Preview
FILED: KINGS COUNTY CLERK 09/03/2020 11:34 AM INDEX NO. 516538/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/03/2020
58,4,°
REQUEST FOR JUDICIAL INTERVENTION ,)
Kings G â;-.6COURT, COUNTY OF Kings
Index No: Date Index Issued: For Court Use Only:
CAP iter
ti) sheet. IAS EntryDate
In theMatter of the Petitionof STILLWELL READY MIX & BU!LD!NG MATERIALS LLC to Continue a Mechanic's Lien
against
Judge Assigned
-against- Plaintiff(s)/Petitioner(s)
GEORGE DUNCAN AND SHERYL KELSEY as Owner(s)
RJIFiled Date
Defandent(3)/Respondent'c)
where indicated.
andjpecify
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
O Contract MATR1MONDALRJRAddendum (UCS-84OM).
O Insurance(where insurance company is a party, except arbitration) . . .
For UncontestedMat;;momal actions, use the Unwniesied Divorce RJ1(UD-13).
O UCC(includes sales and negotiable instmmer.ts)
O Other Commercial(specify):
| TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCRALDEV151ON
RJRADDENDUM (UCS-84OC). O Asbestos
O Child Victims Act
REAL PROPERTY: Specify how many properties the application includes:
O Condemnation O Medical,Dental, or Podiatric Malpractice
O O Rea¡uentiai
Mortgage Foreclosure(specify): O Commercial O 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 FORECLOSURERJRADDENDUM (UCS-84OF). Other Tort (specify):
O
O Tax Certiorari - Section: Block: Lot:
O Tax Foreclosure | SPECIAL PROCEEDINGS
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] O Extreme Risk ProtectionOrder
O Emergency MedicalTreatment O MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-initial)
O LocalCourt Appeal O MHLArticle 10 (Sex Offender Confinement-Review)
O Mechanic'sLien O MHLArticle 81 (Guardianship)
O NameChange O Other Mental Hygiene (specify):
O Pistol Permit Revocation Hearing Other Special Proceeding(specify):
Mechanic'sLien
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 If yes, date filed:
Hasa summons and complaint or summonswith notice been served? O If yes, date served:
Is this action/proceeding being filed pe&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
Notice of Motion Relief Requested: Return Date:
O
Notice of Petition Relief Requested: Return Date:
O
Order to ShowCause Relief Requested: Return Date:
O
Other Ex ParteApplication Extend - Order
Relief Requested:
O PoorPersonApplication
O Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSeM!ementConference
O Writ of HabeasCorpus
O Other (specify):
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FILED: KINGS COUNTY CLERK 09/03/2020 11:34 AM INDEX NO. 516538/2020
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 09/03/2020
RELATED CASES: List any related actions. For Matrimonial cases, list any related criminal 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 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).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance
Un-
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; 3rd party plaintiff, etc.)email. been joined. carrier, if applicable.
Name: In the Matter of the Petition
☐ of STILLWELL READY MIX &
JARED ROSEN, ROSEN LAW LLC, 216 LAKEVILLE ROAD ,
GREAT NECK, NY 11020, 5164373400,
BUILDIN... jared@rosenlawllc.com ☐ YES ☒ NO
Role(s): Plaintiff/Petitioner
Name: GEORGE DUNCAN AND
☒ SHERYL KELSEY as Owner(s)
476 EAST 18TH STREET, BROOKLYN, NY 11226
☐ YES ☒ NO
Role(s): Defendant/Respondent
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.
Dated: 09/03/2020 JARED MICHAEL ROSEN
Signature
5150701 JARED MICHAEL ROSEN
Attorney Registration Number Print Name
This form was generated by NYSCEF
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