Preview
CAUTION: THIS DOCUMENT HAS NOT YET BEEN REVIEWED BY THE COUNTY CLERK. (See below.)
FILED: QUEENS COUNTY CLERK 04/22/2024 10:33 AM INDEX
INDEXNO.
NO.708535/2024
UNASSIGNED
NYSCEF DOC. NO. 12 RECEIVED NYSCEF: 04/23/2024
04/22/2024
UCS-840
REQUEST FOR JUDICIAL INTERVENTION (rev. 01/01/2024)
Supreme COURT, COUNTY OF Queens
Index No: 708535/24 Date Index Issued: 04/22/2024 For Court Use Only:
CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet. IAS Entry Date
C D an infant over the age of fourteen years, by her mother and natural guardian, Ann Dumay, Ann Dumay
Individually
Judge Assigned
Plaintiff(s)/Petitioner(s)
-against-
Preston Stanley
RJI Filed Date
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check only one box and specify where indicated.
COMMERCIAL 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
MATRIMONIAL RJI Addendum (UCS-840M).
☐ Insurance (where insurance company is a party, except arbitration)
☐ UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
☐ Other Commercial (specify): REAL PROPERTY Specify how many properties the application includes:
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), ☐ Condemnation
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C).
☐ Mortgage Foreclosure (specify): ☐ Residential ☐ Commercial
TORTS Property Address:
NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-
☐ Asbestos
occupied residential property or owner-occupied condominium, complete and
☐ Environmental (specify): attach the FORECLOSURE RJI ADDENDUM (UCS-840F).
☐ Medical, Dental or Podiatric Malpractice
☐ Partition
☐ Motor Vehicle
NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P).
☐ Products Liability (specify):
☐ Other Negligence (specify): ☐ Tax Certiorari (specify): Section: Block: Lot:
☐ Other Professional Malpractice (specify): ☐ Tax Foreclosure
☐ Other Tort (specify): ☐ Other Real Property (specify):
OTHER MATTERS
SPECIAL PROCEEDINGS ☐ Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section]
☐ Child-Parent Security Act (specify): ☐ Assisted Reproduction ☐ Surrogacy Agreement ☐ Emergency Medical Treatment
☐ CPLR Article 75 - Arbitration [see NOTE in COMMERCIAL section] ☐ Habeas Corpus
☐ CPLR Article 78 - Proceeding against a Body or Officer ☐ Local Court Appeal
☐ Election Law ☐ Mechanic's Lien
☐ Extreme Risk Protection Order ☐ Name Change/Sex Designation Change
☐ MHL Article 9.60 - Kendra's Law ☐ Pistol Permit Revocation Hearing
☐ MHL Article 10 - Sex Offender Confinement (specify): ☐ Initial ☐ Review ☐ Sale or Finance of Religious/Not-for-Profit Property
☐ MHL Article 81 (Guardianship) ☐ Other (specify):
☐ Other Mental Hygiene (specify):
☒ Other Special Proceeding (specify): Infant Compromise Order
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:
Has a summons and complaint or summons with notice been served? ☐ ☒ If yes, date served:
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 Protection Order Application
☐ Note of Issue/Certificate of Readiness
☐ Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined:
☐ Notice of Motion Relief Requested: Return Date:
☐ Notice of Petition Relief Requested: Return Date:
☐ Order to Show Cause Relief Requested: Return Date:
☐ Other Ex Parte Application Relief Requested:
☐ Partition Settlement Conference
☐ Poor Person Application
☐ Request for Preliminary Conference
☐ Residential Mortgage Foreclosure Settlement Conference
☐ Writ of Habeas Corpus
☐ Other (specify):
This is a copy of a pleading filed electronically pursuant to New York State court rules (22 NYCRR §202.5-b(d)(3)(i))
which, at the time of its printout from the court system's electronic website, had not yet been reviewed and
approved by the County Clerk. Because court rules (22 NYCRR §202.5[d]) authorize the County Clerk to reject
filings for various reasons, readers should be aware that 1documents
accepted for filing by the County Clerk. of 2 bearing this legend may not have been 1 of 2
CAUTION: THIS DOCUMENT HAS NOT YET BEEN REVIEWED BY THE COUNTY CLERK. (See below.)
FILED: QUEENS COUNTY CLERK 04/22/2024 10:33 AM INDEX
INDEXNO.
NO.708535/2024
UNASSIGNED
NYSCEF DOC. NO. 12 RECEIVED NYSCEF: 04/23/2024
04/22/2024
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 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: D, C GREGORY NEWMAN, NEWMAN ANZALONE & NEWMAN
☐ LLP, 95-25 Queens Blvd., 11th Fl. , Rego Park, NY 11374, ☐ YES ☒ NO
Role(s): Plaintiff/Petitioner 718-896-2700, service@nanlawfirm.com
Name: Dumay, Ann GREGORY NEWMAN, NEWMAN ANZALONE & NEWMAN
☐ LLP, 95-25 Queens Blvd., 11th Fl. , Rego Park, NY 11374, ☐ YES ☒ NO
Role(s): Plaintiff/Petitioner 718-896-2700, service@nanlawfirm.com
Name: Stanley, Preston GEICO, P.O. Box 9111, Macon, GA 31208-9111
☐ ☐ YES ☒ NO
Role(s): Defendant/Respondent
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: 04/22/2024 GREGORY S NEWMAN
Signature
4477980 GREGORY S NEWMAN
Attorney Registration Number Print Name
This is a copy of a pleading filed electronically pursuant to New York State court rules (22 NYCRR §202.5-b(d)(3)(i))
which, at the time of its printout from the court This form was generated
system's electronicby NYSCEF
website, had not yet been reviewed and
approved by the County Clerk. Because court rules (22 NYCRR §202.5[d]) authorize the County Clerk to reject
filings for various reasons, readers should be aware that 2documents
accepted for filing by the County Clerk. of 2 bearing this legend may not have been 2 of 2
Preview
CAUTION: THIS DOCUMENT HAS NOT YET BEEN REVIEWED BY THE COUNTY CLERK. (See below.) FILED: QUEENS COUNTY CLERK 04/22/2024 10:33 AM INDEX INDEXNO. NO.708535/2024 UNASSIGNED NYSCEF DOC. NO. 12 RECEIVED NYSCEF: 04/23/2024 04/22/2024 UCS-840 REQUEST FOR JUDICIAL INTERVENTION (rev. 01/01/2024) Supreme COURT, COUNTY OF Queens Index No: 708535/24 Date Index Issued: 04/22/2024 For Court Use Only: CAPTION Enter the complete case caption. Do not use et al or et ano. If more space is needed, attach a caption rider sheet. IAS Entry Date C D an infant over the age of fourteen years, by her mother and natural guardian, Ann Dumay, Ann Dumay Individually Judge Assigned Plaintiff(s)/Petitioner(s) -against- Preston Stanley RJI Filed Date Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING: Check only one box and specify where indicated. COMMERCIAL 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 MATRIMONIAL RJI Addendum (UCS-840M). ☐ Insurance (where insurance company is a party, except arbitration) ☐ UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13). ☐ Other Commercial (specify): REAL PROPERTY Specify how many properties the application includes: NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), ☐ Condemnation complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). ☐ Mortgage Foreclosure (specify): ☐ Residential ☐ Commercial TORTS Property Address: NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner- ☐ Asbestos occupied residential property or owner-occupied condominium, complete and ☐ Environmental (specify): attach the FORECLOSURE RJI ADDENDUM (UCS-840F). ☐ Medical, Dental or Podiatric Malpractice ☐ Partition ☐ Motor Vehicle NOTE: Complete and attach the PARTITION RJI ADDENDUM (UCS-840P). ☐ Products Liability (specify): ☐ Other Negligence (specify): ☐ Tax Certiorari (specify): Section: Block: Lot: ☐ Other Professional Malpractice (specify): ☐ Tax Foreclosure ☐ Other Tort (specify): ☐ Other Real Property (specify): OTHER MATTERS SPECIAL PROCEEDINGS ☐ Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section] ☐ Child-Parent Security Act (specify): ☐ Assisted Reproduction ☐ Surrogacy Agreement ☐ Emergency Medical Treatment ☐ CPLR Article 75 - Arbitration [see NOTE in COMMERCIAL section] ☐ Habeas Corpus ☐ CPLR Article 78 - Proceeding against a Body or Officer ☐ Local Court Appeal ☐ Election Law ☐ Mechanic's Lien ☐ Extreme Risk Protection Order ☐ Name Change/Sex Designation Change ☐ MHL Article 9.60 - Kendra's Law ☐ Pistol Permit Revocation Hearing ☐ MHL Article 10 - Sex Offender Confinement (specify): ☐ Initial ☐ Review ☐ Sale or Finance of Religious/Not-for-Profit Property ☐ MHL Article 81 (Guardianship) ☐ Other (specify): ☐ Other Mental Hygiene (specify): ☒ Other Special Proceeding (specify): Infant Compromise Order 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: Has a summons and complaint or summons with notice been served? ☐ ☒ If yes, date served: 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 Protection Order Application ☐ Note of Issue/Certificate of Readiness ☐ Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined: ☐ Notice of Motion Relief Requested: Return Date: ☐ Notice of Petition Relief Requested: Return Date: ☐ Order to Show Cause Relief Requested: Return Date: ☐ Other Ex Parte Application Relief Requested: ☐ Partition Settlement Conference ☐ Poor Person Application ☐ Request for Preliminary Conference ☐ Residential Mortgage Foreclosure Settlement Conference ☐ Writ of Habeas Corpus ☐ Other (specify): This is a copy of a pleading filed electronically pursuant to New York State court rules (22 NYCRR §202.5-b(d)(3)(i)) which, at the time of its printout from the court system's electronic website, had not yet been reviewed and approved by the County Clerk. Because court rules (22 NYCRR §202.5[d]) authorize the County Clerk to reject filings for various reasons, readers should be aware that 1documents accepted for filing by the County Clerk. of 2 bearing this legend may not have been 1 of 2 CAUTION: THIS DOCUMENT HAS NOT YET BEEN REVIEWED BY THE COUNTY CLERK. (See below.) FILED: QUEENS COUNTY CLERK 04/22/2024 10:33 AM INDEX INDEXNO. NO.708535/2024 UNASSIGNED NYSCEF DOC. NO. 12 RECEIVED NYSCEF: 04/23/2024 04/22/2024 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 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: D, C GREGORY NEWMAN, NEWMAN ANZALONE & NEWMAN ☐ LLP, 95-25 Queens Blvd., 11th Fl. , Rego Park, NY 11374, ☐ YES ☒ NO Role(s): Plaintiff/Petitioner 718-896-2700, service@nanlawfirm.com Name: Dumay, Ann GREGORY NEWMAN, NEWMAN ANZALONE & NEWMAN ☐ LLP, 95-25 Queens Blvd., 11th Fl. , Rego Park, NY 11374, ☐ YES ☒ NO Role(s): Plaintiff/Petitioner 718-896-2700, service@nanlawfirm.com Name: Stanley, Preston GEICO, P.O. Box 9111, Macon, GA 31208-9111 ☐ ☐ YES ☒ NO Role(s): Defendant/Respondent 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: 04/22/2024 GREGORY S NEWMAN Signature 4477980 GREGORY S NEWMAN Attorney Registration Number Print Name This is a copy of a pleading filed electronically pursuant to New York State court rules (22 NYCRR §202.5-b(d)(3)(i)) which, at the time of its printout from the court This form was generated system's electronicby NYSCEF website, had not yet been reviewed and approved by the County Clerk. Because court rules (22 NYCRR §202.5[d]) authorize the County Clerk to reject filings for various reasons, readers should be aware that 2documents accepted for filing by the County Clerk. of 2 bearing this legend may not have been 2 of 2