Preview
INDEX NO. 801828/2016
NYSCEF DOC. NO. 19 RECEIVED _NYSCEF: 02/23/2016
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
ucs-840 (7/2012) TAS Entry Date
Supreme COURT, COUNTY OF. Erie
Judge Assigned
Index No: Date Index Issued:
foretano. more space is required, Rotate
CAPTION: Enter the complete case capti
attach a caption rider sheet.
-Do not use et
=
IPEACHTREE SETTLEMENT FUNDING , LLC
Plaintiff(s)/Petitioner(s)
vagainst-
JOSEPH AMANTI,
IGE CAPITAL ASSIGNMENT CORPORATION, and
IGENWORTH LIFE INSURANCE COMPANY OF NEW YORK
Defendant(s)/Respondent(s)
=e
NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated.
MATRIMONIAL COMMERCIAL
O Contested © Business Entity (including 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 RJ Addendum. © insurance (where insurer is a party, except arbitration)
For Uncontested Matrimonial actions, use RJl form UD-13. © ucc (including sales, negotiable instruments)
TORTS © Other Commercial:
O Asbestos
(specify)
© Breast implant NOTE: For Commercial Division assignment requests [22 NYCRR §
© Environmental 202.70(d)], complete and attach the COMMERCIAL DIV Rul Addendum.
(pea) REAL PROPERTY: _How many properties does the application Include?
© Medical, Dental, or Podiatric Malpractice © Condemnation
© Motor Vehicle © Mortgage Foreclosure (speciy) © Residential © commercial
© Products Liability: Property Address:
(specty) Street Address Gity State 2p
O other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family,
(specity) owner-occupied, residential property, or an owner-occupied
© Other Professional Malpractice: condominium, complete and attach the FORECLOSURE Ru! Addendum.
(pecify) © Tax Certiorari - Section: Block: Lot:
O other Tort: O Tax Foreclosure
(specify) © other Real Property
(pacity)
OTHER MATTERS
© 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)
© Local Court Appeal O Election Law
© Mechanic's Lien © MHL Article 9.60 (Kendra's Law)
© Name Change © MHL Article 10 (Sex Offender Confinement-Initiat)
O Pistol Permit Revocation Hearing © MHL Article 10 (Sex Offender Confinement-Review)
O Sale or Finance of Religious/Not-for-Profit Property © MHL Article 81 (Guardianship)
O Other: © Other Mental Hygiene:
(epecity) (Gpeaity)
© other Special Proceeding: Structured Settlement Protection Act
(speaty)
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 winotice been filed? Oo © If yes, date filed:
Has a summons and complaint or summons winotice been served? Oo oO If yes, date served
Is this action/proceeding being filed post-judgment? oo Ifyes, judgment date:
[ NATURE OF JUDICIAL INTERVENTION Check ONE box only AND enter additional information where indicated.
© infant's Compromise
© Note of issue and/or Certificate of Readiness
© Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined:
© Notice of Motion Relief Sought: Return Date:
O Notice of Petition Relief Sought Return Date:
© order to Show Cause Relief Sought; "nsfer- Structured Settlement Return Date:
© Other Ex Parte Application Relief Sought
© Poor Person Application
© Request for Preliminary Conference
© Residential Mortgage Foreclosure Settlement Conference
© writ of Habeas Corpus
© Other (specify):
List any related actions. For Matrimonial actions, include any related crit jal and/or Family Court cases.
RELATED CASES: If additional space is required, complete and attach the RJl Addendum. ifnone, leave blank, ao
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
eachtree Settlement FUNGING, SOOSS0/20TS me Fonorable John A. same structured settement
LUC and Joseph Amanti Michalek
Dolphin Asset Group, LLC and 81352772015 re Honorable John A. Jsame structured settlement
joseph Amanti Michalek
OFT Federal Bank and Joseph T2SGT2OTS Te onorable Jonn A. same structured settlement
|Amanti Michalek
For parlies withaut an attorney, check Un-Rep" box AND enter pany addr 8, phone: Durer ane ‘e-mail address in space provided.
PARTIES: If additional space is required, complete and ‘attach the RJl Addendum. _ =
Parties: Attorneys and/or Unrepresented Litigants: issue
Un- List parties in caption order and Provide attorney name, firm name, business address, phone number and e-mail Insurance
Rep indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case. For unrepresented
Joined
(YIN) Carrier(s)
3rd-party plaintiff. litigants, provide address, phone number and e-mail address.
Peachtree Settlement Funding, LLC Hamerman Dina
ast Name Last Name First Name Dyes
‘ankwitt LLP
First Name Firm Name
Gl Petitioner
Primary Role: 40 Grand Street, Suite 501
Street Address
White Plains
Clty
New York
State
10601
ip
|Unkown
‘Secondary Role (if any): (No
dina@yankwitt.com
Phone Fax mall
Amanti First Name
Last Name Last Name yes
LJoseph Firm Name
First Name |Unkown
Primary Role: '70 George Urban Blvd Buffalo New York 14225
Respondent Street Addross ity State Ip Kno
Secondary Role (If any)
Phone Fax e-mall
IGenworth Life Insurance Company of Last Name First Name Oves
New York Firm Name
First Name |Unkown
Primary Role: Lynchburg Virginia 24505
100 Main St
Street Address (no
Secondary Role {if any}:
Phone Fox e-mall
IGE Capital Assignment Corporation Last Name First Name
jt me ves
First Name Firm Name lUnkown
Primary Role: Lynchburg Virginia 24505
‘00 Main St zip
Street Address Ono
‘Secondary Role (if any}:
Phone Fax e-mall
| 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 JUDICIAL INTERVENTION PREVIOUSLY BEEN FILED IN
THIS ACTION OR PROCEEDING.
Dated: 02/23/2016 tne 4h Yim) TD MN fe.
SIGNATURE
4143111 Dina L, Hamerman
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
int Form
Request for Judicial Intervention Addendum UCS-B40A (7/2012)
Supreme
COURT, COUNTY OF. Erie Index No:
For use when additional space is needed to provide party or related case information.
small address i int Amey pace
=
PARTIES: __ pa a with ie in
SS
attomey, check "Un-Rep"
box A
sary _add
fee fee number.ang ¢
Partie: Attorneys and/or Unrepresented Litigants:
Issue
Un- List parties in caption order and Provide attorney name, firm name, business address, phone number and e-mail | Joined Insurance Carrler(s)
Rep |indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case. For vere
3rd-party plaintif). Higants, provide address, phone number and e-mail address, (YIN): :
:
Last Name Last Name First Name ves
First N Firm Name
Prima Ie:
Street Address City State zip (Ono
Secondary Role {if any)
Phone Fax e-mall
Last Name Last Name First Name
Dyes
First Name Firm Name
Primary Role:
Street Address city State Zip
‘Secondary Role (if any} Kno
Phone. Fax e-mall
Last Name Last Name First Name
Dyes
First Name Firm Name
Primary Role:
Street Addross city State zp
Secondary Role {if any}: Kno
Phone Fax e-mall
Last Name Last Name First Name (ves
First Name Firm Name
Primary Role:
Street Address city Stato zip
Socondary Role {if any) Kno
Phone Fax e-mall
LastName Last Name First Name Dyes
First Name Firm Name
Primary Role:
Street Address city State Zip Kno
Secondary Role {if any):
Phone Fax e-mall
Last Name Last Name First Name Dyes
First Name Firm Name
Primary Role:
Street Address city State Zip Kno
Secondary Role (if any)
Phone Fax SH
Ss a
RELATE! ASE
-
Lite)ete sd actions. For Mattimoniisections, includ any iain and/or ast
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Gass
ettlement Resources of New 011-3900 Erie fonorable PatrickH. ame structured settlement
ork, LTD and Joseph Amanti INeMoyer
[321 Henderson Receivables, 12008-7490, Erie [Honorable John A. ame structured settlement
ILC and Joseph Amanti [Michalek
(321 Henderson Receivables, 12007-8216 re Honorable John A. ame structured settlement
LLC and Joseph Amanti Michalek
Print
Request for Judicial Intervention Addendum UCS-840A (7/2012)
Supreme
COURT, COUNTY OF. Erie Index No
ae
For use when idditional space is needed to pre ue party or related case information.
=
— _.Z .
_
ES: For parties witho ideas fe Rep" box AND ente one number and. emai lomeys" space.
Parties: Attorneys and/or Unrepresented Litigants:
issue
Un- List parties in caption order and Provide attorney name, firm name, business address, phone rnumber and e-mail Joine Insurance Carrler(s)
Rep indicate party role(s) (e.g. defendant, address of all attorneys that have appeared in the case. For unrepresented (vil :
3rd-party plaintiff) litigants, provide address, phone number and e-mail address.
.
Last Name Last Name First Name
ves
First Name Firm Name
Oo Primary Role:
city State zip
Street Address Ono
Secondary Role (if any}:
Phone Fax e-mail
Last Name Last Name First Name (Dyes
First Name Firm Name
Primary Role:
Street Address ity State Zip No
Secondary Role (if any}:
Phone Fax e-mall
Last Name Last Name First Name (ves
First Name Firm Name
Primary Role:
Street Address city State zip Kno
Secondary Role (if any}:
Phone Fax e-mail
Last Name Last Name First Name yes
First Name Firm Namo
Primary Role:
Street Address city State Zip
Secondary Role (if any}: no
Phone Fax e-mail
Last Name Last Name First Name ves
FirstName Firm Name
Primary Role:
Street Address city State zip Kno
Secondary Role {if any):
Phone Fax e-mail
Last Name Last Namo First Namo yes
First Name Firm Name
Primary Role:
Strost Address city State 2p Kno
Secondary Role (if any)
Phone Fax
= 7 2
REI D CASES: . i y related action: ciMats imonialac Siciiae any tei el | and/or Famnil coun }Cases,
Case Title Index/Case No, Court Judge (if assigned) Relationship to Instant case
inte Joseph Amant 891 008 me Honorable John A. ame structurea settlement
Michalek
[321 Henderson Receivables, [2005-10997 Erie [Honorable Patrick H. ame structured settlement
LLC and Joseph Amanti INeMoyer
Preview
INDEX NO. 801828/2016 NYSCEF DOC. NO. 19 RECEIVED _NYSCEF: 02/23/2016 REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only: ucs-840 (7/2012) TAS Entry Date Supreme COURT, COUNTY OF. Erie Judge Assigned Index No: Date Index Issued: foretano. more space is required, Rotate CAPTION: Enter the complete case capti attach a caption rider sheet. -Do not use et = IPEACHTREE SETTLEMENT FUNDING , LLC Plaintiff(s)/Petitioner(s) vagainst- JOSEPH AMANTI, IGE CAPITAL ASSIGNMENT CORPORATION, and IGENWORTH LIFE INSURANCE COMPANY OF NEW YORK Defendant(s)/Respondent(s) =e NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated. MATRIMONIAL COMMERCIAL O Contested © Business Entity (including 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 RJ Addendum. © insurance (where insurer is a party, except arbitration) For Uncontested Matrimonial actions, use RJl form UD-13. © ucc (including sales, negotiable instruments) TORTS © Other Commercial: O Asbestos (specify) © Breast implant NOTE: For Commercial Division assignment requests [22 NYCRR § © Environmental 202.70(d)], complete and attach the COMMERCIAL DIV Rul Addendum. (pea) REAL PROPERTY: _How many properties does the application Include? © Medical, Dental, or Podiatric Malpractice © Condemnation © Motor Vehicle © Mortgage Foreclosure (speciy) © Residential © commercial © Products Liability: Property Address: (specty) Street Address Gity State 2p O other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family, (specity) owner-occupied, residential property, or an owner-occupied © Other Professional Malpractice: condominium, complete and attach the FORECLOSURE Ru! Addendum. (pecify) © Tax Certiorari - Section: Block: Lot: O other Tort: O Tax Foreclosure (specify) © other Real Property (pacity) OTHER MATTERS © 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) © Local Court Appeal O Election Law © Mechanic's Lien © MHL Article 9.60 (Kendra's Law) © Name Change © MHL Article 10 (Sex Offender Confinement-Initiat) O Pistol Permit Revocation Hearing © MHL Article 10 (Sex Offender Confinement-Review) O Sale or Finance of Religious/Not-for-Profit Property © MHL Article 81 (Guardianship) O Other: © Other Mental Hygiene: (epecity) (Gpeaity) © other Special Proceeding: Structured Settlement Protection Act (speaty) 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 winotice been filed? Oo © If yes, date filed: Has a summons and complaint or summons winotice been served? Oo oO If yes, date served Is this action/proceeding being filed post-judgment? oo Ifyes, judgment date: [ NATURE OF JUDICIAL INTERVENTION Check ONE box only AND enter additional information where indicated. © infant's Compromise © Note of issue and/or Certificate of Readiness © Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined: © Notice of Motion Relief Sought: Return Date: O Notice of Petition Relief Sought Return Date: © order to Show Cause Relief Sought; "nsfer- Structured Settlement Return Date: © Other Ex Parte Application Relief Sought © Poor Person Application © Request for Preliminary Conference © Residential Mortgage Foreclosure Settlement Conference © writ of Habeas Corpus © Other (specify): List any related actions. For Matrimonial actions, include any related crit jal and/or Family Court cases. RELATED CASES: If additional space is required, complete and attach the RJl Addendum. ifnone, leave blank, ao Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case eachtree Settlement FUNGING, SOOSS0/20TS me Fonorable John A. same structured settement LUC and Joseph Amanti Michalek Dolphin Asset Group, LLC and 81352772015 re Honorable John A. Jsame structured settlement joseph Amanti Michalek OFT Federal Bank and Joseph T2SGT2OTS Te onorable Jonn A. same structured settlement |Amanti Michalek For parlies withaut an attorney, check Un-Rep" box AND enter pany addr 8, phone: Durer ane ‘e-mail address in space provided. PARTIES: If additional space is required, complete and ‘attach the RJl Addendum. _ = Parties: Attorneys and/or Unrepresented Litigants: issue Un- List parties in caption order and Provide attorney name, firm name, business address, phone number and e-mail Insurance Rep indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case. For unrepresented Joined (YIN) Carrier(s) 3rd-party plaintiff. litigants, provide address, phone number and e-mail address. Peachtree Settlement Funding, LLC Hamerman Dina ast Name Last Name First Name Dyes ‘ankwitt LLP First Name Firm Name Gl Petitioner Primary Role: 40 Grand Street, Suite 501 Street Address White Plains Clty New York State 10601 ip |Unkown ‘Secondary Role (if any): (No dina@yankwitt.com Phone Fax mall Amanti First Name Last Name Last Name yes LJoseph Firm Name First Name |Unkown Primary Role: '70 George Urban Blvd Buffalo New York 14225 Respondent Street Addross ity State Ip Kno Secondary Role (If any) Phone Fax e-mall IGenworth Life Insurance Company of Last Name First Name Oves New York Firm Name First Name |Unkown Primary Role: Lynchburg Virginia 24505 100 Main St Street Address (no Secondary Role {if any}: Phone Fox e-mall IGE Capital Assignment Corporation Last Name First Name jt me ves First Name Firm Name lUnkown Primary Role: Lynchburg Virginia 24505 ‘00 Main St zip Street Address Ono ‘Secondary Role (if any}: Phone Fax e-mall | 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 JUDICIAL INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING. Dated: 02/23/2016 tne 4h Yim) TD MN fe. SIGNATURE 4143111 Dina L, Hamerman ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME int Form Request for Judicial Intervention Addendum UCS-B40A (7/2012) Supreme COURT, COUNTY OF. Erie Index No: For use when additional space is needed to provide party or related case information. small address i int Amey pace = PARTIES: __ pa a with ie in SS attomey, check "Un-Rep" box A sary _add fee fee number.ang ¢ Partie: Attorneys and/or Unrepresented Litigants: Issue Un- List parties in caption order and Provide attorney name, firm name, business address, phone number and e-mail | Joined Insurance Carrler(s) Rep |indicate party role(s) (e.g. defendant; address of all attorneys that have appeared in the case. For vere 3rd-party plaintif). Higants, provide address, phone number and e-mail address, (YIN): : : Last Name Last Name First Name ves First N Firm Name Prima Ie: Street Address City State zip (Ono Secondary Role {if any) Phone Fax e-mall Last Name Last Name First Name Dyes First Name Firm Name Primary Role: Street Address city State Zip ‘Secondary Role (if any} Kno Phone. Fax e-mall Last Name Last Name First Name Dyes First Name Firm Name Primary Role: Street Addross city State zp Secondary Role {if any}: Kno Phone Fax e-mall Last Name Last Name First Name (ves First Name Firm Name Primary Role: Street Address city Stato zip Socondary Role {if any) Kno Phone Fax e-mall LastName Last Name First Name Dyes First Name Firm Name Primary Role: Street Address city State Zip Kno Secondary Role {if any): Phone Fax e-mall Last Name Last Name First Name Dyes First Name Firm Name Primary Role: Street Address city State Zip Kno Secondary Role (if any) Phone Fax SH Ss a RELATE! ASE - Lite)ete sd actions. For Mattimoniisections, includ any iain and/or ast Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Gass ettlement Resources of New 011-3900 Erie fonorable PatrickH. ame structured settlement ork, LTD and Joseph Amanti INeMoyer [321 Henderson Receivables, 12008-7490, Erie [Honorable John A. ame structured settlement ILC and Joseph Amanti [Michalek (321 Henderson Receivables, 12007-8216 re Honorable John A. ame structured settlement LLC and Joseph Amanti Michalek Print Request for Judicial Intervention Addendum UCS-840A (7/2012) Supreme COURT, COUNTY OF. Erie Index No ae For use when idditional space is needed to pre ue party or related case information. = — _.Z . _ ES: For parties witho ideas fe Rep" box AND ente one number and. emai lomeys" space. Parties: Attorneys and/or Unrepresented Litigants: issue Un- List parties in caption order and Provide attorney name, firm name, business address, phone rnumber and e-mail Joine Insurance Carrler(s) Rep indicate party role(s) (e.g. defendant, address of all attorneys that have appeared in the case. For unrepresented (vil : 3rd-party plaintiff) litigants, provide address, phone number and e-mail address. . Last Name Last Name First Name ves First Name Firm Name Oo Primary Role: city State zip Street Address Ono Secondary Role (if any}: Phone Fax e-mail Last Name Last Name First Name (Dyes First Name Firm Name Primary Role: Street Address ity State Zip No Secondary Role (if any}: Phone Fax e-mall Last Name Last Name First Name (ves First Name Firm Name Primary Role: Street Address city State zip Kno Secondary Role (if any}: Phone Fax e-mail Last Name Last Name First Name yes First Name Firm Namo Primary Role: Street Address city State Zip Secondary Role (if any}: no Phone Fax e-mail Last Name Last Name First Name ves FirstName Firm Name Primary Role: Street Address city State zip Kno Secondary Role {if any): Phone Fax e-mail Last Name Last Namo First Namo yes First Name Firm Name Primary Role: Strost Address city State 2p Kno Secondary Role (if any) Phone Fax = 7 2 REI D CASES: . i y related action: ciMats imonialac Siciiae any tei el | and/or Famnil coun }Cases, Case Title Index/Case No, Court Judge (if assigned) Relationship to Instant case inte Joseph Amant 891 008 me Honorable John A. ame structurea settlement Michalek [321 Henderson Receivables, [2005-10997 Erie [Honorable Patrick H. ame structured settlement LLC and Joseph Amanti INeMoyer