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REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only IAS Entry Date UCS-840 7/2012 Supreme COURT COUNTY OF Judge Assigned Index No CAPTION Date Index Issued RJI Date Enter the complete case caption. Do not use et al or et ano. If more space is required attach a caption rider sheet. Plaintiff s /Petitioner s -against- Defendant s /Respondent s NATURE OF ACTION OR PROCEEDING Check ONE box only and specify where indicated. MATRIMONIAL G COMMER.

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