Form Ucs-840f - Foreclosure Request For Judicial Intervention Addendum
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U C S -840F
FORECLOSURE
Request for Judicial Intervention Addendum
3/2011
Supreme
Yates
________________________
________________________
___________________________
COURT, COUNTY OF
INDEX NO.
For use in ALL mortgage foreclosure actions w here the property is: (check if applicable)
Instructions
G
1. A one- to four-family ow ner-occupied residential property, or
If # 1 or # 2 is applicable:
G
2. An owner-occupied condominium.
• Select “Residential Mortgage Foreclosure Settlem ent
Conference” as the Nature of Judicial Intervention on the RJI.
G
Type of mortgage loan: (check one)
subprime/high-cost/non-traditional
[RPAPL § 1304(5)]
G
• The Defendant/Respondent Inform ation section below M UST
prime/traditional/conventional
be com pleted for all defendants and attached to the RJI.
G
open end credit plan
[RPAPL § 1304(5)]
DEFENDANT/RESPONDENT INFORM ATION: List parties in caption order. Attach additional form s as necessary.
1.
Last Name: _________________________________ First Name: _____________________________
Primary Phone:
Secondary Phone:
New York
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:
Wyoming
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:
Wyoming
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:
Wyoming
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:
Wyoming
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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