Preview
FILED: KINGS COUNTY CLERK 06/09/2020 10:37 AM INDEX NO. 526872/2019
NYSCEF DOC. NO. 14 REQUEST FOR JUDICIAL INTERVENTION RECEIVED NYSCEF:UCS-840
06/09/2020
(rev. 07/29/2019)
SUPREME
_______________ KINGS
COURT, COUNTY OF _______________
526872/19E
Index No: _______________ Date Index Issued: _______________ 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
ANNGEANNETTE PINKSTON
Plaintiff(s)/Petitioner(s) Judge Assigned
-against-
CHRISTOPHER VAZQUEZ a/k/a
C.A. VAZQUEZ, RJI Filed Date
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated.
COMMERICIAL 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
Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJI ADDENDUM (UCS-840M).
UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13).
Other Commercial (specify): _____________________________________________ TORTS
NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), Asbestos
complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). Child Victims Act
REAL PROPERTY Specify how many properties the application includes: _______ Environmental (specify): _______________________________________________
Condemnation Medical, Dental or Podiatric Malpractice
Mortgage Foreclosure (specify): Residential Commercial Motor Vehicle
Property Address: ____________________________________________________ Products Liability (specify): ____________________________________________
NOTE: For Mortgage Foreclosure actions involving a one to four-family, Other Negligence (specify): ____________________________________________
owner-occupied residential property or owner-occupied condominium, Other Professional Malpractice (specify): _________________________________
complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F). Other Tort (specify): __________________________________________________
Tax Certiorari SPECIAL PROCEEDINGS
Tax Foreclosure CPLR Article 75 (Arbitration) [see NOTE in COMMERCIAL section]
Other Real Property (specify): ___________________________________________ CPLR Article 78 (Body or Officer)
OTHER MATTERS Election Law
Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section] Extreme Risk Protective Order
Emergency Medical Treatment MHL Article 9.60 (Kendra’s Law)
Habeas Corpus MHL Article 10 (Sex Offender Confinement-Initial)
Local Court Appeal MHL Article 10 (Sex Offender Confinement-Review)
Mechanic’s Lien MHL Article 81 (Guardianship)
Name Change Other Mental Hygiene (specify): ________________________________________
Pistol Permit Revocation Hearing Other Special Proceeding (specify): ______________________________________
Sale or Finance of Religious/Not-for-Profit Property
Other (specify): ______________________________________________________
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 Protective Order Application
Note of Issue/Certificate of Readiness
Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined: ___________________
Notice of Motion Compel and Comply
Relief Requested: ______________________________ 07/29/2020
Return Date: ___________________
Notice of Petition Relief Requested: ______________________________ Return Date: ___________________
Order to Show Cause Relief Requested: ______________________________ Return Date: ___________________
Other Ex Parte Application Relief Requested: ______________________________
Poor Person Application
Request for Preliminary Conference
Residential Mortgage Foreclosure Settlement Conference
Writ of Habeas Corpus
Other (specify): ____________________________________________________________________________
1 of 2
FILED: KINGS COUNTY CLERK 06/09/2020 10:37 AM INDEX NO. 526872/2019
RELATED DOC.
NYSCEF CASES NO.
List14
any related actions. For Matrimonial cases, list any related criminal or Family Court cases.RECEIVED
If none, leaveNYSCEF:
blank. 06/09/2020
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 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, 3rd party plaintiff, etc.) been joined. carrier, if applicable.
Name: ANNGEANNETTE PINKSTON
CHELLI & BUSH, ESQS.,149 New Dorp Lane, Staten Island, New York 10306 YES NO
Role(s): Plaintiff
Name: CHRISTOPHER VAZQUEZ a/k/a C.A. VAZQUEZ,
Kelly, Rode & Kelly, LLP, 330 Old Country Road, Mineola, New York 11501 YES NO
Role(s): Defendant
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):
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.
06/08/2019
Dated: ___________________ _______________________________________________________
Signature
________________________________________________________ SHIKHA M. PURSNANI
_______________________________________________________
Attorney Registration Number Print Name
2 of 2
Preview
FILED: KINGS COUNTY CLERK 06/09/2020 10:37 AM INDEX NO. 526872/2019 NYSCEF DOC. NO. 14 REQUEST FOR JUDICIAL INTERVENTION RECEIVED NYSCEF:UCS-840 06/09/2020 (rev. 07/29/2019) SUPREME _______________ KINGS COURT, COUNTY OF _______________ 526872/19E Index No: _______________ Date Index Issued: _______________ 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 ANNGEANNETTE PINKSTON Plaintiff(s)/Petitioner(s) Judge Assigned -against- CHRISTOPHER VAZQUEZ a/k/a C.A. VAZQUEZ, RJI Filed Date Defendant(s)/Respondent(s) NATURE OF ACTION OR PROCEEDING Check only one box and specify where indicated. COMMERICIAL 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 Insurance (where insurance company is a party, except arbitration) MATRIMONIAL RJI ADDENDUM (UCS-840M). UCC (includes sales and negotiable instruments) For Uncontested Matrimonial actions, use the Uncontested Divorce RJI (UD-13). Other Commercial (specify): _____________________________________________ TORTS NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR 202.70(d), Asbestos complete and attach the COMMERCIAL DIVISION RJI ADDENDUM (UCS-840C). Child Victims Act REAL PROPERTY Specify how many properties the application includes: _______ Environmental (specify): _______________________________________________ Condemnation Medical, Dental or Podiatric Malpractice Mortgage Foreclosure (specify): Residential Commercial Motor Vehicle Property Address: ____________________________________________________ Products Liability (specify): ____________________________________________ NOTE: For Mortgage Foreclosure actions involving a one to four-family, Other Negligence (specify): ____________________________________________ owner-occupied residential property or owner-occupied condominium, Other Professional Malpractice (specify): _________________________________ complete and attach the FORECLOSURE RJI ADDENDUM (UCS-840F). Other Tort (specify): __________________________________________________ Tax Certiorari SPECIAL PROCEEDINGS Tax Foreclosure CPLR Article 75 (Arbitration) [see NOTE in COMMERCIAL section] Other Real Property (specify): ___________________________________________ CPLR Article 78 (Body or Officer) OTHER MATTERS Election Law Certificate of Incorporation/Dissolution [see NOTE in COMMERCIAL section] Extreme Risk Protective Order Emergency Medical Treatment MHL Article 9.60 (Kendra’s Law) Habeas Corpus MHL Article 10 (Sex Offender Confinement-Initial) Local Court Appeal MHL Article 10 (Sex Offender Confinement-Review) Mechanic’s Lien MHL Article 81 (Guardianship) Name Change Other Mental Hygiene (specify): ________________________________________ Pistol Permit Revocation Hearing Other Special Proceeding (specify): ______________________________________ Sale or Finance of Religious/Not-for-Profit Property Other (specify): ______________________________________________________ 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 Protective Order Application Note of Issue/Certificate of Readiness Notice of Medical, Dental or Podiatric Malpractice Date Issue Joined: ___________________ Notice of Motion Compel and Comply Relief Requested: ______________________________ 07/29/2020 Return Date: ___________________ Notice of Petition Relief Requested: ______________________________ Return Date: ___________________ Order to Show Cause Relief Requested: ______________________________ Return Date: ___________________ Other Ex Parte Application Relief Requested: ______________________________ Poor Person Application Request for Preliminary Conference Residential Mortgage Foreclosure Settlement Conference Writ of Habeas Corpus Other (specify): ____________________________________________________________________________ 1 of 2 FILED: KINGS COUNTY CLERK 06/09/2020 10:37 AM INDEX NO. 526872/2019 RELATED DOC. NYSCEF CASES NO. List14 any related actions. For Matrimonial cases, list any related criminal or Family Court cases.RECEIVED If none, leaveNYSCEF: blank. 06/09/2020 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 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, 3rd party plaintiff, etc.) been joined. carrier, if applicable. Name: ANNGEANNETTE PINKSTON CHELLI & BUSH, ESQS.,149 New Dorp Lane, Staten Island, New York 10306 YES NO Role(s): Plaintiff Name: CHRISTOPHER VAZQUEZ a/k/a C.A. VAZQUEZ, Kelly, Rode & Kelly, LLP, 330 Old Country Road, Mineola, New York 11501 YES NO Role(s): Defendant 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): 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. 06/08/2019 Dated: ___________________ _______________________________________________________ Signature ________________________________________________________ SHIKHA M. PURSNANI _______________________________________________________ Attorney Registration Number Print Name 2 of 2