On April 20, 2023 a
RJI -RE: REQUEST FOR PRELIMINARY CONFERENCE
was filed
involving a dispute between
Sara S Cavalier,
and
Kofi Agyemang,
Ruby Acheampong
And,
for Torts - Motor Vehicle
in the District Court of Westchester County.
Preview
FILED: WESTCHESTER COUNTY CLERK 08/04/2023 09:38 AM INDEX NO. 59818/2023
NYSCEF DOC. NO. 8 RECEIVED NYSCEF:UCS-840
08/04/2023
(rev. 07/29/2019)
REQUEST FOR JUDICIAL INTERVENTION
SUPREME COURT, COUNTY OF WESTCHESTER
COUNTY OF WESTCHESTER
Index No: 59818/2023 Date Index Issued: 04/20/2023 For Court Use Only:
SARAH S. CAVALIER,
Plaintiff, Judge Assigned
-against-
RUBY ACHEAMPONG and KOFI AGYEMANG, RJI Filed Date
Defendants.
NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.
COMMERICIAL MATRIMONIAL
Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) Contested
Contract NOTE: If there are children under the age of 18, complete and attach the
Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJI ADDENDUM (UCS-840M).
UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
Other Commercial (specify): TORTS
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), Asbestos
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). Child Victims Act
REAL PROPERTY Specify how many properties the application includes: _______ Environmental (specify):
Condemnation Medical, Dental or Podiatric Malpractice
Mortgage Foreclosure (specify): Residential Commercial Motor Vehicle
Property Address: Products Liability (specify):
NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-occupied Other Negligence (specify):
residential property or owner-occupied condominium, complete and attach the Other Professional Malpractice (specify):
FORECLOSURE RJI ADDENDUM (UCS-840F).
Other Tort (specify):
Tax Certiorari
SPECIAL PROCEEDINGS
Tax Foreclosure
CPLR Article 75 (Arbitration) [see NOTE in COMMERCIAL section]
Other Real Property (specify):
CPLR Article 78 (Body or Officer)
OTHER MATTERS Election Law
Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section] Extreme Risk Protective Order
Emergency Medical Treatment MHL Article 9.60 (Kendra’s Law)
Habeas Corpus MHL Article 10 (Sex Offender Confinement-Initial)
Local Court Appeal MHL Article 10 (Sex Offender Confinement-Review)
Mechanic’s Lien MHL Article 81 (Guardianship)
Name Change Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing Other Special Proceeding (specify):
Sale or Finance of Religious/Not-for-Profit Property
Other (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 with notice been filed? If yes, date filed: 04/20/2023
Has a summons and complaint or summons with notice been served? If yes, date served: 04/20/2023
Is this action/proceeding being filed post-judgment? If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated.
Infant’s Compromise
Extreme Risk Protective Order Application
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined:
Notice of Motion Relief Requested: [Click Here To Enter Relief Sought] Return Date: [Click Here To Enter Return Date]
Notice of Petition Relief Requested: Return Date:
Order to Show Cause Relief Requested: Return Date:
Other Ex Parte Application Relief Requested:
1 of 3
FILED: WESTCHESTER COUNTY CLERK 08/04/2023 09:38 AM INDEX NO. 59818/2023
NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 08/04/2023
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify):
2 of 3
FILED: WESTCHESTER COUNTY CLERK 08/04/2023 09:38 AM INDEX NO. 59818/2023
NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 08/04/2023
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).
Un- Parties Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers
Rep List parties in same order as listed in the For represented parties, provide attorney’s name, firm name, address, phone and For each defendant, For each defendant,
caption and indicate roles (e.g., plaintiff, email. For unrepresented parties, provide party’s address, phone and email. indicate if issue has indicate insurance
defendant, 3rd party plaintiff, etc.) been joined. carrier, if applicable.
Name: SARAH S. CAVALIER Gash & Associates, P.C.
Role(s): Plaintiff(s) 235 Main St 3rd Fl YES NO
White Plains NY 10601
Phone: 914-328-8800
Name: RUBY ACHEAMPONG Law Offices of John Trop Allstate New Jersey
and KOFI AGYEMANG 120 White Plains Road, Suite 200
Role(s): Defendant(s) Tarrytown NY 10591 YES NO
Email: BronxLegal@allstate.com
Phone: (551) 305-1459
Our File Number: 0584745772.1
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
Name:
Role(s): YES NO
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: August 4, 2023
Signature
5177431 Jeremy Seeman
Attorney Registration Number Print Name
3 of 3
Document Filed Date
August 04, 2023
Case Filing Date
April 20, 2023
Category
Torts - Motor Vehicle
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Preview
FILED: WESTCHESTER COUNTY CLERK 08/04/2023 09:38 AM INDEX NO. 59818/2023 NYSCEF DOC. NO. 8 RECEIVED NYSCEF:UCS-840 08/04/2023 (rev. 07/29/2019) REQUEST FOR JUDICIAL INTERVENTION SUPREME COURT, COUNTY OF WESTCHESTER COUNTY OF WESTCHESTER Index No: 59818/2023 Date Index Issued: 04/20/2023 For Court Use Only: SARAH S. CAVALIER, Plaintiff, Judge Assigned -against- RUBY ACHEAMPONG and KOFI AGYEMANG, RJI Filed Date Defendants. NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated. COMMERICIAL MATRIMONIAL Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.) Contested Contract NOTE: If there are children under the age of 18, complete and attach the Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJI ADDENDUM (UCS-840M). UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13). Other Commercial (specify): TORTS NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), Asbestos complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). Child Victims Act REAL PROPERTY Specify how many properties the application includes: _______ Environmental (specify): Condemnation Medical, Dental or Podiatric Malpractice Mortgage Foreclosure (specify): Residential Commercial Motor Vehicle Property Address: Products Liability (specify): NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-occupied Other Negligence (specify): residential property or owner-occupied condominium, complete and attach the Other Professional Malpractice (specify): FORECLOSURE RJI ADDENDUM (UCS-840F). Other Tort (specify): Tax Certiorari SPECIAL PROCEEDINGS Tax Foreclosure CPLR Article 75 (Arbitration) [see NOTE in COMMERCIAL section] Other Real Property (specify): CPLR Article 78 (Body or Officer) OTHER MATTERS Election Law Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section] Extreme Risk Protective Order Emergency Medical Treatment MHL Article 9.60 (Kendra’s Law) Habeas Corpus MHL Article 10 (Sex Offender Confinement-Initial) Local Court Appeal MHL Article 10 (Sex Offender Confinement-Review) Mechanic’s Lien MHL Article 81 (Guardianship) Name Change Other Mental Hygiene (specify): Pistol Permit Revocation Hearing Other Special Proceeding (specify): Sale or Finance of Religious/Not-for-Profit Property Other (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 with notice been filed? If yes, date filed: 04/20/2023 Has a summons and complaint or summons with notice been served? If yes, date served: 04/20/2023 Is this action/proceeding being filed post-judgment? If yes, judgment date: NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated. Infant’s Compromise Extreme Risk Protective Order Application Note of Issue/Certificate of Readiness Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined: Notice of Motion Relief Requested: [Click Here To Enter Relief Sought] Return Date: [Click Here To Enter Return Date] Notice of Petition Relief Requested: Return Date: Order to Show Cause Relief Requested: Return Date: Other Ex Parte Application Relief Requested: 1 of 3 FILED: WESTCHESTER COUNTY CLERK 08/04/2023 09:38 AM INDEX NO. 59818/2023 NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 08/04/2023 Poor Person Application Request for Preliminary Conference Residential Mortgage Foreclosure Settlement Conference Writ of Habeas Corpus Other (specify): 2 of 3 FILED: WESTCHESTER COUNTY CLERK 08/04/2023 09:38 AM INDEX NO. 59818/2023 NYSCEF DOC. NO. 8 RECEIVED NYSCEF: 08/04/2023 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). Un- Parties Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers Rep List parties in same order as listed in the For represented parties, provide attorney’s name, firm name, address, phone and For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, email. For unrepresented parties, provide party’s address, phone and email. indicate if issue has indicate insurance defendant, 3rd party plaintiff, etc.) been joined. carrier, if applicable. Name: SARAH S. CAVALIER Gash & Associates, P.C. Role(s): Plaintiff(s) 235 Main St 3rd Fl YES NO White Plains NY 10601 Phone: 914-328-8800 Name: RUBY ACHEAMPONG Law Offices of John Trop Allstate New Jersey and KOFI AGYEMANG 120 White Plains Road, Suite 200 Role(s): Defendant(s) Tarrytown NY 10591 YES NO Email: BronxLegal@allstate.com Phone: (551) 305-1459 Our File Number: 0584745772.1 Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO Name: Role(s): YES NO 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: August 4, 2023 Signature 5177431 Jeremy Seeman Attorney Registration Number Print Name 3 of 3