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FILED: KINGS COUNTY CLERK 11/19/2018 05:13 PM INDEX NO. 519850/2018
NYSCEF DOC. NO. 3 RECEIVED NYSCEF: 11/19/2018
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
UCS-840 (7/2012)
IAS Entry Date
Kings Supreme COURT, COUNTY OF Kings
Judge Assigned
Index No: 519850/2018 Date Index Issued: 10/03/2018
Enter the complete case caption. Do not use et al or et ano. If more space is required, RJI Date
CAPTION: attach a caption rider sheet.
ALICIA M. CULTRARO
Plaintiff(s)/Petitioner(s)
-against-
THE CITY OF NEW YORK, THE NEW YORK CITY DEPARTMENT OF PARKS AND RECREATION, ANITA M. CAMPBELL
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated.
MATRIMONIAL COMMERCIAL
☐ Contested ☐ Business Entity (including corporations, partnerships, LLCs, etc.)
NOTE: For all Matrimonial actions where the parties have children under the ☐ Contract
age of 18, complete and attach the MATRIMONIAL RJI Addendum. For
Uncontested Matrimonial actions, use RJI form UD-13. ☐ Insurance (where insurer is a party, except arbitration)
☐ UCC (including sales, negotiable instruments)
TORTS
☐ Other Commercial:
☐ Asbestos
NOTE: For Commercial Division assignment requests [22 NYCRR § 202.70(D)],
complete and attach the COMMERCIAL DIV RJI Addendum.
☐ Breast Implant
REAL PROPERTY: How many properties does the application include?
☐ Environmental:
☐ Condemnation
☐ Medical, Dental, or Podiatric Malpractice
☐ Mortgage Foreclosure: ☐ Residential ☐ Commercial
☒ Motor Vehicle Property Address:
NOTE: For Mortgage Foreclosure actions involving a one- to four-family, owner-
☐ Products Liability:
occupied, residential property, or an owner-occupied condominium, complete and
attach the FORECLOSURE RJI Addendum.
☐ Other Negligence:
☐ Tax Certiorari - Section: Block: Lot:
☐ Other Professional Malpractice:
☐ Tax Foreclosure
☐ Other Tort:
☐ Other Real Property:
OTHER MATTERS SPECIAL PROCEEDINGS
☐ Certificate of Incorporation/Dissolution [see NOTE under Commercial] ☐ CPLR Article 75 (Arbitration) [see NOTE under Commercial]
☐ Emergency Medical Treatment ☐ CPLR Article 78 (Body or Officer)
☐ Habeas Corpus ☐ Election Law
☐ Local Court Appeal ☐ MHL Article 9.60 (Kendra's Law)
☐ Mechanic's Lien ☐ MHL Article 10 (Sex Offender Confinement-Initial)
☐ Name Change ☐ MHL Article 10 (Sex Offender Confinement-Review)
☐ Pistol Permit Revocation Hearing ☐ MHL Article 81 (Guardianship)
☐ Sale or Finance of Religious/Not-for-Profit Property ☐ Other Mental Hygiene:
☐ Other: ☐ Other Special Proceeding:
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 w/notice been filed? ☒ ☐ 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? ☐ ☒ If yes, judgment date:
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FILED: KINGS COUNTY CLERK 11/19/2018 05:13 PM INDEX NO. 519850/2018
NATURE
NYSCEF DOC.OF NO. JUDICIAL
3 INTERVENTION: RECEIVED NYSCEF: 11/19/2018
Check ONE box only AND enter additional information where indicated.
☐ Infant's Compromise
☐ Note of Issue and/or Certificate of Readiness
☐ Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined:
☒ Notice of Motion Relief Sought: Judgment - Default Return Date: 12/17/2018
☐ Notice of Petition Relief Sought: Return Date:
☐ Order to Show Cause Relief Sought: Return Date:
☐ Other Ex Parte Application Relief Sought:
☐ Poor Person Application
☐ Request for Preliminary Conference
☐ Residential Mortgage Foreclosure Settlement Conference
☐ Writ of Habeas Corpus
☐ Other:
RELATED CASES: List any related actions. For Matrimonial actions, include any related criminal and/or Famiy Court cases. If
additional space is required, complete and attach the RJI Addendum. If none, leave blank.
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
PARTIES: For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail
address in space provided. If additional space is required, complete and attach the RJI Addendum.
Parties: Attorneys and/or Unrepresented Litigants:
List parties in caption order and indicate Provide attorney name, firm name, business address, phone number and e- Issue
Un- Insurance Carrier(s):
party role(s) (e.g., defendant; 3rd-party mail address of all attorneys that have appeared in the case. For Joined
Rep plaintiff). unrepresented litigants, provide address, phone number and e-mail address. (Y/N):
Name: CULTRARO, ALICIA M. MATTHEW KAUGET, LAW OFFICES OF GARY P. KAUGET, 9201 4th Ave
Ste 700 , Brooklyn, NY 11209, Kaugetlaw@gmail.com
☐ Role(s): Plaintiff/Petitioner
NO
Name: THE CITY OF NEW YORK Zachary Carter Corporation Counsel, New York City Corporation Counsel, 100 Self
Church Street , New York, NY 10007-2601, 212-356-0800, ECF@law.nyc.gov
☐ Role(s): Defendant/Respondent
YES
Name: THE NEW YORK CITY Zachary Carter Corporation Counsel, New York City Corporation Counsel, 100 Self
DEPARTMENT OF PARKS AND Church Street , New York, NY 10007-2601, 212-356-0800, ECF@law.nyc.gov
RECREATION
☐ Role(s): Defendant/Respondent
YES
Name: CAMPBELL, ANITA M. 7403 Aquatic Drive, Queens, NY 11692
☒ Role(s): Defendant/Respondent
NO
Name:
☐ Role(s):
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE
ARE AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL
INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING.
Dated: 11/19/2018 MATTHEW B. KAUGET
SIGNATURE
4983672 MATTHEW B. KAUGET
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
This form was generated by NYSCEF
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