Form Ucs-840f - Request For Judicial Intervention Addendum
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1UCS-840F
FORECLOSURE
Request for Judicial Intervention Addendum
12/2013
________________________
________________________
___________________________
COURT, COUNTY OF
INDEX NO.
For use in ALL mortgage foreclosure actions where the property is: (check if applicable)
Instructions
G
1. A one- to four-family owner-occupied residential property
If # 1 or # 2 is applicable:
• Select “Residential Mortgage Foreclosure Settlement
OR
Conference” as the Nature of Judicial Intervention on the RJI.
G
2. An owner-occupied condominium
• Identify the mortgage servicer.
• The Defendant/Respondent Information section below MUST
Mortgage Servicer: ______________________________________________
be completed for all defendants and attached to the RJI.
DEFENDANT/RESPONDENT INFORMATION: List parties in caption order. Attach additional sheets as necessary.
1.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
2.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
3.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
4.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
5.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
ATTENTION: Proof of service must be filed with this RJI for each defendant upon whom a summons and complaint or summons with notice has been served. [CPLR § 3408]
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