FILED: GENESEE COUNTY CLERK 08/19/2019 01:22 PM
`NYSCEF DOC. NO. 36
`REQUEST FOR JUDICIAL INTERVENTION
`
`UCS-840 (rev.
`07/29/2019)
`Genesee Supreme COURT, COUNTY OF Genesee
`
`INDEX NO. E67596
`
`RECEIVED NYSCEF: 08/19/2019
`
`For Court Use Only:
`
`IAS Entry Date
`
`Index No: E67596
`
`Date Index Issued: 05/30/2019
`
`CAPTION:
`NORTHWEST BANK, NORTHWEST SAVINGS BANK
`
`Enter the complete case caption. Do not use et al or et ano. If more space is needed,
`attach a caption rider sheet.
`
`Judge Assigned
`
`RJI Date
`
`-against-
`MICHAEL S TOMASZEWSKI, VALERIE A TOMASZEWSKI, ACME HOLDINGS OF NY INC, MICHAEL S TOMASZEWSKI FUNERAL AND
`CREMATION CHAPEL LLC, TARGET NATIONAL BANK, John Brymer, MAURA C NEWSTEAD-DIBBLE, UNITED STATES OF AMERICA,
`NORTHWEST BANK, New York State Department of Taxation and Finance, ATLANTIC CREDIT FINANCE INC, CAPITAL ONE,
`DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE
`
`Plaintiff(s)/Petitioner(s)
`
`Defendant(s)/Respondent(s)
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`NATURE OF ACTION OR PROCEEDING:
`MATRIMONIAL
`☐ Contested
`NOTE: If there are children under the age of 18, complete and attach the
`MATRIMONIAL RJI Addendum (UCS-840M). For Uncontested Matrimonial
`actions, use the Uncontested Divorce RJI (UD-13).
`
`TORTS
`
`Asbestos
`
`Child Victims Act
`
`Environmental:
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`Medical, Dental, or Podiatric Malpractice
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`Motor Vehicle
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`Products Liability:
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`Other Negligence:
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`Other Professional Malpractice:
`
`Other Tort:
`
`☐☐☐☐☐☐☐☐☐
`
`Check only one box and specify where indicated.
`COMMERCIAL
`☐ Business Entity (includes corporations, partnerships, LLCs, LLPs, etc.)
`☐ Contract
`☐ Insurance (where insurance company is a party, except arbitration)
`☐ UCC (includes sales and negotiable instruments)
`☐ Other Commercial:
`NOTE: For Commercial Division assignment requests pursuant to 22 NYCRR
`202.70(d), complete and attach the COMMERCIAL DIVISION RJI ADDENDUM
`(UCS-840C).
`REAL PROPERTY:
`☐ Condemnation
`☒ Mortgage Foreclosure:
`Property Address:
`NOTE: For Mortgage Foreclosure actions involving a one to four-family, owner-
`occupied residential property or owner-occupied condominium, complete and
`attach the FORECLOSURE RJI ADDENDUM (UCS-840F).
`
`How many properties does the application include?
`
`☐ Residential
`
`☒ Commercial
`
`Block:
`
`Lot:
`
`Tax Certiorari - Section:
`Tax Foreclosure
`Other Real Property:
`
`☐☐☐
`
`OTHER MATTERS
`☐ Certificate of Incorporation/Dissolution     [see NOTE in COMMERCIAL section]
`☐ Emergency Medical Treatment
`☐ Habeas Corpus
`☐ Local Court Appeal
`☐ Mechanic's Lien
`☐ Name Change
`☐ Pistol Permit Revocation Hearing
`☐ Sale or Finance of Religious/Not-for-Profit Property
`☐ Other:
`
`STATUS OF ACTION OR PROCEEDING:
`
`Has a summons and complaint or summons with notice been filed?
`Has a summons and complaint or summons with notice been served?
`Is this action/proceeding being filed post-judgment?
`
`SPECIAL PROCEEDINGS
`☐ CPLR Article 75 (Arbitration)     [see NOTE in COMMERCIAL section]
`☐ CPLR Article 78 (Body or Officer)
`☐ Election Law
`☐ Extreme Risk Protective Order
`☐ MHL Article 9.60 (Kendra's Law)
`☐ MHL Article 10 (Sex Offender Confinement-Initial)
`☐ MHL Article 10 (Sex Offender Confinement-Review)
`☐ MHL Article 81 (Guardianship)
`☐ Other Mental Hygiene:
`☐
`Other Special Proceeding:
`Answer YES or NO for every question and enter additional information where indicated.
`YES NO
`☒ ☐
`☒ ☐
`☐ ☒
`
`If yes, date filed: 05/29/2019
`If yes, date served: 06/25/2019
`If yes, judgment date:
`
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`FILED: GENESEE COUNTY CLERK 08/19/2019 01:22 PM
`NATURE OF JUDICIAL INTERVENTION:
`NYSCEF DOC. NO. 36
`RECEIVED NYSCEF: 08/19/2019
`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
`Notice of Motion
`Notice of Petition
`Order to Show Cause
`Other Ex Parte Application
`Poor Person Application
`Request for Preliminary Conference
`Residential Mortgage Foreclosure Settlement Conference
`Writ of Habeas Corpus
`Other:
`RELATED CASES:
`
`INDEX NO. E67596
`
`Date Issue Joined:
`Relief Sought:
`Appoint - Referee
`Relief Sought:
`Relief Sought:
`Relief Sought:
`
`Return Date:
`Return Date:
`Return Date:
`
`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).
`Index/Case Number
`Court
`Judge (if assigned)
`
`Relationship to instant case
`
`☐ ☐☐☒☐ ☐☐ ☐☐☐☐☐
`
`☐
`
`Case Title
`
`PARTIES:
`
`For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and e-mail in the space provided. If
`additional space is required, complete and attach the RJI Addendum (UCS-840A).
`Attorneys and/or Unrepresented Litigants
`For represented parties, provide attorney's name, firm name,
`address, phone and email. For unrepresented parties, provide
`party's address, phone and email.
`
`Issue Joined
`For each
`defendant,
`indicate if issue
`has been joined.
`
`Insurance Carriers
`For each defendant,
`indicate insurance
`carrier, if
`applicable.
`
`Parties
`List parties in same order as listed in
`the caption and indicate roles (e.g.,
`plaintiff, defendant; 3rd party plaintiff,
`etc.)
`
`Name: NORTHWEST BANK
`
`Role(s): Plaintiff/Petitioner
`
`MIRANDA SHARLETTE, RUPP BAASE PFALZGAF CUNNINGHAM LLC,
`16 W Main St , Rochester, NY 14614, sharlette@ruppbaase.com
`
`Name: NORTHWEST SAVINGS BANK
`
`MIRANDA SHARLETTE, RUPP BAASE PFALZGAF CUNNINGHAM LLC,
`16 W Main St , Rochester, NY 14614, sharlette@ruppbaase.com
`
`Role(s): Plaintiff/Petitioner
`
`Name: TOMASZEWSKI, MICHAEL S.
`
`DAVID EALY, Trevett Cristo, Two State Street, Suite 1000 , Rochester, NY
`14614, 585-454-2181, dealy@trevettcristo.com
`
`Role(s): Defendant/Respondent
`
`Name: TOMASZEWSKI, VALERIE A.
`
`DAVID EALY, Trevett Cristo, Two State Street, Suite 1000 , Rochester, NY
`14614, 585-454-2181, dealy@trevettcristo.com
`
`Role(s): Defendant/Respondent
`
`Name: ACME HOLDINGS OF NY INC
`
`DAVID EALY, Trevett Cristo, Two State Street, Suite 1000 , Rochester, NY
`14614, 585-454-2181, dealy@trevettcristo.com
`
`Role(s): Defendant/Respondent
`
`YES
`
`YES
`
`YES
`
`YES
`
`YES
`
`Un-
`Rep
`
`☐
`
`☐
`
`☐
`
`☐
`
`☐
`
`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:
`08/19/2019
`MIRANDA LYNN SHARLETTE
`Signature
`
`4992319
`Attorney Registration Number
`
`MIRANDA LYNN SHARLETTE
`Print Name
`
`This form was generated by NYSCEF
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