`WORKSHEET
`JD-CV-77
`Rev, 12-16
`
`ADA NOTICE
`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 personlisted at www.jud.ct.gov/ada.
`
`STATE OF CONNECTICUT
`SUPERIOR COURT
`www.jud.ct. gov
`
`Instructions
`Complete this worksheet and submit it with the other documentfiled with the court on a Motion for Judgment of Foreclosure
`Docket number
`
`Name of case(First-named Plaintiff v. First-named Defendand)
`WY-CV-23-60693338
`Servis One, Inc DBA BSI Financial Services vs. Lauren Janine White AKA Lauren White
`
`
`List Names of Nonappearing Individual Defendants
`
`1, Fair market value of property being foreclosed:
`The appraisal report (NOT merely the affidavit of the appraiser)
`MUST be dated within 120 days of the date ofjudgmeni,
`regardless of whether an initialjudgment is being entered or
`judgmentis being reopened.
`
`2. Updated debt as of January 27, 2025:
`
`$184,206.61
`
`3. Amount of Condominium Common Charges Fee with priority
`overplaintiff's lien, if any:
`
`4, List other encumbrances on the propertypriorto plaintiff's lien:
`(Not including amount entered on Line 3)
`
`5. Total debt plus encumbrancesprior to plaintiff's lien: (Add lines 2
`through4)
`
`6. Equity: (Subtract line 5 from fine 1. Include the exact amount
`of the equity even if there is a negative amount.)
`
`$0.00
`
`$0.00
`
`7. List the total amount of encumbrances subsequentto plaintiff's
`lien:
`
`80.00
`
`8. Attorney's fees:
`
`9. Appraisal fee:
`10. Title Search fee:
`
`$4,016.50
`
`$100.00
`$0.00 .
`
`|
`
`$260,000.00
`
`$184,206.61
`
`$75.793.39
`
`Answer the following questions
`
`A. Is the United States a party to the action?
`
`B. ts the ownerof the equity in possession of the property?
`
`C. Is the ownerof the equity a nonappearing party?
`
`D. Is the property (check all that apply):
`
`L] Yes
`
`Yes
`
`CL] Yes
`
`XX] No
`
`LJ No
`
`No
`
`Residential [] Commercial
`[| Other
`
`
`
`E. Are you aware of another foreclosure pending on this
`property with this defendant or with anyone else?
`
`C] Yes
`
`>] No
`
`Case name:
`
`Docket number:
`
`Hasplaintiffs counsel been notified?
`
`_] Yes
`
`[] No
`
`
`
`
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