Preview
FILED: ORANGE COUNTY CLERK 10/07/2019 12:35 PM INDEX
INDEX NO.
NO. EF007600-2018
EF007600-2018
NYSCEF
NYSCEF DOC.
DOC. NO.
NO. 15
15 RECEIVED
RECEIVED NYSCEF:
NYSCEF: 10/07/2019
10/07/2019
"'SS4°
REQUEST FORJUDICIAL INTERVENTION (rev. 07/29/2019)
* Orange Supreme COURT, COUNTY OF Orange
Index No: EF007600-2018 Date Index Issued: 07/23/2018 For Court Use Only:
CAPTION Enter thecompletecase caption.Do not use et al or et ano.
If morespace attach
is needed, a captionridersheet. IAS EntryDate
GEICO A/S/O SAREEN OKENNEDY
JUdge Assigned
Plaintiff(s)/Petitioner(s)
-against-
GET SOUL, EM!L RODRIGUEZ
..
RJl Filed Date
DefendantÃ::;r.:pender.ta)
NATURE OF ACTION OR PROCEEDiNG: Check only one box and specify where indicated.
COMMERCIAL MATRIMONIAL
O Contested
BusinessEntity (includes corperst!ene. partnerships, LLCs,LLPs,etc.)
NOTE: if there are children under the age of18, complete and attach the
Contract MATRIMONIAL RJIAddendum (UCS-840M).
O Insurance(where insurance company is a party, except crbitat!cn}
For Uncontested*"âMn!:! actions, use the UncontestedDivorce R)i (UD-13).
UCC(includes sales and negotiable instruments)
O Other Commercial (specify):
TORTS
NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDIVISION R)1annFamnM
(UCS-840C). Asbestos
ChildVictims Act
REAL PROPERTY: Specify how many properties the application includes: drcr.mental (specify):
O Condemnation Medical, Dental or Podiatric Malpractice
O P.ecident!a!
Martgage Forectosure(specify):
O O Commercial Motor Vehicle
Property Address: O Products Liability (specify):
NOTE: ForMortgage Foreclosureactions involving a one to four femuy, owner-
occupied residential property or úniser-Gccupiedcan
complete and O Other ProfessionalMalpractice (specify):
attach the FORECLOSURER)I ADDENDUM (UCS-840F). Other Tort (specify):
O Tax Certiorarl -Section: Block: Lot:
Tax Foreclosure SPECIAL i ¯nGCEEi}iNGS
Other Real Property (specify): CPLRArticle 75 (^.rb!tiction)
[see NOTE in COMMERCIALsection]
O
O CPLRArticle 78 (Body or Officer)
OTHER MATTERS
O Election Law
O Certificate of Incorporatiori/Dissolution
[see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder
O Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law)
HabeasCorpus MHLArticle 10 (Sex Offender Confine=ni-Initial)
Local Court Appeal MHLArticle 10 (Sex Offender Confinement-Review)
O Mechanic'sLien MHLArticle 81 (Guardianship)
O Name Change 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 PROCEED!NG: AnswerYESor NOfor every auestion and enter additional !nferm±±?enwhere indicated.
YES NO
Hasa summonsand complaint or summonswith notice been filed? O If yes, date filed:
07/23/2018
Hasa summonsand complaint or summonswith notice been served? O 09/10/2018
If yes, date served:
Is this actien/preceeding being filed post-judgment? If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional !n-fermet!±nwhere indicated.
O Infant's Compror.!‡e
O Extreme Risk Protection Order Application
Note of Issue/Certificateof Readiness
O Date Issuejoined:
Notice of Medical, Dental, or Padiatric Malpractice
ludament - Default
Relief Req"ected: Return Date:
Notice of Motion
Relief Requested: Return Date:
Notice of Petition
O Order to ShowCause Relief Requested Return Date:
Other Ex ParteApplication Relief Requested
O
PoorPersonApplication
O Requestfor Preliminary Conference
O ResidentialMortgage ForeclosureSettlement Conference
Writ of HabeasCorpus
O Other (specify):
11 of
of 2
2
FILED: ORANGE COUNTY CLERK 10/07/2019 12:35 PM INDEX
INDEX NO.
NO. EF007600-2018
EF007600-2018
T actions.
st any related For Matrimonial
cases, list any related
criminalor Family
Court case f I edd n
NYSCEF
N DOC.CQS:1
• NO. 15 required,complete and attachtheRJI Addendum (UCS-840A). RECEIVED NYSCEF: 10/07/2019 -
Case Title Index/Case Number Court judge (ifassigned) Re!s+3~=hip to instantcase
For parties
withoutan attorney,
check "Un-Rep"box and enter number in the
PARTIES: the theparty'saddress,phone and email space
provided.If edd!t!ene!
saace is required,
complete and attachtheRJi Addendum (UCS-840A).
1Parties Attorneys and/or ünrepresented litigants issue joined Insurance Carriers
Rep List parties in same order as listed in the
For .v.-..au For each defendant,
parties, provide attorney's name, firm name, address, phone Foreach defendent
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:GEtCOA/S/OSAREENOKENNEDY CHRISTENFERRARA,Law Office of Bryan Kulak, 90 Crystal Run RdSte 409 .
geico-com
Midd!et‡·::n,NY 10941, cferrere O YES O NO
Role(s):Plaintifi{FGt|‡|Gne-
Name:GETSOUL 115 CedarSt., New Rochelle, NY 10801
O YES O NO
Role(s):Defendant/Respondent
Name: RODREGUEZ,
EMIL 1307 EWoodlawnSt. Apt. 4-301, Allentown, PA 18109
O YES O NO
Role(s):Defendant‡c:pGr.ht
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
YES O NO
Role(s):
Name:
YES NO
Role(s):
Name:
YES O NO
Role(s):
Name:
O YES O NO
Role(s):
Name:
O YES O 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
PiiGCEEDiNGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS
ACTION OR PROCEEDING.
Dated: 10/07/2019 CHRISTEN MARIE FERRARA
Signature
4829230 CHRISTEN MARIE FERRARA
Attorney Registrãtion Number PrintName
This form was generated by NYSCEF
2
2 of
of 2
2
Preview
FILED: ORANGE COUNTY CLERK 10/07/2019 12:35 PM INDEX INDEX NO. NO. EF007600-2018 EF007600-2018 NYSCEF NYSCEF DOC. DOC. NO. NO. 15 15 RECEIVED RECEIVED NYSCEF: NYSCEF: 10/07/2019 10/07/2019 "'SS4° REQUEST FORJUDICIAL INTERVENTION (rev. 07/29/2019) * Orange Supreme COURT, COUNTY OF Orange Index No: EF007600-2018 Date Index Issued: 07/23/2018 For Court Use Only: CAPTION Enter thecompletecase caption.Do not use et al or et ano. If morespace attach is needed, a captionridersheet. IAS EntryDate GEICO A/S/O SAREEN OKENNEDY JUdge Assigned Plaintiff(s)/Petitioner(s) -against- GET SOUL, EM!L RODRIGUEZ .. RJl Filed Date DefendantÃ::;r.:pender.ta) NATURE OF ACTION OR PROCEEDiNG: Check only one box and specify where indicated. COMMERCIAL MATRIMONIAL O Contested BusinessEntity (includes corperst!ene. partnerships, LLCs,LLPs,etc.) NOTE: if there are children under the age of18, complete and attach the Contract MATRIMONIAL RJIAddendum (UCS-840M). O Insurance(where insurance company is a party, except crbitat!cn} For Uncontested*"âMn!:! actions, use the UncontestedDivorce R)i (UD-13). UCC(includes sales and negotiable instruments) O Other Commercial (specify): TORTS NOTE: For CommercialDivision assignment requests pursuant to 22 NYCRR202.70(d), complete and attach the COMMERCIALDIVISION R)1annFamnM (UCS-840C). Asbestos ChildVictims Act REAL PROPERTY: Specify how many properties the application includes: drcr.mental (specify): O Condemnation Medical, Dental or Podiatric Malpractice O P.ecident!a! Martgage Forectosure(specify): O O Commercial Motor Vehicle Property Address: O Products Liability (specify): NOTE: ForMortgage Foreclosureactions involving a one to four femuy, owner- occupied residential property or úniser-Gccupiedcan complete and O Other ProfessionalMalpractice (specify): attach the FORECLOSURER)I ADDENDUM (UCS-840F). Other Tort (specify): O Tax Certiorarl -Section: Block: Lot: Tax Foreclosure SPECIAL i ¯nGCEEi}iNGS Other Real Property (specify): CPLRArticle 75 (^.rb!tiction) [see NOTE in COMMERCIALsection] O O CPLRArticle 78 (Body or Officer) OTHER MATTERS O Election Law O Certificate of Incorporatiori/Dissolution [see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder O Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law) HabeasCorpus MHLArticle 10 (Sex Offender Confine=ni-Initial) Local Court Appeal MHLArticle 10 (Sex Offender Confinement-Review) O Mechanic'sLien MHLArticle 81 (Guardianship) O Name Change 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 PROCEED!NG: AnswerYESor NOfor every auestion and enter additional !nferm±±?enwhere indicated. YES NO Hasa summonsand complaint or summonswith notice been filed? O If yes, date filed: 07/23/2018 Hasa summonsand complaint or summonswith notice been served? O 09/10/2018 If yes, date served: Is this actien/preceeding being filed post-judgment? If yes, judgment date: NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional !n-fermet!±nwhere indicated. O Infant's Compror.!‡e O Extreme Risk Protection Order Application Note of Issue/Certificateof Readiness O Date Issuejoined: Notice of Medical, Dental, or Padiatric Malpractice ludament - Default Relief Req"ected: Return Date: Notice of Motion Relief Requested: Return Date: Notice of Petition O Order to ShowCause Relief Requested Return Date: Other Ex ParteApplication Relief Requested O PoorPersonApplication O Requestfor Preliminary Conference O ResidentialMortgage ForeclosureSettlement Conference Writ of HabeasCorpus O Other (specify): 11 of of 2 2 FILED: ORANGE COUNTY CLERK 10/07/2019 12:35 PM INDEX INDEX NO. NO. EF007600-2018 EF007600-2018 T actions. st any related For Matrimonial cases, list any related criminalor Family Court case f I edd n NYSCEF N DOC.CQS:1 • NO. 15 required,complete and attachtheRJI Addendum (UCS-840A). RECEIVED NYSCEF: 10/07/2019 - Case Title Index/Case Number Court judge (ifassigned) Re!s+3~=hip to instantcase For parties withoutan attorney, check "Un-Rep"box and enter number in the PARTIES: the theparty'saddress,phone and email space provided.If edd!t!ene! saace is required, complete and attachtheRJi Addendum (UCS-840A). 1Parties Attorneys and/or ünrepresented litigants issue joined Insurance Carriers Rep List parties in same order as listed in the For .v.-..au For each defendant, parties, provide attorney's name, firm name, address, phone Foreach defendent 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:GEtCOA/S/OSAREENOKENNEDY CHRISTENFERRARA,Law Office of Bryan Kulak, 90 Crystal Run RdSte 409 . geico-com Midd!et‡·::n,NY 10941, cferrere O YES O NO Role(s):Plaintifi{FGt|‡|Gne- Name:GETSOUL 115 CedarSt., New Rochelle, NY 10801 O YES O NO Role(s):Defendant/Respondent Name: RODREGUEZ, EMIL 1307 EWoodlawnSt. Apt. 4-301, Allentown, PA 18109 O YES O NO Role(s):Defendant‡c:pGr.ht Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O NO Role(s): Name: YES O NO Role(s): Name: YES NO Role(s): Name: YES O NO Role(s): Name: O YES O NO Role(s): Name: O YES O 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 PiiGCEEDiNGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED INTHIS ACTION OR PROCEEDING. Dated: 10/07/2019 CHRISTEN MARIE FERRARA Signature 4829230 CHRISTEN MARIE FERRARA Attorney Registrãtion Number PrintName This form was generated by NYSCEF 2 2 of of 2 2