FILED: DUTCHESS COUNTY CLERK 04/25/2018 03:22 PM
`NYSCEF DOC. NO. 9
`REQUEST
`
`INTERVENTION
`
`FOR JUDICIAL
`ucs-840 (7/2012)
`
`Dutchess
`
`Supreme
`
`COURT, COUNTY OF Dutchess
`
`Index
`
`No:
`
`Date
`
`Index
`
`issued:
`
`CAPTION:
`
`Enter the complete case caption. Do not use et al or et ano. If more space is required,
`attach a caption rider sheet.
`
`J.G. Wentworth
`
`Originations,
`
`LLC
`
`-against-
`-a ainst-
`Metropolitan
`
`Life Insurance
`
`Company,
`
`Metropolitan
`
`Tower
`
`Life Insurance
`
`Company, Wallace
`
`Daley
`
`Plaintiff(s)/Petitioner(s)
`
`INDEX NO. 2018-51170
`
`RECEIVED NYSCEF: 04/25/2018
`
`For Court
`
`Clerk
`
`Use Only:
`
`IAS Entry Date
`
`Judge Assigned
`
`RJI Date
`
`OF ACTION
`NATURE
`MATRIMONIAL
`
`OR PROCEEDING:
`
`CheckONEbox o 7lyand specify where indicated.
`COMMERCIAL
`
`Defendant(s)/Respondent(s)
`
`BusinessEntity (including corporations, partnerships, LLCs,etc.)
`Contract
`Insurance(where insurer is a party, except arbitration)
`UCC(including sales, negotiable instruments)
`Other Commercial:
`
`Contested
`
`NOTE: Forall Matrimonial actions where the parties have children under the
`age of 18, complete and attach the MATRIMONIAL RJIAddendum. For
`UncontestedMatrimonial actions, use RJIform UD-13.
`
`TORTS
`
`Asbestos
`
`Breast Implant
`
`P Environmental:
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`Medical,Dental, or Podiatric Malpractice
`
`MotorVehicle
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`P ProductsLiability:
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`Other Negligence:
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`Other ProfessionalMalpractice:
`
`Other Tort:
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`NOTE: ForCommercialDivisionassignment requests [22 NYCRR§ 202.70(D)],
`complete and attach the COMMERCIALDIV RJIAddendum.
`Howmany properties doesthe application include?
`
`U Residential
`
`U Commercial
`
`REAL PROPERTY:
`Condemnation
`MortgageForeclosure:
`PropertyAddress:
`NOTE: For MortgageForeclosureactions involving a one- to four-family, owner-
`occupied, residential property, or an owner-occupiedcondominium, complete and
`attach the FORECLOSURERjI Addendum.
`Tax Certiorari - Section:
`Tax Foreclosure
`Other RealProperty:
`
`Block:
`
`Lot:
`
`OTHER MATTERS
`Certificate of Incorporation/Dissolution [see NOTEunder Commercial]
`EmergencyMedicalTreatment
`HabeasCorpus
`LocalCourt Appeal
`Mechanic'sLien
`NameChange
`PistolPermit RevocationHearing
`Saleor Financeof Religious/Not-for-ProfitProperty
`Other:
`
`SPECIAL PROCEEDINGS
`[see NOTEunder Commercial]
`CPLRArticle 75 (Arbitration)
`CPLRArticle 78 (Bodyor Officer)
`ElectionLaw
`MHLArticle 9.60 (Kendra'sLaw)
`MHLArticle 10 (SexOffender Confinement-Initial)
`MHLArticle 10 (SexOffender Confinement-Review)
`MHLArticle 81 (Guardianship)
`Other Mental Hygiene:
`X Other SpecialProceeding: Structured Settlement Tra
`
`STATUS
`
`OF ACTION
`
`OR PROCEEDING:
`
`AnswerYESor NOfor EVERYquestion ANDenter additional information where indicated.
`
`Hasa summonsand complaint or summonsw/notice beenfiled?
`Hasa summonsand complaint or summonsw/notice been served?
`post-judgment?
`Isthis action/proceeding being filed
`
`YES NO
`X
`X
`X
`
`1 of 2
`
`If yes, date filed:
`If yes, date served:
`If yes, judgment date:
`
`

`

`INDEX NO. 2018-51170
`
`FILED: DUTCHESS COUNTY CLERK 04/25/2018 03:22 PM
`RECEIVED NYSCEF: 04/25/2018
`NYSCEF DOC. NO. 9
`CheckONEbox only ANDenter additional information where indicated.
`OF JUDICIAL
`NATURE
`INTERVENTION:
`Infant's Compromise
`Note of Issueand/or Certificate of Readiness
`Noticeof Medical,Dental, or PodiatricMalpractice
`ReliefSought:
`Noticeof Motion
`Noticeof Petition
`ReliefSought:
`ReliefSought: Structured Settlement - Transfer
`X Orderto ShowCause
`Other Ex ParteApplication
`ReliefSought:
`PoorPersonApplication
`Requestfor PreliminaryConference
`ResidentialMortgage ForeclosureSettlement Conference
`Writ of HabeasCorpus
`Other:
`
`Date IssueJoined:
`
`Return Date:
`Return Date:
`Return Date:
`
`RELATED
`
`CASES:
`
`Case Title
`321 Henderson Receivables
`Orignation, LLC v Wal...
`
`include any related criminal and/or Famiy Court cases.
`List any related actions. For Matrimonial actions,
`leave blank.
`additional space is required, complete and attach the RJl Addendum.
`If none,
`No.
`Court
`(if assigned)
`Index/Case
`Judge
`000960/2007
`Dutchess County Supreme Court Christine A. Sproat
`
`Relationship
`Prior Transfer
`
`If
`
`to Instant
`
`Case
`
`Un-
`Rep
`
`O
`
`X
`
`X
`
`X
`
`PARTIES:
`
`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.
`Attorneys and/or Unrepresented Litigants:
`Provide attorney name, firm name, business address, phone number and e-
`mail address of all attorneys that have appeared in the case. For
`unrepresented litigants, provide address, phone number and e-mail address.
`
`List parties in caption order and indicate
`party role(s) (e.g., defendant; 3rd-party
`plaintiff).
`
`InsUt ance Cat
`
`t tet(s).
`
`ISSUe
`Joined
`(y(N).
`(Y/N):
`
`Name: J.G. Wentworth Originations, LLC
`
`O'
`DAVID WHITE, Napierski, Vandenburgh, Napierski & O'Connor, 296
`Washington Avenue Ext Ste 3 , Albany, NY 12203, dcw@nvnolaw.com
`
`Role(s): Plaintiff/Petitioner
`
`Name: Metropolitan Life Insurance Company
`
`2025 Leestown Road Suite J, Lexington , KY 40511
`
`Role(s): Defendant/Respondent
`
`Name: Metropolitan Tower Life Insurance
`Company
`
`Role(s): Defendant/Respondent
`
`2025 Leestown Road Suite J, Lexington , KY 40511
`
`Name: Daley, Wallace
`
`42 Cedar Lane , Wingdale , NY 12594
`
`Role(s): Defendant/Respondent
`
`Name:
`
`Role(s):
`
`NO
`
`NO
`
`NO
`
`NO
`
`UNDER
`I AFFIRM
`ARE AND HAVE
`INTERVENTION
`
`TO MY KNOWLEDGE,
`THAN
`OTHER
`OF PERJURY
`PENALTY
`THE
`THAT,
`NOR HAS A REQUEST
`OR PROCEEDINGS,
`NO RELATED
`BEEN
`ACTIONS
`OR PROCEEDING.
`ACTION
`PREVIOUSLY
`BEEN
`FILED
`IN THIS
`
`AS NOTED
`ABOVE,
`FOR JUDICIAL
`
`THERE
`
`Dated:
`
`04/25/2018
`
`ATTORNEY
`
`5416920
`REGISTRATION
`
`NUMBER
`
`DAVID CHARLES WHITE
`SIGNATURE
`
`DAVID CHARLES WHITE
`PRINT OR TYPE NAME
`
`This form wasgenerated by NYSCEF
`2 of 2
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