On April 22, 2024 a
Request for Judicial Intervention
was filed
involving a dispute between
County Of Nassau,
and
Shamari Kirkpatrick,
for Other Matters - Civil Forfeiture
in the District Court of Nassau County.
Preview
FILED: NASSAU COUNTY CLERK 04/22/2024 03:16 PM INDEX NO. 606959/2024
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 04/23/2024
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only
UCS-840 (7/2012) AS Entry Date
SUPREME COURT, COUNTY OF NASSAU .. .. .............
Judge Assigned
Index NO: Date Index Issued:
Enter the complete case caption. Do not use et al or et ano. If more space is RJI Date
CAPTION: required, attach a caption rider sheet
COUNTY OF NASSAU,
Plaintiff's/Petitioner(s)
-against-
Shamari Kirkpatrick
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: chechONEboxonlyandspecifywhereindicated
MATRIMONIAL COMMERCIAL
Contestec Business Entity (including corporations, partnerships, LLCs, ei
NOTE: For all Matrimonial actions where the parties have children Contract
Insurance (where insurer is a party , except arbitrati
the ge of 18, complete and attach the MATRIMONIAL RJl Addendum.
UCC (including sales, negotiable instruments
contested Matnmonial actNns, use NJI torm UU-13
Other Commercial CIVIL FORFEITUREACTION BY MUNICIPAL CORPORATION
Asbestos
(specify)
Breast Implan NOTE: For Commercial Division assignment requests [22 NYCRR §
Environmental . 202.70(d)], complete and attach the COMMERCIAL DIV R Addendum
REAL PROPERTY: How many properties does the application includ
Medical, Dental, or Podiatric Malpr c io
Condemnatioi
Motor Vehicle
Mortgage Foreclosure (specify) ¤ Residential Commercial
Products Liability:
Property Address
(specify)
NOTE: For Mortgage Foreclosure actions involving o one- to four-
Other Negligence· family, owner-occupied, residential property, or an owner-occupied
(specify) condominium, complete and attach the FORECLOSURE RJi
Other Professional Malpractice: U Tax Certiorari - Section: Block: Lot
(specify) ¡ Tax Foreclosure
¤ Other Tort: Other Real Property
(specify) (specify)
OTHER MATTERS SPECIAL PROCEEDINGS
Certificate of Incorporation/Dissolution [see NOTE under CPLR Article 75 (Arbitration) [see NOTE under Commercial]
Emeragency Medical Treatment CPLR Article 78 (Body or Officer)
Habeas Corpus Election Law
Mechanic's Lien MHL Article 9.60 (Kendra's Law)
Name Change MHL Article 10 (Sex Offender Confinement-Initial)
Pistol Permit Revocation Hearing MHL Artical 10 (Sex Offender Confinement-Review
Sale of Finance of Religious/Not-for-Profit Property MHL Article 81 (Guardianship)
MHL Article 81 (Guardianship)
Other: KRIMSTOCK HEARING 5/9/2024
O Other Mental Hygiene:
(specify) (specify)
Other Special Proceeding:
STATUE 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 w/notice been filed? If yes, date filed:
Has a summons and complaint or summons w/notice been If yes, date served:
Is this action/proceeding being filed post-judgment? If yes, judgment date: / /
1 of 2
FILED: NASSAU COUNTY CLERK 04/22/2024 03:16 PM INDEX NO. 606959/2024
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 04/23/2024
NATURE OF JUDICIAL INTERVENTION Check One box only AND enter additional information where indicated.
Infant's Compromise
Note of Issue and/or Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined: / /
Notice of Motion Relief Sought: Return Date:
Notice of Petition Relief Sought: Return Date: / /
Order to Show Cause Relief Sought: Return Date: / /
Other Ex Parte Application Relief Sought: Return Date: / /
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify): KRIMSTOCK RETENTION HEARING 5/9/2024
RELATED CASES: List any related actions. For Matrimonial actions, include any related criminal and/or Family Court
cases.
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
NONE
"Un-Rep" box AND enter
PARTIES: For parties without an attorney, check party address, phone number and e-mail
address in the space provided.
If additional space is required, complete and attach the RJI Addendum.
Parties: Attorneys and/or Unrepresented Ligigants: Issue
Un- Provide attorney name, firm name, business address, phone number and e-
List parties in caption order and Joined insurance Carrier(s)
Rep indicate party role(s) (e.g. mail address of all attorneys that have appeared in the case. For
Defendant; 3re-party plaintiff. unrepresented litigants, provide address. phone number and e-mail address
Name: ANDREW J. CAMPANELLI Yes
CAMPANELLI & ASSOCIATES, P.C.
OfNassau
¡ County
1757 MERRICK AVENUE SUITE 204 MERRICK, NY 11566
Role(s): Tel: 516-746-1600 Fax: 516-746-2611 ajc@CampanelliPC.com NO
Name: Shamari Kirkpatrick OYes
Shamari Kirkpatrick 43 Allers Blvd
Role(s): Roosevelt , NY 11575 NO
Name: ¡yes
Role(s):
NO
Name: BYes
¡
Role(s): NO
I AFFIRM UNDER THE PENALTY OF PERJURY THAT , TO MY KNOWLEDGE, OTHER THAN AS NOTED A VE, THERE ARE AND
HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INT ENTION PREVIOUSLY
BEEN FILED IN THIS ACTION OR PROCEEDING
Dated: 4/22/2024
51GNATURE
2511962 ANDREW J. CAMPANELLI
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
2 of 2
Document Filed Date
April 22, 2024
Case Filing Date
April 22, 2024
Category
Other Matters - Civil Forfeiture
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