On February 28, 2020 a
Request for Judicial Intervention
was filed
involving a dispute between
Southern Chautauqua Federal Credit Union,
and
Nathan A Donnell,
for Other Matters - Consumer Credit (Non-Card) Transaction
in the District Court of Chautauqua County.
Preview
FILED: CHAUTAUQUA COUNTY CLERK 05/24/2021 09:29 AM INDEX NO. EK12020000362
NYSCEF DOC. NO. 16 RECEIVED NYSCEF: 05/24/2021
.o . REQUEST FOR JUDICIAL INTERVENTION
UCS-840
(rev.07/29/2019)
SUPREME COURT, COUNTY OF Cheeteeque
0 CO,urtClerk Use Only
index No: EK12020000362 Date Index Issued: February 28, 2020 EdÚ½&
WA3JRN gfig[ (Unig|jgMihg!pyQlgl).Qj|)9.tyl$ jggiltjQli[ggim9ETAIE9fAPP.9cçji ggll!E@gglac.inimigptipols@illmeJs IAS Entry Date
SOUTHERNCHAUTAUQUA FEDERALCREDITUNION
Judge Assigned
Plaintiff(s)/Petitioner(s)
against- -
RJIFiled Date
NATHAN A, DONNELL
Defend:=t(:)/Respondent(s)
MATUREOF ACTION OR PROCEED!NGi Chêck ONE box$nly and specify whee Indicate°dhW#¾WUWfy CE i M 85%W
COMMERCIAL MATRIMONIAL
O Business Entity (includes corporations, partnerships, LLCs,LLPs,etc.) O Contested
O Contract NOTE: If there are children under the age of 18, complete and attach the
O Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJIADDENDUM (UCS-840M).
O UCC(includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJi (UD-13).
O Other Commercial (specify) TORTS
VOTE:ForCommercialDivisionossignmentrequestspursuantto 22 NYCRR202.70(d), O Asbestos
-ompleteand attach the COMMERCML DIVISIONRII.^:::.*i:-UM (UCS-840CJ. O Child Victims Act
REALPROPERTY O Environmental (specify):
O Condemnation O Medical, Dental or Podiatric Malpractice
O Mortgage Foreclosure (specify): O Residential O Commercial O Motor Vehicle
Property Address: O Products Liability (specify):
NOTE: For Mortgage Foreclosure actions involving a one tofour-family, O Other Negligence (specify):
owner-occupied residential property or owner-occupied condominium, O Other Professional Malpractice (specify):
complete and attach the FORECLOSURE RJIADDENDUM (UCS-840F). O Other Tort (specify):
O Tax Certiorari SPECIALPROCEEDINGS
O Tax Foreclosure O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIAL section]
O Other Real Property (specify): O CPLRArticle 78 (Body or Officer)
OTHERMATTERS O Election Law
O Certificateof Incorporation/Dissolution[seeNOTEinCOMMERCIAL
sectionI O Extreme Risk Protective Order
O Emergency Medical Treatment O MHL Article 9.60 (Kendra's Law)
O Habeas Corpus O MHL Article 10 (Sex Offender Confinement-Initial)
O Local Court Appeal O MHL Article 10 (Sex Offender Confinement-Review)
O Mechanic's Lien O MHL Article 81 (Guardianship)
O Name Change O Other Mental Hygiene (specify):
O Pistol Permit Revocation Hearing O Other Special Proceeding (specify):
O Sale or Finance of Religious/Not-for-Profit Property
;×] Other (specify): Contract
iTATUS OF ACTION OR PROCEED!NG:Answer YESor NO for every question and enter additional information where indicated. .
ES NO
Has a summons and complaint or summons w/notice been filed? [×] O If yes, date filed: February 28, 2020
Has a summons and complaint or summons w/notice been served? (x) O If yes, date served: March 5, 2020
:s this action/proceeding being filed post-judgment? O IX) If yes, judgment date:
IATUREOFJUDICIAL!NTERVENTION: Checkone box only and enter additional:r.fc==tbiwhere indicated. .
O Infant's Compromise
O ExtremeRiskProtectiveOrderApplication
O Noteof Issue/Certificateof Readiness
O Noticeof Medical,Dental,or PodiatricMalpractice DateIssueJoined:
ONotice of Motion Reliefsought: ReturnDate:
O Noticeof Petition Reliefsought: ReturnDate:
O Orderto ShowCause Reliefsought: ReturnDate:
[XI Other ExParteApplication Reliefsought:Attorney fees/DefaultJudgment
O PoorPersonApplication
O Requestfor PreliminaryConference
O ResidentialMortgageForeclosureSettlementConference
O writ of HabeasCorpus
O Other(specify):
1 of 2
FILED: CHAUTAUQUA COUNTY CLERK 05/24/2021 09:29 AM INDEX NO. EK12020000362
NYSCEF DOC. NO. 16 RECEIVED NYSCEF: 05/24/2021
Ci se Title W W @ de Case1N r C GrtWBWe M dji (iffssig d) $ M R to ins5 tia e
o e 8
Parties: o seys and/or Unrep ùcnfed Litlgarits: issue Joined Insurance.Cani
pa ei irisame o r a list r For repfe d parties rovid attern ý air e firrn name; add ess For eaëh For
the cagitiondnÓ ndicate roles (e.g. phone and ernal Fof un ented pa iÈs, Svide party's address B fehdant, Ïé uan
eiend nt 3 pahy)plaintiff,3t .) phorié anil rria indicate†if I ElÈÉ nsuranc
3 p· , . issue has carri r
e i jolk aEplica
O Name: SOUTHERNCHAUTAUQUA Melissa Ostrowski, E] YES
FEDERALCREDITUNION ILECKI& OSTROWSKl,LLP [x} NO
Role(s): Plaintiff/Petitioner 1 DELAWAREROAD, SUITE 110, BUFFALO,NY 14217
Phone: (716) 838-4300 Fax: (716) 204-9728
mostrowski@i-ollp.com
[x] Name:DONNELL, NATHANA. DONNELL,NATHAN A. OYES
Role(s): Defendant/Respondent 611 Busti Sugar Grove Road, Trailer 1303, Jamestown, NY 14701 [x]NO
I AFFIRM UNDERTHE PENALTYOF PERJURYTHAT, UPON INFORMATION AND BELIEF,THEREARE NO OTHERRELATEDACTIONSOR PROCEEDINGS,EXCEPTAS
NOTED ABOVE, NOR HAS A REQUESTFORJUDICIAL INTERVENTIONBEENPREVIOUSLYFILEDIN THIS ACTION OR PROCEEDING.
Dated: April 26, 2021
SIGNATURE
5050588 Melissa Ostrowski
ATTORNEYREGISTRATIONNUMBER PRINT OR TYPENAME
Our file Number- 20181710©
2 of 2
Document Filed Date
May 24, 2021
Case Filing Date
February 28, 2020
Category
Other Matters - Consumer Credit (Non-Card) Transaction
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FILED: CHAUTAUQUA COUNTY CLERK 05/24/2021 09:29 AM INDEX NO. EK12020000362 NYSCEF DOC. NO. 16 RECEIVED NYSCEF: 05/24/2021 .o . REQUEST FOR JUDICIAL INTERVENTION UCS-840 (rev.07/29/2019) SUPREME COURT, COUNTY OF Cheeteeque 0 CO,urtClerk Use Only index No: EK12020000362 Date Index Issued: February 28, 2020 EdÚ½& WA3JRN gfig[ (Unig|jgMihg!pyQlgl).Qj|)9.tyl$ jggiltjQli[ggim9ETAIE9fAPP.9cçji ggll!E@gglac.inimigptipols@illmeJs IAS Entry Date SOUTHERNCHAUTAUQUA FEDERALCREDITUNION Judge Assigned Plaintiff(s)/Petitioner(s) against- - RJIFiled Date NATHAN A, DONNELL Defend:=t(:)/Respondent(s) MATUREOF ACTION OR PROCEED!NGi Chêck ONE box$nly and specify whee Indicate°dhW#¾WUWfy CE i M 85%W COMMERCIAL MATRIMONIAL O Business Entity (includes corporations, partnerships, LLCs,LLPs,etc.) O Contested O Contract NOTE: If there are children under the age of 18, complete and attach the O Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJIADDENDUM (UCS-840M). O UCC(includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJi (UD-13). O Other Commercial (specify) TORTS VOTE:ForCommercialDivisionossignmentrequestspursuantto 22 NYCRR202.70(d), O Asbestos -ompleteand attach the COMMERCML DIVISIONRII.^:::.*i:-UM (UCS-840CJ. O Child Victims Act REALPROPERTY O Environmental (specify): O Condemnation O Medical, Dental or Podiatric Malpractice O Mortgage Foreclosure (specify): O Residential O Commercial O Motor Vehicle Property Address: O Products Liability (specify): NOTE: For Mortgage Foreclosure actions involving a one tofour-family, O Other Negligence (specify): owner-occupied residential property or owner-occupied condominium, O Other Professional Malpractice (specify): complete and attach the FORECLOSURE RJIADDENDUM (UCS-840F). O Other Tort (specify): O Tax Certiorari SPECIALPROCEEDINGS O Tax Foreclosure O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIAL section] O Other Real Property (specify): O CPLRArticle 78 (Body or Officer) OTHERMATTERS O Election Law O Certificateof Incorporation/Dissolution[seeNOTEinCOMMERCIAL sectionI O Extreme Risk Protective Order O Emergency Medical Treatment O MHL Article 9.60 (Kendra's Law) O Habeas Corpus O MHL Article 10 (Sex Offender Confinement-Initial) O Local Court Appeal O MHL Article 10 (Sex Offender Confinement-Review) O Mechanic's Lien O MHL Article 81 (Guardianship) O Name Change O Other Mental Hygiene (specify): O Pistol Permit Revocation Hearing O Other Special Proceeding (specify): O Sale or Finance of Religious/Not-for-Profit Property ;×] Other (specify): Contract iTATUS OF ACTION OR PROCEED!NG:Answer YESor NO for every question and enter additional information where indicated. . ES NO Has a summons and complaint or summons w/notice been filed? [×] O If yes, date filed: February 28, 2020 Has a summons and complaint or summons w/notice been served? (x) O If yes, date served: March 5, 2020 :s this action/proceeding being filed post-judgment? O IX) If yes, judgment date: IATUREOFJUDICIAL!NTERVENTION: Checkone box only and enter additional:r.fc==tbiwhere indicated. . O Infant's Compromise O ExtremeRiskProtectiveOrderApplication O Noteof Issue/Certificateof Readiness O Noticeof Medical,Dental,or PodiatricMalpractice DateIssueJoined: ONotice of Motion Reliefsought: ReturnDate: O Noticeof Petition Reliefsought: ReturnDate: O Orderto ShowCause Reliefsought: ReturnDate: [XI Other ExParteApplication Reliefsought:Attorney fees/DefaultJudgment O PoorPersonApplication O Requestfor PreliminaryConference O ResidentialMortgageForeclosureSettlementConference O writ of HabeasCorpus O Other(specify): 1 of 2 FILED: CHAUTAUQUA COUNTY CLERK 05/24/2021 09:29 AM INDEX NO. EK12020000362 NYSCEF DOC. NO. 16 RECEIVED NYSCEF: 05/24/2021 Ci se Title W W @ de Case1N r C GrtWBWe M dji (iffssig d) $ M R to ins5 tia e o e 8 Parties: o seys and/or Unrep ùcnfed Litlgarits: issue Joined Insurance.Cani pa ei irisame o r a list r For repfe d parties rovid attern ý air e firrn name; add ess For eaëh For the cagitiondnÓ ndicate roles (e.g. phone and ernal Fof un ented pa iÈs, Svide party's address B fehdant, Ïé uan eiend nt 3 pahy)plaintiff,3t .) phorié anil rria indicate†if I ElÈÉ nsuranc 3 p· , . issue has carri r e i jolk aEplica O Name: SOUTHERNCHAUTAUQUA Melissa Ostrowski, E] YES FEDERALCREDITUNION ILECKI& OSTROWSKl,LLP [x} NO Role(s): Plaintiff/Petitioner 1 DELAWAREROAD, SUITE 110, BUFFALO,NY 14217 Phone: (716) 838-4300 Fax: (716) 204-9728 mostrowski@i-ollp.com [x] Name:DONNELL, NATHANA. DONNELL,NATHAN A. OYES Role(s): Defendant/Respondent 611 Busti Sugar Grove Road, Trailer 1303, Jamestown, NY 14701 [x]NO I AFFIRM UNDERTHE PENALTYOF PERJURYTHAT, UPON INFORMATION AND BELIEF,THEREARE NO OTHERRELATEDACTIONSOR PROCEEDINGS,EXCEPTAS NOTED ABOVE, NOR HAS A REQUESTFORJUDICIAL INTERVENTIONBEENPREVIOUSLYFILEDIN THIS ACTION OR PROCEEDING. Dated: April 26, 2021 SIGNATURE 5050588 Melissa Ostrowski ATTORNEYREGISTRATIONNUMBER PRINT OR TYPENAME Our file Number- 20181710© 2 of 2