On June 14, 2024 a
Request for Judicial Intervention
was filed
involving a dispute between
Lisa Lamorte Chereskin
A.K.A Lisa Lamorte,
and
For Leave To Assume The Name,
for Other Matters - Name Change/Sex Designation Change
in the District Court of Suffolk County.
Preview
FILED: SUFFOLK COUNTY CLERK 06/14/2024 01:06 PM INDEX NO. 614688/2024
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 06/14/2024
REQUESTFORJUDICIAL INTERVENTION uCs 0
COURT, COUNTYOFSUFFOLK
SUPREME
index No.: Date Index Issued: b / / Y For Court Use Only:
CAPTION4Enter the complete case captiort Do not use et al or et an4 If more space is needed, attach a caption rider sheet. IAS Entry Date
In the Matter of the Application of
LISA LAMORTECHERESKIN udge Assigned
a.k.a. Lisa Lamorte
For Leave to Assumethe Name
LISA LAMORTE RJI Filed Date
Petitioner
NATUREOFACTIONORPROCEEDING Check only one box and : pecify where indicated
COMMERCIAL MATRIMONIAL
O Business Entity (including corporations, partnerships, LLCs, etc.) OContested
O Contract NOTE: If there are children under the age of 18, complete and attach the
O Insurance (where insurer is a party, except arbitration) MATRIMONIAL
RJI Addendum(UCS-840M)
For Uncontested Matrimonial actions, use Uncontested Divorce RJI (UD-13)
O UCC(including sales, negotiable instruments)
OOther Commercial (specify): REALPROPERTYSpecify howmany properties the application
includes:
NOTE: For Commercial Division assignment requests 22 NYCRR
§ 202.70(d),
complete and attach the COMMERCIAL DIV RJi Addendum(UCS-840C). O Condemnation
. Li Mortgage Foreclosure (specify): O Residential O Commercial
OAdult Survivors Act Property Address:
NOTE: For Foreclosure actions involving a one-to four-family, owner-
OAsbestos occupied, residential property, or an owner-occupied condominium, complete
O Environmental (specify): and attach the FORECLOSURE RJi Addendum(UCS-840F).
O Medical, Dental, or Podiatric Malpractice O Tax Certiorari
O Motor Vehicle OTax Foreclosure
O Products Liability (specify): OOther Real Property (specify):
O Other Negligence (specify): OTHERMATTERS
OOther Professional Malpractice (specify): OCertificate of Incorporation/Dissolution [see NOTEunder Commercial]
OOther Tort (specify): O Emergency Medical Treatment
SPECIALüOCEEDINGS O Habeas Corpus
OChild-Parent Security Act (specify): OAssisted Reproduction O Local Court Appeal
OSurrogacy Agreement O Mechanic's Lien
OCPLRArticle 75 - Arbitration [see NOTEunder Commercial] 121 NameChange [No fee - N.Y.Ct.Rules, § 202.6(b)]
O CPLRArticle 78 - Proceeding against a Body or Officer O Pistol Permit Revocation Hearing
O Election Law O Sale or Finance of Religious/Not-for-Profit Property
OExtreme Risk Protection Order OOther (specify):
O MHLArticle 9.60 - Kendra's Law
O MHLArticle 10 - Sex Offender Confinement (specify): O Initial
O Review
O MHLArticle 81 (Guardianship)
OOther Mental Hygiene (specify):
OOther Special Proceeding (specify):
STATUSOFACTIONORPROCEEDING Answer YESor NOfor every question and enter additional information where indicated
ˆS 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? O O If yes, date served: / /
is this action/proceeding being filed post-judgment? O O If yes, judgment date: / /
1 of 2
FILED: SUFFOLK COUNTY CLERK 06/14/2024 01:06 PM INDEX NO. 614688/2024
NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 06/14/2024
NATUREOFJUDICIAL INTERVENTION Check one box only and enter additional information where indicated.
O Infants Compromise
O Extreme Risk Protection Order Application
O Note of Issue and/or Certificate of Readiness
O Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined: / /
O Notice of Motion Relief Sought: RetumDate: / /
O Notice of Petition Relief Sought: RetumDate: / /
O Order to ShowCause Relief Sought: RetumDate: / /
O Other Ex Parte Application Relief Sought:
O Poor Person Application
O Request for Preliminary Conference
O Residential Mortgage Foreclosure Settlement Conference
O Writ of HabeasCorpus
O Other (specify):
RELATEDCASES: List any related actions. For Matrimonial actions, include any related criminaland/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 No. Court Judge (if assigned) Relationship to Instant Case
PARTIES: -Rep"
For parties without an attomey, check "Ur box and enter party address, phone numberand e-mail in the space provided.
If additional space is required, complete t nd attach the RJI Addendum(UCS-840A).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance Carriers
List parties in sameorder as listed in the For represented parties, provide attomey's name, firm name, For each defendant, For each defendant,
Un-Rep caption and Indicate roles (e.g. plaintiff, indicate if issue has indicate insurance
address, phone and e-mail . For unrepresented parties, provide
defendant; 3"S-party plaintiff, etc.). party's address, phone and e-mail been joined carrier, if applicable
Name: 54 OakAvenue
LIsa Lamorte Chereskin Huntington Station, NY 11746
Phone: 631 424-4037 O YES O NO N/A
Rofe(s):
Email: litrainer@aol.com
Petitioner
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
Name:
Role(s): O YES O NO
I AFFIRM UNDERTHEPENALTYOFPERJURYTHAT, UPONINFORMATIONANDBELIEF, THEREARENOOTHER
RELATEDACTIONSORPROCEEDINGS,EXCEPTAS NOTEDABOVE, NORHASA REQU ST FORJUDICIAL
BEENFILED IN THIS CTION R PRO DING.
INTERVENTIONBEENPREVIOUSLY
Dated:
SA LAMÖRf CHERESKIN
A4 A
n/a - unrepresented
ATTORNEY REGISTRATIONNUMBER
2 of 2
Category
Other Matters - Name Change/Sex Designation Change
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