Rji-J JOHN SEBASTIAN ATTORNEY

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Rji-J JOHN SEBASTIAN ATTORNEY

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Rji-J JOHN SEBASTIAN ATTORNEY

  1. 1. REQUEST FOR JUDICIAL INTERVENTIONUCS-840(REV 1/2000)COURT COUNTY INDEX NO. DATE PURCHASEDPLAINTIFF(S):For Clerk Only!AS entry dateDEFENDANT(S) :Judge AssignedRJI DateDate issue joined: Bill of particulars served (Y/N): [ ]Yes [ ]NoNATURE OF JUDICIAL INTERVENTION (check ONE box only AND enter information)Request for preliminary conference [ ] Notice of petition (return date:Relief soughtNote of issue and/or certificate ofreadiness [ ] Notice of medical or dental malpracticeaction (specify: )[ ] Notice of motion (return date:Relief sought Statement of net worth[ ] Order to show cause(clerk enter return date:Relief sought[ ] Other ex parte application (specify:Writ of habeas corpusOther (specify:NATURE OF ACTION OR PROCEEDING (Check ONE box only)MATRIMONIAL Malpractice[ ] Contested[ ] UncontestedCOMMERCIAL[ ] Contract[ ] Corporate[ ] Insurance (where insurer is aparty, except arbitration)UCC (including sales, negotiableinstruments)*Other Commercial-CM-UM-CONT-CORP-INS-UCC-OC[ ] Medical/Pediatric[ ] Dental[ ] *Other ProfessionalMotor Vehicle*Products LiabilityEnvironmentalAsbestosBreast Implant*Other Negligence-MM-DM-OPM-MV-PL-EN-ASE-BI-OTNREAL PROPERTY[ ] Tax Certiorari[ ] Foreclosure-TAX-FOR*Other Tort (includingintentional) -OTSPECIAL PROCEEDINGS[ ] Condemnation[ ] Landlord/Tenant[ ] *Other Real PropertyOTHER MATTERS-COND-LT-ORP[ ] Art. 75 (Arbitration)[ ] Art. 77 (Trusts)[ ] Art. 78[] Election Law[ ] Guardianship (MHL Art. 81)[ ] *Other Mental Hygiene-ART75-ART77-ART78-ELEC-GUARD81-MHYG[ l * -OTH [ ] *Other Special Proceeding -OSP
  2. 2. SelfRep.*Name Address Phone #DDSelfRep.*Name Address Phone #DDCheck "YES" or "NO" for each of the following questions:Is this action/proceeding against aYES NO[ l [ l Municipality:(SpecifyYES NO[ ] [] Public Authority:(SpecifyYES NO[ l [ l Does this action/proceeding seek equitable relief?[ l [ l Does this action/proceeding seek recovery for personal injury?[ l [ l Does this action/proceeding seek recovery for property damage?Pre-Note Time Frames:(This applies to all cases except contested matrimonials and tax certiorari cases)Estimated time period for case to be ready for trial (from filing of RJI to filing of Note of Issue):D Expedited: 0-8 months D Standard: 9-12 months D Complex: 13-15 monthsContested Matrimonial Cases Only: (Check and give date)Has summons been served? D No D Yes, DateWas a Notice of No Necessity filed? D No o Yes, DateATTORNEY{S) FOR PLAINTIFF{S) ·ATTORNEY{S) FOR DEFENDANT{S) ·*Self Represented: parties representing themselves, without an attorney, should check the "Self Rep." box andenter their name, address, and phone# in the space provided above for attorneys.INSURANCE CARRIERS:RELATED CASES: (IF NONE, write "NONE" below)Index # Nature of RelationshipI AFFIRM UNDER PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE ARE AND HAVEBEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION PREVIOUSLY BEEN FILED INTHIS ACTION OR PROCEEDING.Dated:{SIGNATURE)(PRINT OR TYPE NAME)ATTORNEY FORATTACH RIDER SHEET IF NECESSARY TO PROVIDE REQUIRED INFORMATIONformsrji2000.wpd

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