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FILED: NEW YORK COUNTY CLERK 09/14/2020 01:07 PM INDEX NO. 152412/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/14/2020
REQUEST FOR JUDICIAL INTERVENTION (re 5894g°g19)
New York Supreme COURT, COUNTY OF New York
Index No: 152412/2020 Date Index Issued: 03!05!2020 For Court Use Only:
CAI ( E t r h r sheet. IAS Entry Date
Jason Jenkins
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
MarC J Lust
RJIFiled Date
D±nd=n±(c)!°.espondent(s)
one box and specify where indicated.
COMMERCIAL | MATRIMONIAL
O Contested
O Business Entity (includes corporations, partnerships, LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
O Contract MATRIMONIAL RJIAddendum (UCS-840M).
O Insurance(where insurance company is a party, except =±!tet!en) . _. . .
For UncontestedMatnmonial actions, use the unconiesieu Divorce RJi(UD-13).
O UCC(includes sales and neyutiabie instruments)
O Other Commercial(specify):
| TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDIVISION RJIADDENDUM (UCS-840C). O Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the 2pp!!cetion includes:
O Environmental (specify):
O Condemnation O Medical,Dental, or Podiatric Malpractice
O Mortgage Foreclosure(specify): O Residential O Commercial Motor Vehicle
Property Address: O ProductsLiability (specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner- O Other Negligence(specify):
occupied residential property or owner-occupiedcondominium, complete and O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJIADDENDUM (UCS-840F).
O Other Tort (specify):
O Tax Certiorari - Section: Block: Lot:
O Tax Foreclosure | SPECIAL PROCEEDINGS
O Other Real Property (specify): O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIALsection]
OTHER MATTERS
O CPLRArticle 78 (Body or Officer)
O Election Law
O Certificate of Incorporatior./D: |=|;r. [see NOTE in COMMERCIALsection] O Extreme Risk ProtectionOrder
O Emergency MedicalTreatment O MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial)
O LocalCourt Appeal O MHLArticle 10 (Sex Offender Confinement-Review)
O Mechanic'sLien O MHLArticle 81 (Guardianship)
O NameChange O Other Mental Hygiene (specify):
O Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated.
YES NO
Hasa summons and complaint or summonswith notice been filed? O If yes, date filed: 03/05/2020
Hasa summons and complaint or summonswith notice been served? O If yes, date served: 03/21/2020
Is this actior./pivoceding being filed ped judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional information where indicated.
Infant's Compromise
Extreme Risk ProtectionOrder Application
Note of Issue/Certificateof Readiness
Notice of Medical, Dental, or Podiatric Malpractice Date Issuejoined:
Notice of Motion Relief Requested: Return Date:
Notice of Petition Relief Requested: Return Date:
Order to ShowCause Relief Requested: Return Date:
Other Ex ParteApplication Relief Requested:
PoorPersonApplication
Requestfor Preliminary Conference
ResidentialMortgage ForeclosureSettlement Conference
Writ of HabeasCorpus
Other (specify):
1 of 2
FILED: NEW YORK COUNTY CLERK 09/14/2020 01:07 PM INDEX NO. 152412/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/14/2020
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).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance
Un-
Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, For each defendant,
caption and indicate roles (e.g., plaintiff, and email. For unrepresented parties, provide party's address, phone and indicate if issue has indicate insurance
defendant; 3rd party plaintiff, etc.) email. been joined. carrier, if applicable.
Name: Jenkins, Jason
☐ RAYMOND SURIS, SURIS & ASSOCIATES P.C., 395 N
SERVICE RD STE 302 , MELVILLE, NY 11747, ☒ YES ☐ NO
Role(s): Plaintiff/Petitioner maria@surislaw.com
Name: Lust, Marc J.
☐ EDWARD HARRINGTON, MORRIS DUFFY ALONSO & FALEY,
101 Greenwich Street 22nd floor, New York, NY 10006, ☒ YES ☐ NO
PROGRESSIVE
Role(s): Defendant/Respondent 212-766-1888, eharrington@mdafny.com
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
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: 09/14/2020 RAYMOND JOSEPH SURIS
Signature
2929149 RAYMOND JOSEPH SURIS
Attorney Registration Number Print Name
This form was generated by NYSCEF
2 of 2
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FILED: NEW YORK COUNTY CLERK 09/14/2020 01:07 PM INDEX NO. 152412/2020 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/14/2020 REQUEST FOR JUDICIAL INTERVENTION (re 5894g°g19) New York Supreme COURT, COUNTY OF New York Index No: 152412/2020 Date Index Issued: 03!05!2020 For Court Use Only: CAI ( E t r h r sheet. IAS Entry Date Jason Jenkins Judge Assigned -against- Plaintiff(s)/Petitioner(s) MarC J Lust RJIFiled Date D±nd=n±(c)!°.espondent(s) one box and specify where indicated. COMMERCIAL | MATRIMONIAL O Contested O Business Entity (includes corporations, partnerships, LLCs,LLPs,etc.) NOTE: If there are children under the age of 18, complete and attach the O Contract MATRIMONIAL RJIAddendum (UCS-840M). O Insurance(where insurance company is a party, except =±!tet!en) . _. . . For UncontestedMatnmonial actions, use the unconiesieu Divorce RJi(UD-13). O UCC(includes sales and neyutiabie instruments) O Other Commercial(specify): | TORTS NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d), complete and attach the COMMERCIALDIVISION RJIADDENDUM (UCS-840C). O Asbestos O Child Victims Act REAL PROPERTY: Specify how many properties the 2pp!!cetion includes: O Environmental (specify): O Condemnation O Medical,Dental, or Podiatric Malpractice O Mortgage Foreclosure(specify): O Residential O Commercial Motor Vehicle Property Address: O ProductsLiability (specify): NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner- O Other Negligence(specify): occupied residential property or owner-occupiedcondominium, complete and O Other ProfessionalMalpractice (specify): attach the FORECLOSURERJIADDENDUM (UCS-840F). O Other Tort (specify): O Tax Certiorari - Section: Block: Lot: O Tax Foreclosure | SPECIAL PROCEEDINGS O Other Real Property (specify): O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIALsection] OTHER MATTERS O CPLRArticle 78 (Body or Officer) O Election Law O Certificate of Incorporatior./D: |=|;r. [see NOTE in COMMERCIALsection] O Extreme Risk ProtectionOrder O Emergency MedicalTreatment O MHLArticle 9.60 (Kendra's Law) O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial) O LocalCourt Appeal O MHLArticle 10 (Sex Offender Confinement-Review) O Mechanic'sLien O MHLArticle 81 (Guardianship) O NameChange O Other Mental Hygiene (specify): O Pistol Permit Revocation Hearing O Other Special Proceeding(specify): O Saleor Financeof Religious/Not-for-ProfitProperty O Other (specify): STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated. YES NO Hasa summons and complaint or summonswith notice been filed? O If yes, date filed: 03/05/2020 Hasa summons and complaint or summonswith notice been served? O If yes, date served: 03/21/2020 Is this actior./pivoceding being filed ped judgment? O If yes, judgment date: NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional information where indicated. Infant's Compromise Extreme Risk ProtectionOrder Application Note of Issue/Certificateof Readiness Notice of Medical, Dental, or Podiatric Malpractice Date Issuejoined: Notice of Motion Relief Requested: Return Date: Notice of Petition Relief Requested: Return Date: Order to ShowCause Relief Requested: Return Date: Other Ex ParteApplication Relief Requested: PoorPersonApplication Requestfor Preliminary Conference ResidentialMortgage ForeclosureSettlement Conference Writ of HabeasCorpus Other (specify): 1 of 2 FILED: NEW YORK COUNTY CLERK 09/14/2020 01:07 PM INDEX NO. 152412/2020 NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/14/2020 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). Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Un- Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, and email. For unrepresented parties, provide party's address, phone and indicate if issue has indicate insurance defendant; 3rd party plaintiff, etc.) email. been joined. carrier, if applicable. Name: Jenkins, Jason ☐ RAYMOND SURIS, SURIS & ASSOCIATES P.C., 395 N SERVICE RD STE 302 , MELVILLE, NY 11747, ☒ YES ☐ NO Role(s): Plaintiff/Petitioner maria@surislaw.com Name: Lust, Marc J. ☐ EDWARD HARRINGTON, MORRIS DUFFY ALONSO & FALEY, 101 Greenwich Street 22nd floor, New York, NY 10006, ☒ YES ☐ NO PROGRESSIVE Role(s): Defendant/Respondent 212-766-1888, eharrington@mdafny.com Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): Name: ☐ ☐ YES ☐ NO Role(s): 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: 09/14/2020 RAYMOND JOSEPH SURIS Signature 2929149 RAYMOND JOSEPH SURIS Attorney Registration Number Print Name This form was generated by NYSCEF 2 of 2