Professional Documents
Culture Documents
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PLAINTIFFS DEFENDANTS
George Rivera Chase Receivables, Inc.
ATTORNEYS (FIRM NAME, ADDRESS, AND TELEPHONE NUMBER)
Lemberg & Associates, LLC
ATTORNEYS (IF KNOWN)
!1 Summer Street, Third Floor
Stamford CT 90'
CAUSE Of ACTION (C!TE THE US.C!V!L STATUTEUNDER WH! CHYOUAREF!I!NG AND WR!TE A BR!EFSTATEMENT OF CAUSE]
(DO NOTC!TEJUR!SD!CT!ONAL STATUTES UNLESS D!VERS!TY)
1 UGL19Z - VlOl3IOn8 O!I|3l| bILOl0IOn H|30Il08P0I
Has this or a similar case been previously filed in SONY at any time? No? l Yes? 0 Judge Previously Assigned
If yes. \Vas this case Vol.D lnvoL D Dismissed. No l Yes D If yes. give date & Case No.
t ACE AN fl IN ONF BOX ONLY
CONTRACT
I
j110
[ ]120
[ ]130
I ]140
[ ]150
[ ]151
[]152
[ ]153
[160
[ ] 190
[[195
INSURANCE
MAR!NE
M!LIERACT
NEGOT!AIE
!NSTRUMENT
RECOVERYOF
OVERPAYMENTT
ENFORCEMENT
OFJUDGMENT
MED!CAREACT
RECOVERYOF
DEFAUITED
STUDENTLOANS
(EXCIVETERANS}
RECOVERYOF
OVERPAYMENT
OFVETERAN'S
ENEF!TS
STOCKHOLDERS
SU!TS
OTHER
CONTRACT
CONTRACT
PRODUCT
I!A!L!TY
[ ]196 FRANCH!SE
REAI PROPERTY
[ ]210
[ ] 220
[ ]230
I
]240
[[245
[ ]290
LAND
CONDEMNAT!ON
FORECIOSURE
RENTIEASET
EJECTMENT
TORTSTOLAND
TORTPRODUCT
L!AB!L!TY
ALLOTHER
REAL PROPERTY
TORTS
PERSONAIINJURY
[[310 A!RPLNE
[[315 A!RPLANEPRODUCT
L!AB!L!TY
[[320 ASSAUIT,I!EIT
SIANDER
I ]330 FEDERAL
EMPLOYERS'
LIABlL!TY
{ ]340 MAR!NE
[ ] 345 MAR!NEPRODUCT
L!ABIL!T
I ]350 MOTORVEH!CLE
[[355 MOTORVEH!CLE
PRODUCTI!A!L!1Y
[ ] 360 OTHERPERSONAI
!NJURY
ACT!ONSUNDERSTATUTES
C!V!IR!GHTS
[J 441 VOT!NG
[ ]442 EMPIOYMENT
I ]443 HOUSING/
ACCOMMODAT!ONS
[ ]444 WEIFARE
[[445 AMER!CANS W!TH
D!SAB!L!T!ES
EMPIOYMENT
{ ]446 AMER!CANSW!TH
DISAILTIESOTHER
[ ]440 OTHERC!V!LR!GHTS
Check if demanded in complaint:
NATURE OF SUIT
ACT!ONSUNDERSTATUTES
PERSONAIINJURY FORFE!TURE/ PENAI TY BANKRUPTCY
[ ]362
[ ]365
[[ 368
PERSONAL!NJURY [J 610
MEDMALPRACTICE [ ]620
PERSONAL!NJURY
PRODUCT I!A!I!T [ 625
ASESTOSPERSONAI
!NJURY PRODUCT
L!A!I!TY
PERSONAI PROPERTY
I ] 370 OTHERFRAUD
[ ]371 TRUTHINIEND!NG
[ ] 380 OTHERPERSONAI
PROPERTYDA|'GE
! ]385 PROPERTYDAMAGE
PRODUCTL!ABIL!TY
PR!SONERPETIT!ONS
[ ] 510 MOT!ONSTO
VACATESENTENCE
28use 2255
[ ]630
[[640
[ ]650
[ ]660
[ ]690
IABOR
I J 710
[ ] 720
[ ]730
[ ]740
[[790
[ ]791
AGR!CUITURE
OTHERFOODT
DRUG
DRUGRELATED
SE!ZUREOF
PROPERTY
21USC881
I!CUORIAWS
RRTTRUCK
A!RL!NEREGS
OCCUPAT!ONAL
SAFET/|!EAITH
OTHER
FA!RLBOR
STANDARDSACT
LAOR/MGMT
RELAT!ONS
LAOR0dGMT
REPORT!NG T
D!SCIOSUREACT
[ ]422 AFPEAI
28USC158
[ ]423 W!THDRAWAL
28 USC !57
PROPERTYR!GHTS
[ ]820 COPYR!GHTS
[ ]830 PATENT
{ ] 840 TRADEMARK
SOC!AISECURITY
[ ]861 H!A(1395ff)
[]862 LACKIUNG{923)
[ ]863 D!WC/DNW(405(g))
[ ]864 SSlDT!TIEXJ
[[865 RS! (405(@)}
FEDERAITAXSU!TS
RA!LWAYLABORACT [ ]870 TAXES(U.S.PIainlifIo
OTHERlABOR De'endan|)
L!T!GAT!ON [[871 !RSTHIRDPARTY
EMFIRET!NC 26USC7609
SECUR!TYACT
f ]530
[ ]535
! ]540
f ]550
I ]555
HABEASCORPUS
DEATHPENAITY
MANDAMUSTOTHER
C!VIIR!GHTS
PR!SONCOND!T!ON
IMM!GRATION
[ ]462
I ]463
[ ]465
NATURAI!ZAT!ON
APPI!CAT!ON
HABEASCORPUS
AIENDETA!NEE
OTHER!MM!GRAT!ON
ACT!ONS
,,,(
OTHERSTATUTES
I 400 STATE
REAPPORT!ONMENT
[[410 ANT!TRUST
{ [ 430 BANKS T ANK!NG
[ ]450 COMMERCE
[ ]460 DEPORTAT!ON
{ ]470 RACKETEER INFIU-
ENCEDT CORRUPT
ORGAN!ZATION ACT
(R!CO)
[X] 480 CONSUMERCRED!T
I ]490 CABLE/SATEILTET
[ ] 810 SEIECTTSERV!CE
[[850 SECUR!TIES|
COMMOD!T!ES/
EXCHANGE
[[875 CUSTOMER
CHALIENGE
12USC3410
[ ]890 OTHERSTATUTORY
ACT!ONS
[]891 AGR!CUITURAL ACTS
[ ] 892 ECONOMlC
STA!L!ZAT!ON ACT
! ]893 ENV!RONMENTAL
MATTERS
[[894 ENERGY
AIIOCAT!ONACT
[[895 FREEDOMOF
!NFORMAT!ONACT
[ ]9O0 APPEAI OFFEE
DETERMINAT!ON
UNDEREOUAL
ACCESSTOJUSTICE
[ ]950 CONST!TUT!ONAI!TY
OFSTATESTATUTES
CHECK IF THIS JS A CLASS ACTION
UNDER F.R.C.P. 23
DO YOU CLIM THIS CASE IS RELATED TOA CIVIL CASE NOW PENDING IN S.D.N.Y.?
IF SO, STATE:
DEMAND $0THERJUDGE DOCKETNUMBER
Check YES only if demanded in complaint
JURY DEMAND: ! YES l NO NOTE: Please submit at the time of filing an exlanation of why cases are deemed related.
Case 1:12-cv-07644-JSR Document 1 Filed 10/12/12 Page 7 of 7
(PLACE AN x IN ONE BOX ONL YJ
1 OriginaI g ra. RemoveoIrom
Proceeoing Sta!eCour!
rO.RemoveoIrom
S|a|eCourt AND
aI Ieast one
partysproe.
03
OHlGlN
RemanoeoIrom g4 Reins|ateoor
AppelIateCour| Reopeneo
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(SpeciIyDistric!)
MuI1ioislrict
IiIigaIion
0
7 AppeaI!o Distric|
Judgefrom
MagistrateJuoge
Juogmen|
(PLACE AN x IN ONE BOX ONLY)
0 1 U.S. PLAINTIFF 0 2 U.S. DEFENDANT
BASIS OF JUHlSOlCTlON
I 3 FEDERAL QUESTION 0 4 DIVERSITY
(U.S. NOT A PARTY)
IF DIVERSITY IND/CA TE
CITIZENSHIP BELOW.
(28 USC 1322, 1441)
CITIZENSHIP OF PRINCIPAL PARTIES (FOR DIVERSITY CASES ONLY)
(Place an [XJ i n one box for Plaintiff and one box for Defendant)
PTF DEF PTF DEF PTF DEF
C!TIZEN OFTH!S STATE
[ J 1
{
J 1 CIT!ZEN OR SUJECTOF A
[ } 3 [ ] 3 !NCORPORATED. PR!NC!PALPLACE [ J 5 [ J 5
FORE!GNCOUNTRY OFBUS!NESS IN ANOTHER STATE
C!TIZEN OF ANOTHER STATE I ] 2 [ J 2 !NCORPORATED2 PR!NC!PAL PLACE [ J 4 [ J 4 FORE!GNNAT!ON { ] 6 [ ] 6
OF US!NESS !N TH!S STATE
PLAINTIFF(S) ADDRESS(ES) AND COUNTY(IES)
George Rivera
50 West 97th Street
Apt. 1 OS
New York, NY 100L5
County of New York
DEFENDANT(S) ADDRESS(ES) AND COUNTY(IES)
Chase Receivables, Inc.
951 Califrnia
B
onlevard
Napa, California 94559
State of Califoria
DEFENDANT(S) ADDRESS UNKNOWN
REPRESENTATION IS HEREBY MADE THAT, AT THIS TIME, I HAVE BEEN UNABLE, WITH REASONABLE DILIGENCE, TO ASCERTAIN THE
RESIDENCE ADDRESSES OF THE FOLLOWING DEFENDANTS:
Check one: THIS ACTION SHOULD BE ASSIGNED TO:
(DO NOT check either box if this a PRISONER PETITION.)
_WHITE PLAINS ANHATTAN
DATE
10l6l2012
RECEIPT#
Magistrate Judge is to be desig ated by the Clerk of the Court.
Magistrate Judge
ADMITTED T PRACTICE IN THIS DISTRICT
[I NO
[x) YES (DATE ADMITTED Mo. 02 Yr. 2003
Attorney Bar Code# SL 6331
1JAG
nmGF COI
is so Designated.
J. Michael McMahon, Clerk of Court by Deputy Clerk, DATED
UNITED STATES DISTRICT COURT (NEW YORK SOUTHERN)