Form Ucs-840c - Commercial Division Request For Judicial Intervention Addendum
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U C S -840C
SUPREM E COURT OF THE STATE OF NEW YORK
3/2011
Yates
COUNTY OF _______________________________
__________________________________________________x
Index No. __________________________________
RJI No. (if any) _____________________________
Plaintiff(s)/Petitioner(s)
-against-
COMMERCIAL DIVISION
Request for Judicial Intervention Addendum
Defendant(s)/Respondent(s)
__________________________________________________x
COM PLETE W HERE APPLICABLE [add additional pages if needed]:
Plaintiff/Petitioner’s cause(s) of action [check all that apply]:
G
Breach of contract or fiduciary duty, fraud, misrepresentation, business tort (e.g. unfair competition), or statutory and/or common
law violation where the breach or violation is alleged to arise out of business dealings (e.g. sales of assets or securities; corporate
restructuring; partnership, shareholder, joint venture, and other business agreements; trade secrets; restrictive covenants; and
employment agreements not including claims that principally involve alleged discriminatory practices)
G
Transactions governed by the Uniform Commercial Code (exclusive of those concerning individual cooperative or condominium
units)
G
Transactions involving commercial real property, including Yellowstone injunctions and excluding actions for the payment of rent
only
G
Shareholder derivative actions — without consideration of the monetary threshold
G
Commercial class actions — without consideration of the monetary threshold
G
Business transactions involving or arising out of dealings with commercial banks and other financial institutions
G
Internal affairs of business organizations
G
Malpractice by accountants or actuaries, and legal malpractice arising out of representation in commercial matters
G
Environmental insurance coverage
G
Commercial insurance coverage (e.g. directors and officers, errors and omissions, and business interruption coverage)
G
Dissolution of corporations, partnerships, limited liability companies, limited liability partnerships and joint ventures — without
consideration of the monetary threshold
G
Applications to stay or compel arbitration and affirm or disaffirm arbitration awards and related injunctive relief pursuant to CPLR
Article 75 involving any of the foregoing enumerated commercial issues — without consideration of the monetary threshold
Plaintiff/Petitioner’s claim for compensatory damages [exclusive of punitive damages, interest, costs and counsel fees claimed]:
$ _______________________________________________________________________________________
Plaintiff/Petitioner’s claim for equitable or declaratory relief [brief description]:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Defendant/Respondent’s counterclaim(s) [brief description, including claim for monetary relief]:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
I REQUEST THAT THIS CASE BE ASSIGNED TO THE COM M ERCIAL DIVISION. I CERTIFY THAT THE CASE
M EETS THE JURISDICTIONAL REQUIREM ENTS OF THE COM M ERCIAL DIVISION SET FORTH IN 22 NYCRR §
202.70(a), (b) AND (c).
Dated: ________________________
__________________________________________
SIGNATURE
__________________________________________
PRINT OR TYPE NAM E
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