Foreclosure Settlement Conference Intake Form - New York Supreme Court
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1FORECLOSURE SETTLEMENT CONFERENCE INTAKE FORM
Supreme Court of the State of New York County of
Plaintiff(s), v.
Index No.:
Defendant(s).
A Residential Foreclosure Conference was held on
Appearances For Plaintiff(s) (“P”)
Retained Counsel
Per Diem
Name:
Email/Phone:
Law Firm:
Loan Servicer:
For Defendant(s) (“D”)
Unrepresented
Retained Counsel
Limited Representation
Other
Name:
Email/Phone:
Law Firm:
Servicer Provider:
Other:
ELIGIBILITY
This foreclosure action is eligible for an FSC:
Yes
No
Has the defendant filed an answer:
Yes
No
This case does not meet the criteria of Uniform Rule 202.12(a).
(FSCNER) (FSCNEU)
D failed to appear at the scheduled conference, P to proceed with the action.
(FSCDFTR) (FSCDFTU)
LOAN AND INCOME INFORMATION
Mortgage Date:
Default Date:
Plaintiff alleges that it is the Owner of the Mortgage and Note
Yes
No
Prior Modification 1
Prior Modification 2
HAMP
Yes
No
Other:
FOLLOWING A SETTLEMENT CONFERENCE, IT IS HEREBY DIRECTED THAT:
By
[date], P shall provide to D a loan modification/short sale application.
By
[date], D shall submit to P a completed loan modification/short sale application.
By
[date], P shall send Missing Document Letter, if necessary.
By
[date], D shall respond to the Missing Document Letter.
Other:
Case settled by
loan modification
other
(FSCLMR) (FSCLMU)
Case Discontinued except by settlement. P shall file a Notice of Discontinuance and serve a Certified Copy
of such Discontinuance upon D within (45) days of the date hereof.
(FSCDISCR) (FSCDISCU)
Case is not settled and P may proceed with the action.
Unless otherwise directed by the
(FSCCNSR) (FSCCNSU)
Court, failure to proceed will result in dismissal of the action.
Stayed pending other outcome.
(FSCSTAYR) (FSCSTAYU)
The court directs an adjournment to
at
For a further conference.
Trial modification.
(FSCCTDR) (FSCCTDU)
P acknowledges receipt by signing below: D acknowledges receipt by signing below:
Directed by:
Date:
Revised 02.23.17
Signature
Signature
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