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FILED: NEW YORK COUNTY CLERK 09/07/2016 04:58 PM INDEX NO. 653618/2016
NYSCEF DOC.
REQUEST
NO. 17 FOR JUDICIAL INTERVENTION
For Court
RECEIVED Clerk
NYSCEF: Only:
Use 09/07/2016
UCS-840 (712012) lAS Entry Date
Supreme COURT, COUNTY OF New York
Judge Assigned
Index No: 653618/2016 Date Index Issued: July 11,2016
CAPTION’ Enter the complete case caption If more space is required,
Do not use et al or et ano. KJI Uate
attach a caption nder sheet
STEVEN SWARZMAN,
Plaintiff(s)IPetitioner(s)
-against
AIG PROPERTY CASUALTY COMPANY,
Defendant(s)IResponderit(s
NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated
MATRIMONIAL COMMERCIAL
(3 Contested C) Business Entity (including corporations, partnerships, LLCs, etc.)
NOTE: o Contract
For all Matrimonial actions where the parties have children under
the age of 18, complete and attach the MATRIMONIAL RJI Addendum. 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 (specify)
o Breast Implant NOTE: For Commercial Division assignment requests [22 NYCRR §
0 Environmental: _____________________
(specify)
202.70(d)], complete and attach the COMMERCIAL DIV RJI Addendum.
REAL PROPERTY: How many properties does the application include?
O Medical, Dental, or Podiatric Malpractice C) Condemnation
o Motor Vehicle Q Mortgage Foreclosure (specify): 0 Residential 0 Commercial
O Products Liability:_____________________
(specify)
Property Address:
_____________
Street Address Ciiy Siaie Zip
o Other Negligence:___________ (specify)
NOTE: For Mortgage Foreclosure actions involving a one- to four-family,
owner-occupied, residential property, or an owner-occupied
o Other Professional Malpractice: condominium, complete and attach the FORECLOSURE RJI Addendum.
(specify)
o Tax Certiorari Section: Block: Lot:
o Other Tort:
- __________ __________ ___________
Q Tax Foreclosure
(specify)
o Other Real Property:________________________________________________
(specify)
OTHER MATTERS
o Certificate of Incorporation/Dissolution
[see NOTE under Commercial] SPECIAL PROCEEDINGS
o Emergency Medical Treatment 0 CPLR Article 75 (Arbitration)
[see NOTE under Commercial]
o Habeas Corpus 0 CPLR Article 78 (Body or Officer)
o Local Court Appeal 0 Election Law
o Mechanics Lien 0 MHL Article 9.60 (Kendras Law)
O Name Change Q MHL Article 10 (Sex OffenderConfinement-Inibel)
O Pistol Permit Revocation Hearing Q MHL Article 10 (Sex Offender Confinement-Review)
o Sale or Finance of Religious/Not-for-Profit Property 0 MHL Article 81 (Guardianship)
o Other:__________________________________________________________
(specify)
0 Other Mental Hygiene:_______________________________________________
(specify)
0 Other Special Proceeding:___________________________________________
___________________________________________________________________________________________________ (specify)
STATUS OF ACTION OR PROCEEDING: AnswerYES or NO for EVERY question AND enter additional information where indicated.
IYES I NO I
Has a summons and complaint or summons w/notice been filed? 0 Q If yes, date filed: July 11, 2016
Has a summons and complaint or summons w/notice been served? (J (3 If yes, date served: July 18, 2016
Is this actionfproceeding being filed post-judgment? (3 0 If yes, judgment date:
1 of 3
I~~~uLw~a
~ Infant’s Compromise
net
0 Note of Issue and/or Certificate of Readiness
0 Notice of Medical, Dental, or Podiatric Malpractice
Date Issue Joined:
0 Notice of Motion Relief Sought: Dismiss Return Date: September 23, 2016
0 Notice of Petition Relief Sought: Return Date:
0 Order to Show Cause Relief Sought: Return Date:
0 Other Ex Parte Application Relief Sought:
0 Poor Person Application
0 Request for Preliminary Conference
0 Residential Mortgage Foreclosure Settlement Conference
Q Writ of Habeas Corpus
Q Other (specify):
RELATED CASES’ List any related actions.
For Matrimonial actions, include any related criminal and/or Family Court cases.
If additional space is required, complete and attach the RJI Addendum.
If none, leave blank.
Case Title IndexlCase No. Court Judge (if assigned) Relationship to Instant Case
RTIE 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-mailIssue
Joined Insurance
Rep indicate party role(s) (e.g. defendant;
address of all attomeys that have appeared in the case.
For unrepresented ~YIN): Carrier(s):
3rd-party plaintiff), litigants, provide address, phone number and e-mail address.
Swarzman Brick Brian
Last Name Last Name First Name DYES
Steven Bern Ripka LLP
fl Plaintiff
Primary
Role:
First Name
[~1 60 East 42nd Street, Suite 950
Street Address
NewName
Firm York
city
New York~ 10165
State Zip ‘~NO
Secondary Role (if any): 2127025000 bbrlck@bernrlpka.com
Phone Fax e-mail
A1G Property Casualty Company Surlano Costantlno
Last Name Last Name First Name DYES
Mound Cotton Woiian & Greengrass LLP
fl Defendant
Primary
Role:
FlrstName One New York Plaza
Street Address
New York
FlmnName
city
New York~ 10004
state Zip ‘~NO
Secondary Role (if any): 2128044200 2123448066 csuriano@moundcottcn.ccm
Phone Fax e-maIl
Last Name Last Name First Name DYES
fl Primary
Roic:
FiretName FirniName
StreetAddrees city State Zip DNO
Secondary Role (if any):
Phone Fax e-mail
Last Name Last Name First Name
fl Primary
Role:
FirstName FirmName
Secondary Role (if any):
Street Address city State Zip D NO
Phone Fax e-mail
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 JUDICIAL INTERVENTION PREVIOUSLY BEEN FILED IN
THIS ACTION OR PROCEEDING.
Dated: September 7.2016 ctZ[J~ PL~L1o
SIGNATURE
1718030 Costantino P. Suriano
ATrORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
2 of 3
AFFIRMATION OF SERVICE
Robert S. Goodman, an attorney admitted to practice before the Courts of the State of
New York, affirms under penalty of perjury pursuant to Rule 2106 of the New Yoric Civil
Practice Law and Rules, that on September 7, 2016, a true copy of the attached Request for
Judicial ifitervention was served by electronic means through the court’s electronic filing system
upon the following:
Brian H. Brick
BERN RIPKA LLP
Attorneys for Plaintiff
60 East 42nd Street, Suite 950
New Yorlc, New York 10165
Robert S. Goodman
Dated: New Yorlc, New York
September 7, 2016
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