81 (Guardianship) O Other, © Other Mental Hygiene: (specify) (specify) © other Special Proceeding: (specify) STATUS OF ACTION OR PROCEEDING: Answer YES or NO for EVERY question AND enter additional information where indicated. YES | NO Has a summons and complaint or summons w/notice been filed? @ Oo If yes, date filed: to) I / Has a summons and complaint or summons w/notice been served? Ifyes, date served: Oo 6 Is this action/proceeding being filed post-judgment? Oo ®@ If yes, judgment date: 1 of 2 [NATURE OF JUDICIAL INTERVENTION: Check ONE box only AND enter additional information where indicated. O Infant's Compromise © Note of Issue and/or Certificate of Readiness O Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined: O Notice of Motion Relief Sought: nn, Return Date: ja O Notice of Petition Relief Sought: Return Date: $$ © order to Show Cause Relief Sought: Return Date: _—_____, O other Ex Parte Application Relief Sought: oo O Poor Person Application © Request for Preliminary Conference © Residential Mortgage Foredosure Settlement Conference © wit of Habeas Corpus © Other (specify): RELATED CASES: List any related actions. For Matrimonial actions, indude any related criminal and/or Family Court cases. If additional space is required, complete and attach the Rul Addendum. If none, leave blank. Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case PARTIES: For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail address in space provided, If additional space is required, complete and attach the RJI Addendum. Parties: Attorneys and/or Unrepresented Litigants: Un- List parties in caption order and Provide attorney name, firm name, business address, phone number and e-mail Issue Rep indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case. For unrepresented Joined Insurance Carrier(s): 3rd-party plaintiff), litigants, provide address, phone number and e-mail address. (YIN): CPW TOWERS , LLC Cullen Kevin Last Name Last Name First Name |Cullen & Associates, P.C. (ves O First Name Primary Rol 2 Rector Street, Suite 903 Firm Name New York New reo] roe Plaintiff ‘Secondary Role (if any): El Street Address city J2122339772 2122339771 kevinecullenpe.com Ke)NO Phone Fax e-mail Fox Fox Dorothi Last Name Last Name First Name Dorothi (yes First Namo Firm Namo Primary Role: 1392 Central Park West, Apt. 17V New York New York> ] 10025 Defendant Secondary Role (if any): = Street Address city State Zip Ke)No Phone Fax e-mail Last Name Last Name First Name (Yes First Namo Firm Namo Primary Role: Street Address city State Zip ‘Secondary Role (if any): (No Phone Fax e-mail Last Name Last Namo First Name (ves O First Name Primary Role: Firm Name Street Address city State Zip Secondary Role (if any): (no Phone Fax e-mail | 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, THIS ACTION OR PROCEEDING. Dated: 1/10/16 ATTORNEY 2920502 REGISTRATION NUMBER <_teinorct IGNATURE Cullen, Esq. PRINT OR TYPE NAME 2 of 2