On July 07, 2015 a
Request for Judicial Intervention
was filed
involving a dispute between
Maya Assurance Company,
and
Nieema Williams,
for Tort
in the District Court of Queens County.
Preview
INDEX NO. 707043/2015
NYSCEF DOC. NO. 7 RECEIVED NYSCEF 07/09/2015
REQUEST FOR JUDICIAL INTERVENTION 4
Ucs-840 (7/2012) TAS Ent
Supreme COURT, COUNTY OF. Queens
Index No: 707043/2015 Date Index Issued: 07/07/2015
a — es ——s — Ry
ach a tion F
in the Matter of the Application of
IMAYA ASSURANCE COMPANY
Plaintiff(s)/Petitioner(s)
“against-
INIEEMA WILLIAMS
Defendant(s)
= =
MATRIMONIAL COMMERCIAL
Contested © Business Entity (including corporations, partnerships, LLCs, etc.)
NOTE: For all Matrimonial actions where the parties have children under O contract
the age of 18, complete and attach the MATRIMONIAL RJI Addendum. ‘© insurance (where insurer is a party, except arbitration)
For Uncontested Matrimonial actions, use RJI form UD-13. O UCC (including sales, negotiable instruments)
TORTS © Other Commercial:
| © Asbestos (specify)
© Breast Impiant NOTE: For Commercial Division assignment requests [22 NYCRR §
© Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJI Addendum.
(specify) REAL PROPERTY: _ How many properties
does the application include?
© Medical, Dental, or Podiatric Malpractice © Condemnation
© Motor Vehicle O Mortgage Foreclosure (specity): O Residential O commercial
© Products Liability: Property Address:
(specify Street Address. city Stato Zip
© other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family,
(specify) owner-occupied, residential property, or an owner-occupied
© Otter Professional Malpractice: condominium, complete and attach the FORECLOSURE Rul Addendum.
(specify) O Tax Certiorari - Section: Block: Lot:
O other Tort: Q Tax Foreclosure
(eat O other Real Property:
=
OTHER MATTERS (specify)
| © Certificate of incorporation/Dissolution [see NOTE under Commercial] SPECIAL PROCEEDINGS
Q©Emergency Medical Treatment O CPLR Article 75 (Arbitration) [see NOTE under Commercial]
O Habeas Corpus OCPLR Article 78 (Body or Officer)
© Local Court Appeal © Election Law
O Mechanic's Lien © MHL Articte 9.60 (Kendra’s Law)
OvName Change © ML Article 10 (Sex Offender Confinement-Initial)
© Pistol Permit Revocation Hearing © MHL Article 10 (Sex Offender Confinement-Review)
O Sale or Finance of Religious/Not-for-Profit Property © MHL Article 81 (Guardianship)
O other: O other Mental Hygiene:
(Gpecity) (specify)
© Other Special Proceeding:
LYES
| NO |
Has a summons and complaint or summons w/notice been filed? °o 8 if yes, date filed
Has a summons and complaint or summons w/notice been served? °° If yes, date served:
Is this action/proceeding being filed post-judgment? oOo © If yes, judgment date:
ck O ae Ph nas
RE JUD! nly AND enter addit mation indicated
Infant's Compromise
© Note of issue and/or Certificate of Readiness
O Noticeof Medical, Dental, or Podiatric Malpractice Date Issue Joined:
© Noticeof Motion Relief Sought: Ret
© Noticeof Petition Relief Sought: S%*Y Return Date: 08/04/2015
Oorder
to Show Cause Relief Sought: Retum Date:
O otter Ex Parte Application Relief Sought:
© Poor Person Application
© Request for Preliminary Conference
O Residential Mortgage Foreclosure Settlement Conference
© writ of Habeas Corpus
O Other (specify):
Case Index/Case No. Court Judge (if assigned) [Relationship
to instant Case
Attorneys and/or Unrepresented Litigant
Un- [List order and Provide attomey name, firm name, business address, phone number and e-mail Joined Insurance
Rep |indicate party role(s) (e.g. defendant; address of ail attorneys that have appeared in the case. For unrepresented Carrier(s):
litigants, provide address, phone number and e-mail address.
loll Richard
Last Name Last Name First Namo
[The Noll Law Firm, P.C.
Oves
IMAYA ASSURANCE COMPANY
Firm Name
Primary Role:
16 Jackson Avenue Syosset
Petitioner ‘Addross City
Secondary
Role (if any): no
+1 (516) 307-1199 +1 (516) 741-9155 moll@lawnoll.com
WILLIAMS
Last Namo Last Name First Namo
ves
INIEEMA Law Offices
of Bryan Barenbaum
First Namo Firm Name
Primary Role:
1060 Eastern Parkway Brooklyn New York. 11207
Respondent ress City
Secondary Role (if any): No
fe1 (718) 421-1111
Fax
Last Name Last Name First Name
Oves
First Name Firm Name
Primary Role:
Street Address, City Zip
‘Secondary
Role (if any): (Ono
Phone Fax e-mail
Last Name Last Name First Name
Oves
O First Namo
Primary Role:
Firm Namo
Street Address. State 2p
Secondary
Role (if any): Ono
Phone Fax e-mail
| AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED IE, THE! AND HAVE
BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR we INTERVENTION PREVIOl BEEN FILED IN
THIS ACTION OR PROCEEDING.
Dated: 07/08/2015 fl SIGNATURE©
2579498 LZ Richard E. Noll
ATTORNEY REGISTRATION NUMBER 7 PRINT OR TYPE NAME
(eee
Document Filed Date
July 09, 2015
Case Filing Date
July 07, 2015
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INDEX NO. 707043/2015 NYSCEF DOC. NO. 7 RECEIVED NYSCEF 07/09/2015 REQUEST FOR JUDICIAL INTERVENTION 4 Ucs-840 (7/2012) TAS Ent Supreme COURT, COUNTY OF. Queens Index No: 707043/2015 Date Index Issued: 07/07/2015 a — es ——s — Ry ach a tion F in the Matter of the Application of IMAYA ASSURANCE COMPANY Plaintiff(s)/Petitioner(s) “against- INIEEMA WILLIAMS Defendant(s) = = MATRIMONIAL COMMERCIAL Contested © Business Entity (including corporations, partnerships, LLCs, etc.) NOTE: For all Matrimonial actions where the parties have children under O contract the age of 18, complete and attach the MATRIMONIAL RJI Addendum. ‘© insurance (where insurer is a party, except arbitration) For Uncontested Matrimonial actions, use RJI form UD-13. O UCC (including sales, negotiable instruments) TORTS © Other Commercial: | © Asbestos (specify) © Breast Impiant NOTE: For Commercial Division assignment requests [22 NYCRR § © Environmental: 202.70(d)], complete and attach the COMMERCIAL DIV RJI Addendum. (specify) REAL PROPERTY: _ How many properties does the application include? © Medical, Dental, or Podiatric Malpractice © Condemnation © Motor Vehicle O Mortgage Foreclosure (specity): O Residential O commercial © Products Liability: Property Address: (specify Street Address. city Stato Zip © other Negligence: NOTE: For Mortgage Foreclosure actions involving a one- to four-family, (specify) owner-occupied, residential property, or an owner-occupied © Otter Professional Malpractice: condominium, complete and attach the FORECLOSURE Rul Addendum. (specify) O Tax Certiorari - Section: Block: Lot: O other Tort: Q Tax Foreclosure (eat O other Real Property: = OTHER MATTERS (specify) | © Certificate of incorporation/Dissolution [see NOTE under Commercial] SPECIAL PROCEEDINGS Q©Emergency Medical Treatment O CPLR Article 75 (Arbitration) [see NOTE under Commercial] O Habeas Corpus OCPLR Article 78 (Body or Officer) © Local Court Appeal © Election Law O Mechanic's Lien © MHL Articte 9.60 (Kendra’s Law) OvName Change © ML Article 10 (Sex Offender Confinement-Initial) © Pistol Permit Revocation Hearing © MHL Article 10 (Sex Offender Confinement-Review) O Sale or Finance of Religious/Not-for-Profit Property © MHL Article 81 (Guardianship) O other: O other Mental Hygiene: (Gpecity) (specify) © Other Special Proceeding: LYES | NO | Has a summons and complaint or summons w/notice been filed? °o 8 if yes, date filed Has a summons and complaint or summons w/notice been served? °° If yes, date served: Is this action/proceeding being filed post-judgment? oOo © If yes, judgment date: ck O ae Ph nas RE JUD! nly AND enter addit mation indicated Infant's Compromise © Note of issue and/or Certificate of Readiness O Noticeof Medical, Dental, or Podiatric Malpractice Date Issue Joined: © Noticeof Motion Relief Sought: Ret © Noticeof Petition Relief Sought: S%*Y Return Date: 08/04/2015 Oorder to Show Cause Relief Sought: Retum Date: O otter Ex Parte Application Relief Sought: © Poor Person Application © Request for Preliminary Conference O Residential Mortgage Foreclosure Settlement Conference © writ of Habeas Corpus O Other (specify): Case Index/Case No. Court Judge (if assigned) [Relationship to instant Case Attorneys and/or Unrepresented Litigant Un- [List order and Provide attomey name, firm name, business address, phone number and e-mail Joined Insurance Rep |indicate party role(s) (e.g. defendant; address of ail attorneys that have appeared in the case. For unrepresented Carrier(s): litigants, provide address, phone number and e-mail address. loll Richard Last Name Last Name First Namo [The Noll Law Firm, P.C. Oves IMAYA ASSURANCE COMPANY Firm Name Primary Role: 16 Jackson Avenue Syosset Petitioner ‘Addross City Secondary Role (if any): no +1 (516) 307-1199 +1 (516) 741-9155 moll@lawnoll.com WILLIAMS Last Namo Last Name First Namo ves INIEEMA Law Offices of Bryan Barenbaum First Namo Firm Name Primary Role: 1060 Eastern Parkway Brooklyn New York. 11207 Respondent ress City Secondary Role (if any): No fe1 (718) 421-1111 Fax Last Name Last Name First Name Oves First Name Firm Name Primary Role: Street Address, City Zip ‘Secondary Role (if any): (Ono Phone Fax e-mail Last Name Last Name First Name Oves O First Namo Primary Role: Firm Namo Street Address. State 2p Secondary Role (if any): Ono Phone Fax e-mail | AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED IE, THE! AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR we INTERVENTION PREVIOl BEEN FILED IN THIS ACTION OR PROCEEDING. Dated: 07/08/2015 fl SIGNATURE© 2579498 LZ Richard E. Noll ATTORNEY REGISTRATION NUMBER 7 PRINT OR TYPE NAME (eee