On July 24, 2023 a
Request for Judicial Intervention
was filed
involving a dispute between
J.G. Wentworth Originations, Llc,
and
American General Annuity Service Corporation,
Inna Anderson,
United States Life Insurance Company In The City Of New York,
for Special Proceedings - Other (Transfer-Structured Sett.)
in the District Court of Nassau County.
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FILED: NASSAU COUNTY CLERK 07/24/2023 04:20 PM INDEX NO. 611702/2023
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 07/24/2023
REQUEST FOR JUDICIAL INTERVENTION For CourtÇferk Use Only
UCS-840 (7/2012) FAS Entry Date
supreme
COURT, COUNTY OF Nassau 8
Judge Assigned
Index No: Date Index issued:
BFAlilliiEllSMilMiMBiMElilMillif .
In the Matter of the Petition of
J.G. WENTWORTH ORIGINATIONS, LLC,
Plaintiff(s)/Petitioner(s)
-against-
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK,
AMERICAN GENERAL ANNUITY SERVICE CORPORATION and INNA ANDERSON,
Interested Persons Pursuant to GOL Section 5-1701(f),
Defendant(s)/Respondent(s)
MATRIMONIAL COMMERCIAL
O Contested O Business Entity (including corporations, partnerships, LLCs, etc.)
NOTE: For all Matrimonlai actions where the parties have children under O Contract
the age of 18, complete and attach the MATRIMONIAL RJi Addendum. O Insurance (where insurer Is a party, except arbitration)
For Uncontested Matrimonial actions, use RJI form UD-13.
O UCC (including sales, negotiable Instruments)
TORTS O Other Commercial:
O Asbestos (speciÈ}
Q Breast Implant NOTE: For Commercial Division assignment requests [22 NYCRR §
Q Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJI Addendum,
(8PeGif#) REAL PROPERTY: How many properties does the applicationinclude? _ _
O Medical, Dental, or Podlatric Malpractice O Condemnation
O Motor Vehicle O Mortgage Foreclosure (specity): O Residential O Commercisi
Q Products Llablilty: Property Address: Alabama
(spealry) StreetAddress City State ZIp
O Other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family,
(SPECify) owner-ocCUpled, residential property, or an owner-occupied
O Other Professional Malpractice: .. condominium, complete and attach the FORECLOSURE RJI Addendum.
(specify) Tax Certiorari - Section:
O Block: Lot:
O Other Tort: O Tax Foreclosure
(SPecify) C Other Real Property:
OTHER MATTERS
O Certificate of incorporation/oissolution (see NoTE under Comrnerciall SPECIAL PROCEEDINGS
O Emergency Medical Treatment Q CPLR Article 75 (Arbitration) [see NOTE under CornmerclaI]
O=abeasCorpus O CPLR Article 78 (Body or Officer)
O Local Court Appear OElectionLaw
OMechanic·stlen O MHL Article 9.60 (Kendra's Law)
O Name change O MHL Article 10 (Sex onender CongnemenMnRM)
O Pistol Permit Revocation Hearing O MHL Article 10 (Sex Offender Confinement-Review)
O sele or Finance of Religious/Not-for-Profit Property O MHL Article 81 (GuardiansNp)
O Other: O Other Mental Hygiene:
(specify) (specify)
Other Special Proceeding: Transfer - Structured Settlement
(SpecifY)
---------------- --- ----- -. -----------
YES NO
Has a summons and complaint or summons w/notice been filed? If yes, date filed: ..
Has a summons and complaint or summons w/notice been served? If yes, date served:
Is this action/proceeding being filed post-judgment? If yes, judgment date:
1 of 2
FILED: NASSAU COUNTY CLERK 07/24/2023 04:20 PM INDEX NO. 611702/2023
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 07/24/2023
nfant's Compror se
O 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: AttemateService Return Date:
O Notice of Petition Relief Sought: AltemateService Return Date:
O Order to Show Cause Rellef Sought: Transfer -Structured Settlement Return Date:
O Other Ex Parte Application Relief Sought: AltemateService
O Poor Person Application
O Request for Preliminary Conference
O Residential Mortgage Foreclosure Settlement Conference
O Writ of Habeas Corpus
O Other (specify):
Case Title index/Case No. Court Judge (if assigned) Relationship to Instant Case
Partles: Attorneys and/or Unrepresented LItigants:
Un- Issue
IJst parifes in caption order and Provide attorney name, firrn name, business address, phone number and e-mail Insurance
Joined
Rep indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case, For unrepresented Carrier(sh
3rd-party plaintifR. litigants, provide address, phone number and e-mail address.
J.G.Wentworth Originations, LLC Nestor Michael F.
LastName LastName First Name
Law Office of Michael F. Nestor, LLC
FirstName FirmName
PrimaryRole: 11 Broadway, Sulte 831 NewYork New York 10004
Petitioner
StreetAddress City State ZFp
SecondaryRole(if any): 9172391708 8627028990 mnestor@nestorlaw.net
Petitioner Phone Fax e-mail
U.S.Life Ins. Co.In the City of New York
LastName LastName FirstName
FirstName FirmName
PrimaryRole: 2271SE27th Street Amarllio Texas 79103
Respondent
StreetAddress City state Zip
SecondaryRole(if any}: NO
Respondent Phone Fax e-maH
Arnerican General Annuity Service Corp.
LastName LastName FirstName
FirstName FirmName
PrimaryRole: 2929Allen Parkway Houston Texas 77019
Respondent StreetAddress State
city zip " NO
SecondaryRole(if any):
Respondent Phone Fax e-mail
Anderson
LastName LastName FirstName
Inna
FirstName FirmName
PrimaryRole: NassauCounty NewYork
Respondent StreetAddress 8tate
City Zip
SecondaryRole(Hany):
Respondent Phone Fax e-m I
I AFF RM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER AN AS OTED ABOVE THERE ARE AND HAVE
BEEF NO RELATED ACTIONS OR PROJEEDINGS, NOR HAS A REQUEST FOR JU CIAL INT ENTION PI EVIOUSLY BEEN FILED IN
THIS ACTION OR PROCEEDING,
Dated: 7/21/23
SIGNATURE
4592580 MICHAEL F. NESTOR, ESQ.
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
Print Form
2 of 2
Category
Special Proceedings - Other (Transfer-Structured Sett.)
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FILED: NASSAU COUNTY CLERK 07/24/2023 04:20 PM INDEX NO. 611702/2023 NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 07/24/2023 REQUEST FOR JUDICIAL INTERVENTION For CourtÇferk Use Only UCS-840 (7/2012) FAS Entry Date supreme COURT, COUNTY OF Nassau 8 Judge Assigned Index No: Date Index issued: BFAlilliiEllSMilMiMBiMElilMillif . In the Matter of the Petition of J.G. WENTWORTH ORIGINATIONS, LLC, Plaintiff(s)/Petitioner(s) -against- UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NEW YORK, AMERICAN GENERAL ANNUITY SERVICE CORPORATION and INNA ANDERSON, Interested Persons Pursuant to GOL Section 5-1701(f), Defendant(s)/Respondent(s) MATRIMONIAL COMMERCIAL O Contested O Business Entity (including corporations, partnerships, LLCs, etc.) NOTE: For all Matrimonlai actions where the parties have children under O Contract the age of 18, complete and attach the MATRIMONIAL RJi Addendum. O Insurance (where insurer Is a party, except arbitration) For Uncontested Matrimonial actions, use RJI form UD-13. O UCC (including sales, negotiable Instruments) TORTS O Other Commercial: O Asbestos (speciÈ} Q Breast Implant NOTE: For Commercial Division assignment requests [22 NYCRR § Q Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJI Addendum, (8PeGif#) REAL PROPERTY: How many properties does the applicationinclude? _ _ O Medical, Dental, or Podlatric Malpractice O Condemnation O Motor Vehicle O Mortgage Foreclosure (specity): O Residential O Commercisi Q Products Llablilty: Property Address: Alabama (spealry) StreetAddress City State ZIp O Other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family, (SPECify) owner-ocCUpled, residential property, or an owner-occupied O Other Professional Malpractice: .. condominium, complete and attach the FORECLOSURE RJI Addendum. (specify) Tax Certiorari - Section: O Block: Lot: O Other Tort: O Tax Foreclosure (SPecify) C Other Real Property: OTHER MATTERS O Certificate of incorporation/oissolution (see NoTE under Comrnerciall SPECIAL PROCEEDINGS O Emergency Medical Treatment Q CPLR Article 75 (Arbitration) [see NOTE under CornmerclaI] O=abeasCorpus O CPLR Article 78 (Body or Officer) O Local Court Appear OElectionLaw OMechanic·stlen O MHL Article 9.60 (Kendra's Law) O Name change O MHL Article 10 (Sex onender CongnemenMnRM) O Pistol Permit Revocation Hearing O MHL Article 10 (Sex Offender Confinement-Review) O sele or Finance of Religious/Not-for-Profit Property O MHL Article 81 (GuardiansNp) O Other: O Other Mental Hygiene: (specify) (specify) Other Special Proceeding: Transfer - Structured Settlement (SpecifY) ---------------- --- ----- -. ----------- YES NO Has a summons and complaint or summons w/notice been filed? If yes, date filed: .. Has a summons and complaint or summons w/notice been served? If yes, date served: Is this action/proceeding being filed post-judgment? If yes, judgment date: 1 of 2 FILED: NASSAU COUNTY CLERK 07/24/2023 04:20 PM INDEX NO. 611702/2023 NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 07/24/2023 nfant's Compror se O 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: AttemateService Return Date: O Notice of Petition Relief Sought: AltemateService Return Date: O Order to Show Cause Rellef Sought: Transfer -Structured Settlement Return Date: O Other Ex Parte Application Relief Sought: AltemateService O Poor Person Application O Request for Preliminary Conference O Residential Mortgage Foreclosure Settlement Conference O Writ of Habeas Corpus O Other (specify): Case Title index/Case No. Court Judge (if assigned) Relationship to Instant Case Partles: Attorneys and/or Unrepresented LItigants: Un- Issue IJst parifes in caption order and Provide attorney name, firrn name, business address, phone number and e-mail Insurance Joined Rep indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case, For unrepresented Carrier(sh 3rd-party plaintifR. litigants, provide address, phone number and e-mail address. J.G.Wentworth Originations, LLC Nestor Michael F. LastName LastName First Name Law Office of Michael F. Nestor, LLC FirstName FirmName PrimaryRole: 11 Broadway, Sulte 831 NewYork New York 10004 Petitioner StreetAddress City State ZFp SecondaryRole(if any): 9172391708 8627028990 mnestor@nestorlaw.net Petitioner Phone Fax e-mail U.S.Life Ins. Co.In the City of New York LastName LastName FirstName FirstName FirmName PrimaryRole: 2271SE27th Street Amarllio Texas 79103 Respondent StreetAddress City state Zip SecondaryRole(if any}: NO Respondent Phone Fax e-maH Arnerican General Annuity Service Corp. LastName LastName FirstName FirstName FirmName PrimaryRole: 2929Allen Parkway Houston Texas 77019 Respondent StreetAddress State city zip " NO SecondaryRole(if any): Respondent Phone Fax e-mail Anderson LastName LastName FirstName Inna FirstName FirmName PrimaryRole: NassauCounty NewYork Respondent StreetAddress 8tate City Zip SecondaryRole(Hany): Respondent Phone Fax e-m I I AFF RM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER AN AS OTED ABOVE THERE ARE AND HAVE BEEF NO RELATED ACTIONS OR PROJEEDINGS, NOR HAS A REQUEST FOR JU CIAL INT ENTION PI EVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING, Dated: 7/21/23 SIGNATURE 4592580 MICHAEL F. NESTOR, ESQ. ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME Print Form 2 of 2