`WORKSHEET
`JD-CV-77 Rev. 5-16
`
`Instructions
`
`ADA NOTICE
`The Judicial Branch of the State of Connecticut complies with the
`
`
`
`accommodation in accordance with the ADA, contact a court clerk
`or an ADA contact personlisted at www.jud.ct.govV/ADA.
`
`Americans with Disabilities Act (ADA).
`
`If you need a reasonable
`
`STATE OF CONNECTICUT
`
`allayrig
`
`Complete this worksheet and submit it with the other documents filed with the court on a Motion for Judgment of Foreclosure
`Docket number
`
`Name of Case (First-named Plaintiff vs. First-named Defendant)
`SANTANDER BANK F/K/A SOVEREIGN BANK v. DABROWSKI, MARGARET, HEIR TO THEE|HHD Cv 16-6065555-S
`List Names of Nonappearing Individual Defendants
`
`JULIUSZ J. DABROWSKI A/K/A JULIUSZ DABROWSKI
`
`$
`
`100,000.00
`
`$
`
`$
`
`140,852.28
`
`-40,852.28
`
`140,852.28
`
`2,900.00
`
`325.00
`
`225.00
`
`$
`
`$ 5
`
`$ §
`
`§
`
`$
`
`—_
`
`kLWwW
`
`on
`
`oO)
`
`~!
`
`co
`
`. Fair market value of property being foreclosed:
`The appraisal report (VOT merely the affidavit of the appraiser)
`MUST be dated within 120 days of the date ofjudgment,
`regardless of whetheraninitial judgment is being entered or a
`judgment is being reopened.
`
`. Updated debt:
`
`. Condominium Common Charges Fee Priority Lien Amount:
`
`. List total encumbrances on the propertypriorto plaintiff's lien:
`(Not including amount entered on Line 3)
`
`. Total debt:
`
`(Add lines 2 through 4):
`
`. Equity: (Subtract line 5 from line 1. Include the exact amount
`of the equity evenif there is a negative amount.)
`
`. List the total amount of encumbrances subsequentto plaintiff's lien:
`
`. Attorney's fees:
`
`©
`
`Appraisal fee:
`
`10. Title Search fee:
`
`Answer the following questions
`
`A. Is the United States a party to the action?
`
`B. Is the ownerof the equity in possession of the property?
`
`C. Is the ownerof the equity a nonappearing party?
`
`[_] Yes
`
`Yes
`
`Yes
`
`No
`
`[_] No
`
`[_] No
`
`D. Is the property (checkall that apply):
`
`Residential
`
`[_] Commercial
`
`E. Are you aware of another foreclosure pending on this
`property with this defendant or with anyone else?
`
`|] Yes
`
`[x] No
`
`[_] Other
`
`Case name:
`
`Docket number:
`
`Hasplaintiffs counsel been notified?
`
`[_] Yes
`
`[_] No
`
`
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