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--- Page 1 --- Request for Judicial Intervention Addendum UCS-840A (7/2012) Supreme COURT, COUNTY OF New York Index No: For use when additional space is needed to provide party or related case information. PARTIES: For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail address in "Attorneys" space. Un- Rep Parties List parties in same order as listed in the caption and indicate roles (e.g., plaintiff, defendant, 3rd party plaintiff, etc.) Attorneys and 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. ☒ Name: Lee, Winston Role(s): Defendant/Respondent ☐ YES ☒ NO ☒ Name: Lopes, Gillio Role(s): Defendant/Respondent 4402 Saul Rd, Kensington, MD 20895 ☐ YES ☒ NO ☒ Name: Sarabia, Diego Role(s): Defendant/Respondent 7 Short Dr, Bethel, CT 06801 ☐ YES ☒ NO ☒ Name: Norris, Scott Role(s): Defendant/Respondent 5540 Wells Curtice Rd, Canandaigua, NY 14424 ☐ YES ☒ NO ☒ Name: Kretzschmar, Scott Role(s): Defendant/Respondent 8814 Meisner Rd, Casco, MI 48064 ☐ YES ☒ NO ☒ Name: Doe, John Role(s): Defendant/Respondent ☐ YES ☒ NO ☒ Name: Doe, John Role(s): Defendant/Respondent ☐ YES ☒ NO ☒ Name: Does, John Role(s): Defendant/Respondent ☐ YES ☒ NO ☒ Name: Petito, Orazio Role(s): Defendant/Respondent 107 Jessup Rd, Ithaca, NY 14850 ☐ YES ☒ NO RELATED CASES: List any related actions. For Matrimonial actions, include any related criminal and/or Famiy Court cases. This form was generated by NYSCEF FILED: NEW YORK COUNTY CLERK 09/16/2026 07:05 PM INDEX NO. 161704/2026 NYSCEF DOC. NO. 7 RECEIVED NYSCEF: 09/16/2026 1 of 1
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