On April 29, 2024 a
Request for Judicial Intervention
was filed
involving a dispute between
Haydee Zambrana,
and
Jagheswar Singh,
for Special Proceedings - Other (Immediate Access)
in the District Court of Queens County.
Preview
FILED: QUEENS COUNTY CLERK 04/29/2024 10:09 AM INDEX NO. 709027/2024
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 04/29/2024
REQUEST FOR JUDICIAL INTE VEN 2022)
r counts clerCs of t i
SUPREME COURT, COUNTY OF . 3980 04/29/2024 9:316
Index No: 709027/2024 Date IndexISSued: ENIEVES Resi tForCdurtUseonly:
0
CAPTION Enter the complete case captiOn. Donot use et afor et aIo. If more space is needed, attach a captÏon r er shee IASEntry Date
Tr.3734352 $95.00
Documents Pos At cou t E-tile
aiÎtif s t tio s JudgeAssigned
-against 7 ____ $210.00
Documents Pes At Cou t E-ri
I iled Date
ZAHBRANA V SINGH ind X
e endant(s)/Respondent(s
NATURE OF CTION OR PROCEÈDING Check only one b and specify where indicated, 3
COMMERICIAL MATRIMONIAL
Q BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) Q Contested
Q Contract NOTE: If there are children under the age of 18, complete and attach the
Q Insurance (where insurance company is a party, except arbitration) MATRIMONIALRJiADDENDUM(UCS-840M).
Q UCC(includessalesand negotiable instruments) For UncontestedMatrimonial actions, use the UncontestedDivorce RJi(UD-13),
O Other Commercial(specify): REALPROPERTY Specify how many properties the application includes:
NOTE:For CommercialDivisionassignmentrequestspursuant to 22 NYCRR202.70(d), Q Condemnation
complete and attach the COMMERCIALDIVISIONRJIADDENDUM(UCS-84OC). Q Mortgage Foreclosure(specify): Q Residential Q Commercial
TORTS Property Address:
Q Asbestos NOTE:For Mortgoge Foreclosureactions involving a one to four-family,
Q Child Victims Act owner-occupied residential property or owner-occupied condominium,
Q Environmental (specify): complete and attach the FORECLOSURE
RJIADDENOUM(UCS-840F).
Q Medical Dental or Podiatric Malpractice Q Partition
Q Motor Vehicle NOTE:Completeand attach the PARTITIONRJiADDENOUM(UCS-840P).
Q Products Liability (specify): Q Tax Certiorari (specify):
Section: Block: Lot:
Q Other Negligence(specify): O Tax Foreclosure
O Other ProfessionalMalpractice (specify): O Other Real Property (specify):
O Other Tort (specify): OTHERMATTERS
SPECIALPROCEEDINGS Q Certificate of Incorporation/Dissolution [seeNOTEin COMMERCIALsection]
Q Child-Parent SecurityAct (specify):QAssisted Reproduction QSurrogacy Agreement Q Emergency Medical Treatment
Q CPLRArticle 75 - Arbitration (seeNOTEin COMMERCIALsection] Q HabeasCorpus
Q CPLRArticle 78 - Proceedingagainst a Body or Officer Q LocalCourt Appeal
Q Election Law Q Mechanic's Lien
Q Extreme RiskProtection Order O Name Change/SexDesignation Change
Q MHL Article 9.60-Kendra's Law O Pistol Permit Revocation Hearing
O MHL Article 10-Sex Offender Confinement (specify): O n t al OReview O Saleor Financeof Religious/Not-for-Profit Property
O MHL Article 81 (Guardianship) O Other (specify):
O Other Mental Hygiene(specify):
Other SpecialProceeding(specify):
STATUS OF ACTION OR PROCEEDING Answer YESor NO for every questior and enter additional information where indicated.
YES NO
Hasa summonsand complaint or summonswith notice been filed? If yes, date filed:
Hasa summonsand complaint or summonswith notice been served? If yes, date served:
Isthis action/proceeding being filed post-judgment? O © If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated.
Infant's Compromise
Extreme RiskProtection Order Application
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date IssueJoined:
O Notice of Motion Relief Requested: Return Date:
Notice of Petition Relief Requested: Return Date:
Order to Show Cause Relief Requested: 3ÂM W. &( fß -f n Date:
Q Other ExParte Application Relief Requested:
Partition Settlement Conference
O Poor PersonApplication
Q Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSettlement Conference
O writof HabeasCorpus
1 of 2
FILED: QUEENS COUNTY CLERK 04/29/2024 10:09 AM INDEX NO. 709027/2024
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 04/29/2024
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).
CaseTitle Index/Case Number Court Judge(if assigned) Relationship to instant case
"Un-Rep"
PARTIES For parties wÏthout an attorney, check the 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 sameorder as listed in the For represented parties, provide attorney's name, firm name, address, phone and For each defendant, For each defendant,
caption and indicate roles (e.g., plaintiff, email. For unrepresented parties, provide party's address, phone and email. indicate if issue has indicate insurance
defendant, 3'd party plaintiff, etc.) been joined. carrier, if applicable.
ol (s) O YES G1 NO
ol (s): 3 OYeS 7NO
Name:
Role(s): O YES O NO
Role(s): OYeS O NO
Role(s): O YES O NO
o (s): O YES O NO
Name:
Role(s): OYES Q NO
Name:
0 Role(s): OYeS O NO
Name:
Role(s): O YES Q NO
Name:
0 Role(s): OYeS O NO
Name:
0 Role(s): OYeS O NO
Name:
0 Role(s): OYES O NO
Name:
0 Role(s): Q YES Q NO
Name:
0 Role(s): O YES Q NO
Name:
Role(s): Q YES Q NO
I Al FIRM 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:
Signature
Attorney Registration Number Print Name
2 of 2
Document Filed Date
April 29, 2024
Case Filing Date
April 29, 2024
Category
Special Proceedings - Other (Immediate Access)
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Preview
FILED: QUEENS COUNTY CLERK 04/29/2024 10:09 AM INDEX NO. 709027/2024 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 04/29/2024 REQUEST FOR JUDICIAL INTE VEN 2022) r counts clerCs of t i SUPREME COURT, COUNTY OF . 3980 04/29/2024 9:316 Index No: 709027/2024 Date IndexISSued: ENIEVES Resi tForCdurtUseonly: 0 CAPTION Enter the complete case captiOn. Donot use et afor et aIo. If more space is needed, attach a captÏon r er shee IASEntry Date Tr.3734352 $95.00 Documents Pos At cou t E-tile aiÎtif s t tio s JudgeAssigned -against 7 ____ $210.00 Documents Pes At Cou t E-ri I iled Date ZAHBRANA V SINGH ind X e endant(s)/Respondent(s NATURE OF CTION OR PROCEÈDING Check only one b and specify where indicated, 3 COMMERICIAL MATRIMONIAL Q BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.) Q Contested Q Contract NOTE: If there are children under the age of 18, complete and attach the Q Insurance (where insurance company is a party, except arbitration) MATRIMONIALRJiADDENDUM(UCS-840M). Q UCC(includessalesand negotiable instruments) For UncontestedMatrimonial actions, use the UncontestedDivorce RJi(UD-13), O Other Commercial(specify): REALPROPERTY Specify how many properties the application includes: NOTE:For CommercialDivisionassignmentrequestspursuant to 22 NYCRR202.70(d), Q Condemnation complete and attach the COMMERCIALDIVISIONRJIADDENDUM(UCS-84OC). Q Mortgage Foreclosure(specify): Q Residential Q Commercial TORTS Property Address: Q Asbestos NOTE:For Mortgoge Foreclosureactions involving a one to four-family, Q Child Victims Act owner-occupied residential property or owner-occupied condominium, Q Environmental (specify): complete and attach the FORECLOSURE RJIADDENOUM(UCS-840F). Q Medical Dental or Podiatric Malpractice Q Partition Q Motor Vehicle NOTE:Completeand attach the PARTITIONRJiADDENOUM(UCS-840P). Q Products Liability (specify): Q Tax Certiorari (specify): Section: Block: Lot: Q Other Negligence(specify): O Tax Foreclosure O Other ProfessionalMalpractice (specify): O Other Real Property (specify): O Other Tort (specify): OTHERMATTERS SPECIALPROCEEDINGS Q Certificate of Incorporation/Dissolution [seeNOTEin COMMERCIALsection] Q Child-Parent SecurityAct (specify):QAssisted Reproduction QSurrogacy Agreement Q Emergency Medical Treatment Q CPLRArticle 75 - Arbitration (seeNOTEin COMMERCIALsection] Q HabeasCorpus Q CPLRArticle 78 - Proceedingagainst a Body or Officer Q LocalCourt Appeal Q Election Law Q Mechanic's Lien Q Extreme RiskProtection Order O Name Change/SexDesignation Change Q MHL Article 9.60-Kendra's Law O Pistol Permit Revocation Hearing O MHL Article 10-Sex Offender Confinement (specify): O n t al OReview O Saleor Financeof Religious/Not-for-Profit Property O MHL Article 81 (Guardianship) O Other (specify): O Other Mental Hygiene(specify): Other SpecialProceeding(specify): STATUS OF ACTION OR PROCEEDING Answer YESor NO for every questior and enter additional information where indicated. YES NO Hasa summonsand complaint or summonswith notice been filed? If yes, date filed: Hasa summonsand complaint or summonswith notice been served? If yes, date served: Isthis action/proceeding being filed post-judgment? O © If yes, judgment date: NATURE OF JUDICIAL INTERVENTION Check one box only and enter additional information where indicated. Infant's Compromise Extreme RiskProtection Order Application Note of Issue/Certificate of Readiness Notice of Medical, Dental or Podiatric Malpractice Date IssueJoined: O Notice of Motion Relief Requested: Return Date: Notice of Petition Relief Requested: Return Date: Order to Show Cause Relief Requested: 3ÂM W. &( fß -f n Date: Q Other ExParte Application Relief Requested: Partition Settlement Conference O Poor PersonApplication Q Requestfor Preliminary Conference O ResidentialMortgage ForeclosureSettlement Conference O writof HabeasCorpus 1 of 2 FILED: QUEENS COUNTY CLERK 04/29/2024 10:09 AM INDEX NO. 709027/2024 NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 04/29/2024 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). CaseTitle Index/Case Number Court Judge(if assigned) Relationship to instant case "Un-Rep" PARTIES For parties wÏthout an attorney, check the 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 sameorder as listed in the For represented parties, provide attorney's name, firm name, address, phone and For each defendant, For each defendant, caption and indicate roles (e.g., plaintiff, email. For unrepresented parties, provide party's address, phone and email. indicate if issue has indicate insurance defendant, 3'd party plaintiff, etc.) been joined. carrier, if applicable. ol (s) O YES G1 NO ol (s): 3 OYeS 7NO Name: Role(s): O YES O NO Role(s): OYeS O NO Role(s): O YES O NO o (s): O YES O NO Name: Role(s): OYES Q NO Name: 0 Role(s): OYeS O NO Name: Role(s): O YES Q NO Name: 0 Role(s): OYeS O NO Name: 0 Role(s): OYeS O NO Name: 0 Role(s): OYES O NO Name: 0 Role(s): Q YES Q NO Name: 0 Role(s): O YES Q NO Name: Role(s): Q YES Q NO I Al FIRM 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: Signature Attorney Registration Number Print Name 2 of 2