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FILED: NEW YORK COUNTY CLERK 12/04/2019 04:24 PM INDEX NO. 157010/2019
NYSCEF DOC. NO. 13 RECEIVED NYSCEF: 12/04/2019
REQUEST FOR JUDICIAL INTERVENTION 58,4g°g1,)
New York Supreme COURT, COUNTY OF New York
Index No: 157010/2019 Date Index Issued: 07/18/2019 For Court Use Only:
IAS EntryDate
DINA STEIN, Al-AN STEIN
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
DAVID GOLDBERG
RJIFiled Date
Defandr‡,2capùndent(s)
COMMERCIAL MATRIMONIAL
O Contested
O BusinessEntity (includes corporations, partnerships, LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
Contract MATRIMONIAL RJIAddendum (UCS-84OM).
O Insurance(where insurance company is a party, except arbitration)
For UncontestedMatn'monialactions, use the UncontestedDivorce RJi(UD-13).
O UCC(includes sales and negotiable instruments)
O Other Commercial(specify):
TORTS
NOTE: For CommercialDivision assigan;ent requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDIVISION RJIADDENDUM (UCS-840C). Asbestos
O Child Victims Act
REAL FRGFERTY: Specify how many properties the application includes: Environmental (specify):
O Condemnation Medical,Dental, or Podiatric Malpractice
O 24--Eai
Mortgage Foreclosure(specify):
O Commercial Motor Vehicle
Property Address: O Products Liability (specify):
O Other Negligence(specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner-
occupied residential property or owner-occupiedcondominium, complete and
O Other ProfessionalMalpractice (specify):
attach the FORECLOSURERJIADDENDUM (UCS-840F). Other Tort (specify):
O
Tax Certiorari - Section: Block: Lot:
Tax Foreclosure SPECIAL PROCEEDINGS
O
Other Real Property (specify): O CPLRArticle 75 (Arbitration)
[see NOTE in COMMERCIALsection]
O
O CPLRArticle 78 (Body or Officer)
OTHER MATTERS
O Election Law
O Certificate of Incorporatior./D|:::|‡|:n
[see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder
O Emergency MedicalTreatment O MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Conf!nert-!nitial)
O LocalCourt Appeal MHLArticle 10 (Sex Offender Confinement-Review)
O Mechanic'sLien MHLArticle 81 (Guardianship)
O NameChange O Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated.
YES NO
Hasa summons and complaint or summonswith notice been filed? O 07/17/2019
If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O 07/29/2019
If yes, date served:
Is this action/pist.eeaing being filed post-judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional information where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder Application
O Note of Issue/Certificateof Readiness
O Date Issuejoined:
Notice of Medical, Dental, or Podiatric Malpractice
SUMMARY|UDGMENT(AR'ER
Relief Requested: |OINDER Return Date:12/20/2019
Notice of Motion
Notice of Petition Relief Requested: Return Date:
O
Order to ShowCause Relief Requested: Return Date:
O
Other Ex ParteApplication Relief Requested:
O PoorPersonApplication
O Requestfor Preliminary Conference
Res!dent!=!Mortgage ForeclosureSettlement Confarence
O Writ of HabeasCorpus
O Other (specify):
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FILED: NEW YORK COUNTY CLERK 12/04/2019 04:24 PM INDEX NO. 157010/2019
RELATED CASES: actions.
List any related For Matrimonial
cases, list any
relatedcriminalor Family
Court cases.If none,
leaveblank.If additional
space
NYSCEF DOC. NO. 13is required,
complete and attachtheRJI Addendum (UCS-840A). RECEIVED NYSCEF: 12/04/2019
Case Title Index/Case Number Court Judge (ifassigned) Relationship to instantcase
For parties
withoutan attorney,
check the "Un-Rep"box and entertheparty's phone number and email in the
space
PARTIES: address,
provided.If additional
spaceis required,
complete and attach
the RJI Addendum (UCS-840A).
Un- Parties Attorneys and/or 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
For each defendant,
For each defendant,
caption and indicate roles (e.g., plaintiff,
and email. For unrepresented parties, provide party's address, phone and
indicate if issue has
indicate insurance
defendant; 3rdparty plaintiff, etC.) email. beenjoined. carrier, if applicable.
Name: STEIN,DINA JONATHANRATCHIK,KRAMER,DUNLEAVY & RATCHIK,PLLC,61 Broadway
Suite 2220, New York, NY 10006, 212-226-6662,JRR@kramerdunleavy.com
2 YES 0 NO
Role(s):Plaintiff/Petitioner
Name: STEIN,ALAN JONATHANRATCHIK,KRAMER,DUNLEAVY & RATCHIK,PLLC,61 Broadway
Suite 2220, New York, NY 10006, 212-226-6662,JRR@kramerdunleavy.com
O YES O NO
Role(s):Plaintiff/Petitioner
Name: GOLDBERG,DAVID GEORGEPARPAS,Wade Clark Mulcahy, 180 MaidenLane - Suite 901 , New AIG
York, NY 10038, (212) 267-1900, gparpas@wcmlaw.com O YES O NO
Role(s):Defendant/Respondent
Name:
0 YES 0 NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
0 YES 0 NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
0 YES 0 NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
0 YES 0 NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O 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 FORJUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS
ACTION OR PROCEEDING.
Dated: 12/04/2019 JONATHAN R RATCHIK
Signature
2856607 JONATHAN R RATCHIK
Attorney Registration Number PrintName
This form was generated by NYSCEF
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