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FILED: RENSSELAER COUNTY CLERK 12/27/2023 04:58 PM INDEX NO. EF2023-275060
NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 12/27/2023
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REQUEST FOR JUDICIAL INTERVENTION ¹¹ ²4 2°²²)
. . SUPR EME COURT, COUNTY OF RENSSELAER
.. Index No: EF2023-275060 Date Index Issued· 10/03/2023
5 Entry Date
U.S. BANK TRUST NATIONAL ASSOCIATION, NOT IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS
OWNER TRUSTEE FOR LEGACY MORTGAGE ASSET TRUST 2021-GS1,
Plaintiff(s)/Petitioner(s . Judge Assigned
-against-
JOHN H. CARLO Ill A/K/A JOHN CARLO A/K/A JOHN CARLO Ill A/K/A JOHN H. CARLO A/K/A JOHN 1.CARLO 111 A/K/A JOHN I.
DOES" RII Filed Date
CARLO, SAMARITAN HOSPITAL; "JOHN and "JANE DOES", said names being fictitious, parties intended being possible
tenants or occupants of premises, and corporations, other entities or persons who claim, or may claim, a lien against the premises,
Defendant(s)/Respondent(s
O F AGTiOJÉÔRÎüR DICÉ .ClÏeck oblxco elo'xfai[dTypjlfó3éh'ere i Ecat¾•f
COMMERICIAL MATRIMONIAL .
O susiness Entity (includes corporations, partnerships, LLCs,LLPs,etc.) Q Contested
Q Contract NOTE: if there are children under the age of18, complete and attach the
O Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJIADDENDUM (UCS-840M).
Q UCC(includes salesand negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJi(UD-13).
O Other Commercial (specify): REALPROPERTY Specify how many properties the application includes:
NOTE:For Commercial Division assignment requests pursuant to 22 NYCRR202.70(d), Q Condemnation
complete and attach the COMMERCIALDIVISIONRJIADDENDUM (UCS-84OC). @ Mortgage Foreclosure (specify): @ Residential Q Commercial
TORTS Property Address: 802 FIFTH AVENUE, TROY, NY 12182
Q Adult Survivors Act NOTE:For Mortgage Foreclosure actions involving a one to four-family,
O Asbestos owner-occupied residential property or owner-occupied condominium,
O Environmental (specity): complete and attach the FORECLOSURE RJiADDENDUM (UCS-840F).
Q Medical, Dental or Podiatric Malpractice Q Partition
O Motor Vehicle NOTE: Complete and attach the PARTITIONRJiADDENDUM (UCS-840P).
O Products Liability (specify): O Tax Certiorari (specify): Section: slock: Lot:
O Other Negligence (specify): O Tax Foreclosure
O Other Professional Malpractice (specify): O Other Real Property (specify):
O Other Tort (specify): OTHERMATTERS
SPECIALPROCEEDINGS Q Certificate of Incorporation/Dissolution [see NOTEin COMMERCIALsection]
Q Child-Parent Security Act (specify): QAssisted Reproduction QSurrogacy Agreement Q Emergency Medical Treatment
Q CPLRArticle 75 - Arbitration [see NOTE in COMMERCIALsection] Q HabeasCorpus
Q CPLRArticle 78 - Proceeding against a Body or Officer Q Local Court Appeal
Q Election Law O Mechanic's Lien
Q Extreme RiskProtection Order Q Name Change/SexDesignation Change
Q MHL Article 9.60 - Kendra's Law Q Pistol Permit Revocation Hearing
O MHL Article 10-Sex Offender Confinement (specify): OInitial Q Review O sale or Financeof Religious/Not-for-Profit Property
O MHL Article 81 (Guardianship) O Other (specify):
O Other Mental Hygiene (specify):
O Other Special Proceeding (specify):
STATUS OF ACTION_ORERŒCÉÉI 0CGM½nswÄrJE5"diiN03rTeMyfiff@itanfenEfa M3fXwM
YES NO
Has a summons and complaint or summons with notice been filed? Q If yes, date filed: 10/03/2023
Has a summons and complaint or summons with notice been served? Q If yes, date served: 10/30/2023
Is this action/proceeding being filed post-judgment? If yes, judgment date:
ÑAT.URE OF)ÜDECIAi*lli0TERVEÑTIOhl774Clieck-onèItioEdMilhD'd er ( additiorTafiDfoImafigh51Fndi
Q Infant's Compromise
O Extreme RiskProtection Order Application
Q Note of Issue/Certificate of Readiness
O Notice of Medical, Dental or Podiatric Malpractice Date IssueJoined:
Q Notice of Motion Relief Requested: Return Date:
O Notice of Petition Relief Requested: Return Date:
Q Order to Show Cause Relief Requested: Return Date:
Q Other Ex Parte Application Relief Requested:
O Partition Settlement Conference
Q Poor PersonApplication
O Requestfor Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of HabeasCorpus
O Other (specify):
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FILED: RENSSELAER COUNTY CLERK 12/27/2023 04:58 PM INDEX NO. EF2023-275060
NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 12/27/2023
AtW]-4859tRI idditiõnij§MMROMVJiitly IM¿Fd¶tlEhIt l%DMRll
CaseTitle index/Case Number Court : . udge (if esilgned) . Relationship to Instant case
Un-Rep" ' driiâI&rL·
,PART S . .For parties without an attorney, checl the box and çntettfe p (a hon T c Se his ace Ifro dedf
, . a a If,additional space is required,Wófnplè(@and'attach the RJI ADDENDUM .
Un- Parties Attorneys and Unrepresented Litigants , Issue Joined Insurance carriers
For.each'
Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm narne address, phone and defendant, For each defendant,
caption and indicate roles (e.g., plaintiff, email. For unrepresented parties, provide party's address phone aWdemail. indicate if issue has. indicate insurance
defendant, 3d party plaintiff, etc.) been joined. carrier, if appilcable.
Name: u.s.BANK TRUST NATIONAL NOTINITS
ASSOCIATION, It MARGOLIN, WEINREB, & NIERER, LLP
O Role(s): . 165 Eileen Way, Suite 101, Syosset, New York 11791 O YES O NO
Plaintiff *
(516) 921-3838
Name: JO=N=. CARLO IIIAYJA
JOHN CARLO
AYJA
JOHNCARL(.
O,
Role(s): OYeS ® NO
Defendant
Name: SAMARITAN HOSPITAL 319 South Mannin Boulevard, Risk Managment
Role(s) O YES NO
Defendant Room 402A, Albany, NY 12208
Name: MICHELLEINOWS/H/AJANEDOE#1
Og 802 FIFTH AVENUE, TROY, NY 12182
Role(s): O YES NO
Defendant
Name:
O Role(s): OYES O NO
Name:
0 Role(s): O YES O NO
Name:
0 Role(s): O YES O NO
Name:
O Role(s): O YES O NO
Name:
O Role(s): O YES O NO
Name:
O Role(s): O YES O NO
Name:
D Role(s): O YES O NO
Name:
D Role(s): O YES O NO
Name:
0 Role(s): OYES O NO
Name:
0 Role(s): O YES O NO
Name:
O Role(s): OYES O NO
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELA S OR PROCEEDINGS,
EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IS ON OR PROCEEDING.
Dated:
Signature
2922367 Andrew Goldberg, Esq.
Attorney Registration Number Print Name
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FILED: RENSSELAER COUNTY CLERK 12/27/2023 04:58 PM INDEX NO. EF2023-275060
NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 12/27/2023
FORECLOSURE OF MORTGAGE
DATE OF FILING: 10/03/2023
INDEX NO: EF2023-275060
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF RENSSELAER
-----------------------------------------------Ç
U.S. BANK TRUST NATIONAL ASSOCIATION, NOT
IN ITS INDIVIDUAL CAPACITY BUT SOLELY AS
OWNER TRUSTEE FOR LEGACY MORTGAGE
ASSET TRUST 2021-GS1,
Plaintiff,
-against-
JOHN H. CARLO III A/K/A JOHN CARLO A/K/A
JOHN CARLO III A/K/A JOHN H. CARLO A/K/A
JOHN I. CARLO III A/K/A JOHN I. CARLO,
SAMARITAN HOSPITAL;
DOES"
"JOHN and "JANE DOES", said names being
fictitious, parties intended being possible tenants or
occupants of premises, and corporations, other entities or
persons who claim, or may claim, a lien against the premises,
Defendants.
----------------------------------------------------X
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RR FOR FORECLOSURE SETTLEMENT CONFERENCE
------------------------------------------------------------------------------------
MARGOLIN, WEINREB, & NIERER, LLP
165 Eileen Way, Suite #101
Syosset, New York 11791
Tel. (516) 921-3838
Fax. (516) 921-3824
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