# Comment attachment by Anonymous

Source: https://lucycraig.blog/media/571
File: 7-ADDENDUM_-_GENERAL_840A.pdf
Format: application/pdf
Description: 
Alt text: 

## OCR / extracted text

--- 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
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