`
`JD-CVT103 Rev. 7-09
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`f’C'H"
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`!
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`7
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`YOUARE BEING SUED
`
`AND YOU ARE lN DANGER OF LOSING YOUR PROPERTY
`
`
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`‘The Connecticut Superior Court requires that this notice be sent to you about the residential foreclosure process.
`This is not legal advice. Please read it carefully.
`
`It is importantthat you learn about your options in foreclosure. There are government agencies. legal aid
`programs and other non—profit organizations that you may call for information about foreclosure.
`
`. To protect your rights, you should speak to an attorney or go to the foreclostrre clerk. foreclosure caseflow
`coordinator or Court Service Center in the Court where your case was filed for information on what to do next.
`if you do not take action, you could lose your property.
`
`if you do not file an Appearance form with the Court, you. will not get important notices about your case
`AND the Court may make a decision (enter :1? default judgment) against you; File the Appearance form atthe
`Court where your case is pending.
`'
`
`You should also work with your lender or other person bringing this lawsuit or, if this foreclosure involves your
`home, to contact a HUD-certified housing counselor during this process.
`
`If this-foreclosure involves your home, you may be eligible for the Foreclosure
`Mediation program. Information about the program is attached to these papers
`and is also available at any Superior Court Judicial District courthouse or on the
`
`
`
`
`
`
`
`
`
`court's website at wwwjudctgov. To locate assistance near you, you may cail
`. the Connecticut Housing Finance Authority‘s
`call
`center
`toll
`free
`at
`1—877—571—2432. Customer Service Representatives are available Monday
`through Friday from 8:30 am. to 5:00 pm. You may also cali 2—1-1 for other help.
`
`PROCEED WITH CAUTION
`
`You may be contacted by people offering to help you avoid foreclosure. Please follow these precautions:
`
`'1.
`2.
`
`3.
`
`_
`
`Get legal advice before entering into any deal involving your house.
`Get legal advice before paying any money to anyone offering to help you avoid foreclosure.
`
`Do not sign any papers you do not understand.
`
`READ THE PAPERS UNDER THIS NOTICE
`
`
`
`FORECLOSURE MEDIATION
`CERTIFICATE
`
`JD~CV-108 Rev. 9-13
`
`C.G.S. §§ 49-31k. 49-311; PA. 13-136
`
`sf
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`_-
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`fATE OF CONNECTICUT
`_ FMREQ
`wnwjudctgov
`SUPERIOR COURT
`JUDICEAL BRANCH
`llllllllllllllllllllllilllllll
`
`instructions to Homeowner Applicant
`
`1. Use this form it return date in your case is on or after July 1, 2009.
`2. Fill out this Certificate form and an Appearance form, JD-CL—12
`{available at the courthouse or online at www.jud2.ct.gov/webforms)
`and file them with the court not more than 15 days after the return
`'
`date on the Summons.
`‘
`3. You must mail or deliver a copy of this completed Certificate form to the
`plaintiff's attorney. or to the piaintiff if the plaintiff is not represented by
`an attorney.
`,
`,
`
`_
`_
`ADA NOTICE
`_
`_
`The JUd'Cial oranch {3f “if? 5t??? 13? COMBCthUt COWDIIES
`With the Americans W'th D'sabllltles ACT (ADA) If you need
`a reasonable accommodation in accordance with the ADA.
`contact a court clerk or an ADA contact person listed at
`
`, www.jud.ct.gov/ADA.
`
`Type or Print Legibly
`
`‘Name of case (Plaintiff on Summons vs. Defendant on Summons)
`_
`,
`’Docket number (To be Wad m by COM 53???)
`
`Return date (On upper right portion of Summons)
`
`
`
`
`Judicial District of {On upper left portion of Summons}
`
`' Homeowner(s) information
`
`Your name(s)
`
`
`
`Address (Number, street, town, state, zip code)
`
` Telephone number - , Business phone Cell phone
`
`
`
`
`
`
`l (
`)
`l (
`)
`l t
`‘ )
`_
`l
`
`Is this property your primary residence? El Yes
`Do you OCCUPY the property? ,
`- D VETS
`is it a 1, 2, 3m 4 family residential
`.
`,
`.
`Yes
`. property located In Connecticut?
`' Are you the borrower? 7
`is this a mortgage foreclosure?
`
`1:] NO
`[:I No
`-
`No
`
`-'
`
`C,
`Cl
`D Yes D No
`El Yes E! No
`
`OR.
`
`Is this property owned by a reiigious
`El Yes El No
`organization?
`lsthe property located in Connecticut? 7 [:1 Yes
`1:] No
`.
`.
`is the religious organization the
`.
`.
`borrower?
`E] Yes D No
`is the the-return date in the case on or
`after October 1. 2011?
`
`El Yes E] No
`
`Signed
`
`'
`
`Certification
`
`
`
`' —Prinlnameofperson signing _
`
`
`
`Datesigned
`
`_
`
`I Certify that a copy of this document was mailed or delivered electronically or non-electronically on (date)
`and soft-represented parties of rec
`ord and that written consent for electronic delivery was received from all attorneys and self-represented
`
`parties receiving electronic deiivery.
`Name and address of each party and attorney that copy was mailed or deiivered to"
`
`to all attorneys
`
`
`*lf necessary, attach additionai sheet or sheets with name'and address which the copy was maiied or delivered to.
`Print or type name of person signing
`Signed {Signature of filer)
`
`
`
`
`
`
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`Mailing address (Number. street, town, state and zip code}
`
`Date signed
`
`-
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`Telephone number
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`
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`
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`
`
`FORECLOSURE MEDIATION
`. COURT NOTICE TO HOMEOWNER
`JD—cvws Rev. 1013
`
`cos. §4931l, PA13138
`
`_
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`'
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`I
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`'
`
`si‘ E OF CONNECTICUT
`FMPCN '
`‘
`SUPERIOR COURT
`,
`JUD‘C'ALBRANCH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
`WWWjud ctgov
`
`ADA NOTICE
`The Judicial Branch of tie State of Connecticut complies with the
`Americans with Disabilities Act (ADA).
`If you need a reasonable
`accommodation in accordance with the ADA, contact a court clerk or
`
`an ADA contact person listed at wwwjudctgoy/ADA.
`
`Notice Of Foreclosure Mediation Program
`
`The Court has a ForeclOsure Mediation Program that may help you (the homeowner) and the lender'In your
`mortgage foreclosure case reach a fair and voluntary agreement State iaw requires you to:
`Foliow either instruction #1 or instruction #2 below depending on the Return Date listed on the
`foreclosure papers delivered to you (The Return Date is printed on the upper rightportion of the
`Summons form that was delivered to you):
`
`instruction # 1. if the Return Date is before October 1,2011 an Appearance form (JD—CL— 12), and a
`Foreciosure Mediation Certificate form (JD--CV—1 08) should have been attached to the foreclosure papers that
`were delivered to you. (if these forms were not attached, you can get them on the Judicial Branch website at
`WWW.jud2_.ci.gov/webforms/ or at any Judicial District court clerk's office).
`
`- Youmust file these two forms with the Court not more than 15 days after the return date printed
`on the upper right portion of the Summons form that was delivered to you (or served on you).
`
`-.
`
`lnstruCtion # 2. If the Return Date is October 1, 2011 or later, an Appearance form (JD—CV42), a Foreclosure _
`:Mediation Certificate form (JD--CV— 108) a Mediation Information form (JD—CV—125) for Return Dates from
`:OCtober 1, 2011 through September 30, 2013; or a Mediation information form (J D—CV-135)for Return Dates
`October 1, 2013 or Iater. A Notice of Community-Based Resources form (JDCV—126) should have been
`attached to the forecloSure papers that were delivered to you. (if these forms were not attached, you can get
`them on the Judicial Branch website at WWW.juo'2. ct. gov/webforms/ or at any Judicial District court clerk'5
`office).
`- You must file the Appearance form (JD-“(142) and Foreclosure Mediation Certificate form
`(JD-Gil-108) with the Court not more than 15 days after the return date printed on the upper right
`portion of the Summons form that was delivered to you (or served on you).
`-- For "Return Dates from October 1, 2011 through September 30, 2013, you also must fill out the Mediation
`Information Form (JD—CV—125) and attach the required paperwork and send them to the lender's attorney
`as soon as possible but at least 15 business days (about 3 weeks) before the first mediation
`.session. The address of the lender's attorney is on the summons form. Do not wait until you getthe .
`court notice of the date of your first mediation session to send this form to the attorney Keep a
`copy of the Mediation Information Form (JD—(EV-125) that you fill Out and the paperwork that goes with it
`and bring aII copies to the first mediation session. Do not. mail these papers to the court.
`-
`
`-
`
`- ForReturn Dates October 1, 2013 or later, you should review the Mediation Information form
`(JD—CV—135) and begin to gatherlfinancial information for use in meeting with the mediator andIn
`mediation. This wili inciude, among otherthings, proof of all sources ofIncome, bank statements and
`Federal tax returns. Your lender wilt provide to you and the mediator a complete list of all documentation
`required, as welt as ail necessary forms. Bring the completed terms and all documentation to your
`meeting with the mediator.
`'
`,
`
`The Court will review the Certificate form to deside if your case is eiigibie for the mediation programs
`
`_
`
`If your case is eligible for the mediation'program the Court wiII send you a notice teiiing you when to come to court
`for the mediation or meeting with the mediator.
`-
`‘
`4
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`FOHECLOSURE MEDIATJON
`I[\alngCE OFCOMMUNITY-BASED
`SOURCES
`JD—CV—126'-Rev.4i-15
`C.G.S. '3‘ 49-31!
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`\‘
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`STAT§§:E%?ggEgg—|8g¥
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`JUDI$EZéfigofl
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`‘1
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`ADA NOTICE
`The Judicial Branch‘of the State of Connecticut
`
`
`complies with the Americans with Disabilities Act
`
`
`(ADA).
`If you need a reasonabie accommodation in
`accordance with the ADA, contact a court clerk or an
`
`
`ADA contact person listed at wwjudctgov/ADA.
`
`
`
`State of Connecticut Department of Banking
`.
`'
`Foreclosure Hotline Bulletin
`_
`Community-Based Resources for Connecticut Homeowners In Foreclosure
`Note; Assistanbe in multiple languages is available through Connecticut Housing Finance Authority (CHFA/i—IUD)—approved
`housing counseling agencies (refer to the list beiow). Ayuda en Espanoi es disponibie a través de agencies do consejen‘a de
`, vivienda aprcbado por CHFA/HUD (favor de referirse a 'la lista de a‘bajo).
`.
`Toll—free Mortgage Foreclosure Assistance Hotline: 1-877—47248313
`Department of Banking Website: www.ct.govldob
`The free Foreclosure Hotline is open Monday—Friday 8:00 am. to 5:00 pm. Calls will be returned within two business days.
`Homeowners who are currently a party to a foreclosure action with time sensitive foreclosure concerns should call the Hotline
`for assistance. You can also reach the Department of Banking by Calling 1-800-831-7225 (toll-free) or 860-240-8299.
`
`Mortgage Assistance from the Connecticut Housing Finance Authority (CHFA)
`The Connecticut Housing Finance Authority administers the state‘s Emergency Mortgage Assistance Program (EMAP)
`which was created by the Connecticut General Assembly. EMAP can help eligible homeowners with overdue payments and
`provide monthly mortgage assistance. For more information, contact a CHFAIHUD—approved housing counseling agency
`(listed below), call CHFA at 1'3877-571-2432, or visit www.chfaorg.
`CHFAIHUD-Approved Housing Counselors;
`CHFA/HUD—approved housing counselors provide free help to Connecticut homeowners who are'struggling financially and
`may be at risk of foreclosure. They can review your budget and try to find ways to help with your financial issues. They are
`trained in handling FHA and "conventional" loans and can help you negotiate with your mortgage company or apply to CHFA
`for an Emergency Mortgage Assistance loan. If a foreclosure case has been filed against you and you have asked to
`participate in the Foreclosure Mediation Program, they can help you get ready for mediation (including the Premediation
`meetings with your mediator) and help you submit financial documents to your mortgage company as part of the mediation
`process. CHFAIHUD approved housing counselors welcome residents from allover Connecticut. You do not need to go to
`the agency closest to you:
`,
`
`
`
`
`
`
`
`
`
`CHFAIHUD-Approved Housing Counseling Agency
`
`-
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`-
`
`Fairfield
`Hartford
`
`
`
`.
`
`Bridgeport Neighborhood Trust, 570 State Street, Bridgeport www.bnnn/eb.org
`Community Renewal Team, 395 Wethersfield Ave., Hartford www.crtctorg
`Neighborhood Housing Services of New Britain, 223 Broad St, New Britain wwwnhsnbcrg
`
`
`
`Neighborhood Housing Servides of New Haven, 333 Sherman Ave, New Haven
`
`
`wwwnhsofnewhairencrg
`
`
`Greater New Haven Community Loan Fund, 1?1 Orange St, New Haven
`
`New Haven http://www.thereofprojectcrg
`
`
`
`
`
`
`Neighborhood Housing Services of Waterbury, 161 North Main Street, Waterbury
`
`
`wwwnhswaterbunx. org (serves Waterbury, Naugatuck, Torrington, and all of Northwest CT)
`
`
`
`New London!
`seossssézie'ext 272 '
`Catholic Charities, Diocese of Norwich; 331 Main St, Norwich; 28- Huntington'St.,
`
`
`Windham
`
`New London www.ccfsn.org (also serves Middletown) _
`
`203-290—4255 ext. 107
`860660-5880
`860-224—2433
`
`20377745925 ext 25
`-
`203-624-7405 ext. 130
`
`203—753-1896 ext. 10
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`Legal Resources
`
`Foreclosure PreventionClinics: The Connecticut Fair Housing Center, the Department of Banking, and the Judicial
`Branch‘s Foreclosure Mediation Program present free ciinics for homeowners in foreclosure. The clinics offer information on
`the process and on preparing for court from a Center attorney, guidance on resources for homeowners from the Department
`of Banking, and a description of the Mediation Program from a court mediator. After the presentations, homeowners can talk
`about their situations one—on-one with voiunteer attorneys and paraiegals. The clinic in Hartford is the 3rd Tuesday evening
`of most months and is run by the Connecticut Fair Housing Center and the University of Hartford Paralegal Studies
`Program. The clinic in Fai'rfieid County is the 3rd Wednesday evening of most months, is sponsored by Bridgeport Mayor
`Bill Finch, Stamford Mayor David Martin, and Nomalk Mayor Harry W. Riliing, and is rUn by the Connecticut Fair Housing
`Center and Homes Saved By Faith. its location rotates among the 3 cities. More information on the clinics (including times
`and locations) is available on www.ctfaimousfng.org or by calling 1—888-247-4401.
`
`Judicial Branch Foreclosure Volunteer Attorney Program: Volunteer attorneys are available to give advice and answer
`questions about foreclosure at certain courthouses in the state. Homeowners facing foreclosure throughout Connecticut are
`welcome to attend. Call 860—263-2734 for additional information, or visit http://jud.ct.gov/voiunteer_atty_prgm.htm.
`
`Foreclosure Manual for Self-Represented Homeowners: The Connecticut Fair Housing Center publishes
`“Representing Yourself in Foreclosure: A Guide for Connecticut Homeowners," a free manual describing the foreclosure and
`mediation process for self-represented homeowners. Copies are available from CHFA/HUD—approved housing counselors, on
`www.cn‘airhousfngcrg, or by calling the Center at 1—888-247—4401. '
`Statewide Legal Services (SLS): SLS provides free legal advice and referrals for callers qualifying for its services
`(guidelines include income limits). You can reach SLS by calling 1-800-453-3320 or 860-344-0380 or visiting www.slsct.org.
`Court Service Centers: In certain Superior Court locations, Court Service Centers provide public access computers,
`printers, fax machines, copiers, phones, and work specs for self—represented parties. Refer to wwwjudctgov, and 'go to the
`Quick Links menu on the home page of the Judicial website for more information-
`,
`
`7
`
`Lawyer Referral Services: County Bar Associations in Connecticut offer referral services that introduce homeowners to
`lawyers who can answer questions during an initial halfnhour consultation. Y0u can send an email with your questions and
`availability. Services beyond the 1st half-hour fee will be at the attorney's usual fee.
`
`
`
`Fee for 112 hour"m m
`
`
`
`
`
`
`
`
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`
`
`*The Hartford County Bar also covers Litchfield, Middlesex, Tolland, and \Mndham Counties.
`
`' How Foreclosure Rescue Scams Work. People in foreclosure are often the target of “foreclosure rescue scams."
`Be very careful of non-lawyers who ask you to pay a fee for counseling, loan modification, foreclosure prevention, or a.
`“forensic audit" of your loan ducuments, regardless of their promises or claims. Many out—of—state attorneys target
`ConnectiCut residents: you shouldinever pay attorneys that you do not meet. Contact the Department of Banking for more
`information at 1-877-472-8313 or visit WWW.prevenfloanscams. org.
`
`Mortgage Crisis Job Training Program. The state-funded Mortgage Crisis Job Training Program is a project of The
`WorkPlace, lnc., in partnership with the Connecticut Housing Finance Authority (CHFA), Capital Workforce Partners, and
`Connecticut's workforce system. The Program helps homeowners increase theiriob skills and earning potential. It offers
`customized employment services. job training scholarships, financial literacy, and credit counseling. For information call
`1-866-683—1682 or go to WWW. workplaceorg/mortgageasp.
`
`Financial Assistance Programs. Connecticut's 12 Community Action Agencies (CAAs) help people meet immediate
`needs through services such as Eviction and Foreclosure Prevention, energy/heating assistance, food pantries, and
`weatherization. CAAs also empower people to improve their financial future through employment services, financial literacy
`- training, and other prograrrtsi'To locate yournlocal CAA call the Connecticut-Association for Community Action at
`'
`860—332—9438 or visit: WWW. cafcaorg/our—network.
`
`'
`
`For more information on programs for homeowners facing financial distress, review the Department of Banking's materials on
`www.ct.gov/dob or call 167747243313. You can also call Info line at 2—1 -1 for resources.
`
`JD~CV-126 Rev. 4-15
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`Page 2 of 2
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`FORECLOSURE MEDIATION
`NOTICE TO HOMEOWNER OR
`
`generous OtlEGARNltZATlgh;
`( or cases WI
`a
`e um a e o
`101112011 or later)
`JDvCV-127 Rev. 8-13‘
`C.G.S. § 49-31], PA13-136
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`f
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`st .EOF CONNECTICUT
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`fififiififggfififi
`- wwwjudctgov
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`IIIIIIIIIIIIIIIIIIIIIII
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`ADA NOTICE 7
`The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act
`(ADA) if you need a reasonable accommodation in accordance with the ADA. contact a court
`
`clerk or an ADA contact person listed at wwwjuo’. ct.gov/ADA
`
`Notice to Homeowner or Religious Organization:
`Availability of Foreclosure Mediation
`You have been served with a foreclosure complaint that couid cause you to IOSe your
`property.
`,
`A Foreclosure Mediation Program has been set up to help certain homeowners and
`religious organizations
`You must fill out the attached Foreclosure Mediation Certificate form, JDCV—108 and
`Appearance form, JD-CL-12 and file them with the Court no later than 15 days from the
`, Return Date on the Summons form that Was served on you (or delivered to you) if these
`forms are not attached you may get them at any Judicial District courthouse or from the
`‘ Judicial Branch website at wwwjud2 ct. gov/webforms.
`
`A mediation may be scheduled if:
`
`1. You are the owner—occupant of a 1, 2, 3 or 4 family residential property; and '
`
`c you are the borrower; and
`
`o the mortgageonyour owner—occupied residential propertyIs being foreclosed;
`and
`
`'
`
`o the property being forecloSed is your primary residence; and
`
`o.
`
`the property is located in Connecticut; or
`
`2. the property is owned by a religious or-_‘cjanizationr is located in Connecticut, and
`the foreclosure case has a return date of October 2, 2011, or later.
`
`3. tithe return date on your summons is October 1, 2013 or later and you are eligibie
`based on the above criteria, you will 1" rst meet with a mediatOI who will determine if
`mediation with your lender or mortgage servicer will be scheduled.
`
`Mediation is where a person who does not take sides helps parties try to settle their case.
`
`Judicial Branch mediators wiil conduct mediation sessions at the courthouse.
`
`There is no appiicatiorr fee for this program.
`
`
`
`.
`
`11.111501111110111 .INFORMATlON FORM 1‘“““
`(For cases with a Return Date of
`“'
`1 011m 3 or later)
`JD—cv-tss Rev. 5-13
`0.6.5. § 49-311, PA 13-136
`
`_
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`7
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`.SUPERIOR COURT
`JUDICIAL BRANCH
`wwwjudctgov ‘
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`1111s 01: CONNEchT
`
`ADA-NOTICE
`The Judicial. Branch of the State of Connecticut complies with the
`
`
`
`Americans with Disabilities Act (ADA).
`If you need a reasonabie
`accommodation in accordance with the ADA, contact a court clerk
`or an ADA contact person listed at wwwjudctgov/ADA.
`
`
`
`
`The Court's Foreclosure Mediation Program is set up to help eligible homeowners and their lenders or mortgage
`servicers see whether they can reach a fair and voluntary agreement under the supervision of a neutral mediator
`employed by the Court. The program addresses all aspects of the foreclosure including any assistance options
`that may be available thrOugh your lender or mortgage servicer to help you 1) keep your home, or 2) gracefully
`exit from your home by way of a short sale, deed—in—tieu of foreclosure, or negotiated sale date or iaw day.
`.
`The objectives ofthe mediation program are:
`- To determine whether the parties can reach an agreement that will either:
`’ 1. Avoid the toreciosure by means that may include programs that are avaiiabie through your lender or
`mortgage servicer; or
`7
`.
`2. Expedite or facilitate the foreclosure in a manner that is acceptable to both you and your lender or
`. mortgage servicer.
`,
`- Tolreach this determination with reasonable speed and efficiency, with both parties participating in the
`mediation process in good faith, without unreasonable and unnecessary delays.
`
`What you must do:
`1. Fill out theAppearance form and Foreclosure Mediation Certificate. These forms are included'in this packet.
`You must fiie them with the court no tater than15 days after the return date. The returncats is 1311111ted on111a
`upper right part of the Summons form in this packet. You do not have to come to court on the return date.
`The court cannot notify you of the date and time you must come for your first premediation meeting until you:file
`these forms
`2 Mail a copy of the Appearance form and the Foreclosure Mediation Certificate to the Piaintiff's attorney at the
`address of the attorney or law firm on the Summons form and toany other party who has filed an appearance
`in your case.
`3. Start gathering documentation so that you will be prepared to meet with your mediator. Lenders typically
`request copies of the following documents:
`
`Proof of Income
`
`' Wage/Salem Income —— Pay stubs covering the East 30 days.
`- SeIf--Emponment Income — Profit & Loss statement for the most recent quarter or year to date, signed and
`dated.
`- Benefit Income m— Most recent award letter (social security, disabiiity, food stamps pension pubiic
`assistance, adoption assistance).
`- Rentai Income — All leases with signatures.
`- Alimony/Child Support—m if you rely on this income to pay your mortgage Court order showing the amount of
`alimony and/or child support that you receive
`- Contribution Income — Contribution letters from all non——borrowers who are related to you and live with you
`signed and dated by them, and proof of their income.
`- Federal Tax Returns ——- Personal returns with all schedules for the last 2 years; copies of business returns, if
`applicable; copies of ERS tax fiiing extensions if applicable.
`- Bank Statements — Personal bank statements for the last 2 months and business bank statements for the
`iast 4 months if self—employed. Must include ali pages bank logo and account holder's information.
`Other information
`
`° Most recent utility bill (gas eiectric or water).
`- Most recent real estate property tax bill.
`' Evidence of amount of homeowner's association dues orcondominium fees, and whether current or
`delinqdent.
`.
`.
`1
`..
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`Page 1 012
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`who.“
`r
`‘
`-
`- Homeowners' insurance declar'on page.
`- Hardship letter —A letter expiamy what happened that prevented youI. om making your mortgage payment,
`and that indicates whether or not the hardship has been resolved signed and dated by alt borrowers.
`4. Writhin 35 days from the return date your lender or mortgage servicer will mail you a packet of forms, their list of
`required documentation and other information about your ioan or your property A copy will also be sent to your
`mediator Upon receipt of this packet, complete the forms provided, gather any additional
`documentation on the list, and bring the compieted forms and documentation to your scheduled
`premediation meeting with your mediator. You can read more about this meeting in the next section below.
`Do not mail the completed forms and documentation to the c0urt.
`
`_
`The Mediation Process
`If your return date is Octobert, 2013 or later the Foreclosure Mediation Program Will consist of two stages:
`
`- Premediation —- During this stage you will meet one—~on—one with a mediator to review yourfinancial
`information and to discuss possible options. if necessary, the mediator will assist you in completing forms and
`gathering the documentation required by your lender or mortgage servicer. The mediator may also refer you
`to other resourCes that can help you, such as the housing counseling agencies listed on the attached Notice
`of Community—Based Resources. You may have one or more meetings with the mediator but premediation
`wiii end approximately 12 weeks from the return date on your Summons. At the conclusion of premediation,
`the mediator will ensure that your documentation is delivered to your lender or mortgage servicer or its
`attorney and will determine whether mediation with your tender or mortgage servicer will be scheduled. If the
`mediator determines that mediation will not be scheduled mediation wiil terminate. lf mediation has been
`terminated you may ask the Court to be includedIn mediation if you think the mediator has made a mistake
`or if you have had a changeIn circumstances. If the mediator determines that mediation will be scheduled
`you will receive notice of the date and time of your mediation in the mail. The first mediation wiil be scheduled
`no later than 5 Weeks from the date your forms and documentation are delivered to your lender or mortgage
`servicer or its attorney.
`- Mediation -.— lf mediation is scheduled you will meet with a mediator and a representative of the lender or
`mortgage servicer and its attorney to review any assistance options that may be available to you through your
`lender or mortgage servicer. You may be asked to submit additionai documentation as part of the
`mediation process depending on your situation By law, the representative is permitted to participate'In
`mediation by phone as long as the representative is knowledgeable about your case and the types of
`assistance that may be available to you. If you are represented by an attorney your attorney may appear for
`you after the first mediation as long as you are available to participate by phone. if you do not. have an
`attorney and if there are 2 or more self—represented borrowers, then after the first mediation session, itis likely
`that only one of you will need to come to mediation if the other(s) are available to participate by phone.
`.
`
`'
`
`Other Information you should know:
`The information you provide during the mediation process will be treated as confidential and will not be shared
`without your consent with anyone besides your lender or mortgage servicer, its attorneys, and a courtempioyed
`mediator with the Foreclosure Mediation Program
`
`Prior to your premediation meeting(s) with the mediator, if you need help filling out the forms, gathering the
`required documentation, or preparing for mediation, you may contact one of the housing counseling agencies _
`listed on the attached Notice of Community—Based Resources (JD-CV-126). However, if you are not able to get
`help quickly enough, you must do your best to fill out the forms and gather the documentation yourself. The
`mediator will give you additional help during the premediation process.
`
`if your spouse is not a borrower on your'loan, but you Wish to have them attend mediation with you, your lender
`will need your written consent in order to discuss your loan with your spouse.
`
`Page 2 of2
`
`
`
`APPEARANCE .
`JD-CL—‘lZPev. 9-13
`PvB- §§ 3-1 “W 3*5I3-8I1El-1325A-2
`
`5..
`
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`WWWJUdcf. gov
`
`..
`
`Instructions —— See Back/Page 2
`. ADA Notice — See Back/Page 2
`
`,
`Notice To Self-Represented Parties.
`A self-represented party is a person who represents himself or herself. if you are a self—
`represented party and you filed an appearance before and you have since changed your address,
`you must let the court and all attorneys and self—represented parties of record know that you have
`changed your address by checking the box below.
`E] I am filing this appearance to let the court and all attorneys and self——represented
`parties of record know that l have changed my address. My new addressIs below
`Name of case (Full name of Plaintiff vs. Full name of Defendant)
`
`Return date
`Docket number
`
`'
`
`
`
`_
`
`
`
`Address of Court (Number, street. town and zip code)
`
`
`Cl
`l3
`Judicial Housing
`Small.
`Geographic
`District
`Session
`Claims Area number
`
`
`
`Scheduled Court date (Criminamotor Vehicle Matters)
`
`
`
`Please Enter the Appearance of
`
`Name of self-represented party (See
`
`attorney
`
`
`
`Mailing Address (Number, street) (Notice to attorneys and law firms - The address to which papers will be mailed from the Post. office box
`court is the one registered or afiillaled with yourjuns number That address cannot be changed in this harm.)
`
`Telephone number (Area Code first)
`
`
`
`"Notice to Self-Represented Parties" at top), or name of official firm professional corporation orindividual Jun's number of attorney or frm
`
`
`
`Fax number (Area code that) E-maii address
`Cityitown
`
`
`
`
`in the case named above for: ("x" one of the following parties; it this is a Family Matters case, also indicate the scape ofyour appearance)
`
`.
`
`m The Plaintiff (includes the person suing another person).
`El All Plaintiffs.
`
`,
`(:1 The following Plaintiffls) only:
`IIThe Defendant (includes the person being sued or charged with a crime).
`E] The Defendant for the purpose of the bail hearing only (in criminal and motor vehicle cases only)
`|:l All Defendants.
`
`,
`E} The following Defendant(s) only:
`
`C] Other (Specify):
`[:1 Thisis a Family Matters case and my appearance is for: (")I" one or both)
`|:] matters in the Family Division of the Superior Court
`[:| Title lV—D Child Support matters
`Note: if other counsel or a self-represented paIty has already filed an appearance for the party or parties "x’d" above, put
`an "x " in box 1 or2 below.
`'
`1. D This appearance is in place of the appearance of the following attorney,
`firm or self—represented party on file (P. 8‘. Sec. 3—8):
`
`7
`W
`2. D This appearance is in addition to an appearance already on file.
`
`'
`
`[agree to accept papers (service) electronically in this case under Practice Book Section 10-13 -
`|:| No
`
`Name of person signing at left (Print or type)
`
`Signed (individual attorney or sell-represented party)
`
`
`he
`
`
`
`Certification
`
`[3 Yes
`Date signed
`
`to all attorneys
`l certify that a copy of this document was mailed or delivered electronically or non-electronically on (date)
`and seifvrepresented parties of record and that written consent for electronic delivery was received from all attorneys and self-represented
`
`parties receiving electronic delivery.
`Name and address of each party and attorney that copy was mailed or delivered to’
`
`For Court Use Only
`
`
` Signed (Signature of filer)
`
`>
`
`Print or type name of person signing
`
`.
`
`Date signed
`
`Telephone number
`
`*li necessary. attach an additional sheet or sheets with the name of each party and the address'which the copy was mailed or delivered to.
`
`
`
`
`
`
`‘
`
`instructions
`
`“”1
`
`1. Type or print.
`2. For Criminal and Motor Vehicle cases: Fit] out the form,
`including the certification section at the bottom ofthe
`form. File the original with the clerk. Mail or delivera copy
`of the appearance to the prosecutor. (Sections 3—4(d) and
`3—5 of the Connecticut Practice Book)
`
`'
`
`. For Civil , Eviction (Summary Process), and Small
`Claims cases: Fill out the form, including the certIfIcation
`section at the bottom of the form. File the original with the
`clerk. Mail or deliver a copy to all counsel and self—
`represented parties of record. If a party who has been
`defaulted for failure to appear tiles an appearance before
`the entry ofjudgment after default, the default will
`automatically be set aside by the clerk. (Sections 3-4(a),
`3-4(b), 3-5 and 17-20 of the Connecticut Practice Book)
`
`,to selecting plaintiff or defendant, indicate the scope of
`your appearance. File the original with the clerk. Mail or -
`. deliver a copy to all counsel and self-represented parties
`of record. (Sections 3—4(8) and 3—5 of the Connecticut
`Practice Book)
`
`5. For Juvenile cases: Do not use this form. Use form
`JD—JM-1'3 Appearance, Juvenile Matters.
`
`- 6. For Self—represented parties who have changed their
`address after fiiing an appearance: Check the box at
`the top ofthe other side or page 1 of this fo



