On June 13, 2024 a
Request for Judicial Intervention
was filed
involving a dispute between
Emilia Rose Argueta
As Minor,
Osman Naun Bustamante Menocal
As Parent,
Sophia Elliana Argueta
As Minor,
Zuleyma Daniela Argueta
As Parent,
and
None,
for Other Matters - Name Change/Sex Designation Change
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 06/13/2024 11:16 AM INDEX NO. 614454/2024
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 06/13/2024
REQUEST
FORJUDICIAL INTERVENTION (rev. on
SUPREME. COURT, COUNTY
OF u O
Index No. Date Index Issued ¤ÊXI; r 4 MlE
thpÍet c tio%GD hoxÎ s .3|f e at acl c pt rffi U he IAS Entry Date
Plain f( Pe o udge Assigned
against-
RKhled Date
Defendant(s)/Respondent(s
COMIN/IERICIAl NIATRisiONIAL
Q Business Entity (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 |nsurance (where insurance company is a party, except arbitration) RJIADDENDUM
MATRIMONIAL (UCS-840M).
OUCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
O Commercial
Other (specify): REALPRŒPERTY Specify how many propertfes the application includes:
NOTE:For Commercial Division assignment requests pursuant to 22 NxCRR 202.70(d), OCondemnation
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C) OMortgage Foreclosure (specify): Q Residential QCommercial
ORTS Property Address:
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,
Q Environmental (specify): . complete and attach the FORECLOSURE RJI ADDENDUNI (UCS-840F).
O Medical, Dental or Podiatric Malpractice O Partition
OMotor yehicle NOTE:Complete and attach the PARTITIONRJI ADDENDUM
(UCS-840P).
O Products Liability (specify): OTax Certiorari (specify): Section: Block: Lot:
O Other Negligence (specify): OTax Foreclosure
O Other Professional Malpractice (specify): O Other Real Property (specify):
O Other Tort (specify) OTHERMATTERS .... .
SPECIALPROCEElilNGS Q Certificate of Incorporation/Dissolution [see NOTEin COMMERCIAL
section]
Q Child-Parent Secunty Act (spectfy). QAssisted Reproduction QSurrogacy Agreement Q Emergency Medical Treatment
QCPLR 75 Article -Arbitration [see NOTEin COMMERCIAL
section] O Habeas Corpus
OCPLR 78 - Article Proceeding against a Body or Officer Q Local Court Appeal
Q Law
Election Q Mechanic's Lien
OExtreme Risk Protection Order NameChange/SexDesignation Change
QMHL 9.60- Article Kendra's Law O Pistol Permit Revocation Hearing
OMHL 10- Article Sex Offender Confinement (specify): Olnitial OReview O Sale or Finance of Religious/Not-for-Profit Property
OMHL 81 Article (Guardianship) O Other (specify):
O Mental
Other Hygiene (specify):
O Other Special Proceeding (specify):
57 OÌ CTlÖ OlfPRUC.EÈÒlN )AntwÈ È` r OdoUè r i stiór tand eIterVdbli)rdl info&natióÜ Where indicated
YES s NO
Has a summonsand complaint or summonswith notice been filed? O O If yes, date filed
Has a summonsand complaint or summonswith notice been served? Q If yes, date served:
Is th 5 action/proceeding being filed post-Judgment? If yes, judgment dme
Ñ TiJ)E ÖÚUDIClÃEINTERï/ENTION hÒbk eneyEx ni rid enter c d tio 51 nf6 rnation wher indicated. 2
O Compromise
nfant's
Q Extreme Risk Protection Order Application
Q Note of Issue/Certificate of Readiness
O Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined:
Q Motion
Notice of . Relief Requested: Return Date:
O Notice of Petition Relief Requested: Return Date:
Q Order Show
. to Cause Relief Requested: Return Date:
Q Other Ex Parte Application Relief Requested:
O Partition Settlement Conference
O Poor Person Application
O Request for Preliminary onference
O Mortgage
Residential Foreclosure Settlement Confererice
O Habeas
writ of Corpus
O Other (specify):
1 of 2
FILED: SUFFOLK COUNTY CLERK 06/13/2024 11:16 AM INDEX NO. 614454/2024
NYSCEF DOC.
REEATED NO.List2sny
CASES related act ons For Matrimonial c ases,Mt any re ted criminato
RECEIVED NYSCEF: 06/13/2024
if none, feave bla
Eamily Cdúrt-cases.
f adclitiánal space s requiredacornplete at d at.tach the RJLADDˆNDÙM (JCS 840A)
APHanpne
Case Title . Index/Case Number - Court Judge (if assigned) Relationship to instant case
sm; ¾ Rcee ueh tWMz 9549 Coe
P-l ya«or Ana+on
tywéHianaAnue¾ P4B18-21 MCourt jori p-Manph owoWMt
PAR ÏES Po parties
Without a attorney, check the .Un Rep! box arid enter the p rty.'s abdWë s phorie nt H er and emai in thp.sgiác rö9idBS
. fidditional)pace is r c uire cor lete ahd atta h t e RJI ADDENDlJM ( JCSé0A) . . .
Un Parties Attorneys and Unrepresented Litigants Issue Joined Insurance Carriers
Rep ist part es in same order as listed in th For represented partie , provide attorney's name, firm name, address, phone and For each defendant For each defendant
caption and indicate roles (e.g., plaintifk email For unrepresen ed parties, provide party's address, phone ánd emaH. indicate if issue has indicate insurance
3"
defendant, party plaintiff, been joined. carrier, if applicable.
etc)
Name Y).S
ONO
Role(s): {.
zAmela.bus maoRhmco.com OYES
Name VT\ ( ckff$S V ,
Role(s): OYES ONŒ
Pf JStamGJtC., fBOCQ\ OSMCMnCwn.lClQO ofncú\.CÞN
Name:
Role(s): OYES ONO
Name:,
Role(s): OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): . OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): OYES ONO
Name:
Role(s): . OYES ONO
Name:
Role(s): OYES ONO
I Al FIRM UNDERTHE PENALTYOF PER.URYTHAT, UPONINFORMATION ANDBELIEF, THEREARE NOOTHERRELATEDACTIONSORPROCEEDINGS,
EXCEPTAS NOTEDABOVE, NORH/.5 A REQUESTFORJUDICIALINTERVENTIONBEENPREVIOUSLYFILED I THIS ACT N ORPROCEEDING.
Dated: .
RM
. Signa re
Number
Pu) Ay and
ma it»me ls
Attorney Registration Na Pr
osman Noun MS M&Wkhf00
2 of 2
Document Filed Date
June 13, 2024
Case Filing Date
June 13, 2024
Category
Other Matters - Name Change/Sex Designation Change
For full print and download access, please subscribe at https://www.trellis.law/.