Free Completion of Mediation - New Jersey

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MEDIATOR: If an additional session is needed, check here and do not complete this form STAFF: If the box above is checked, do not send this form to the AOC. SUPERIOR COURT OF NEW JERSEY CHANCERY DIVISION COUNTY GENERAL EQUITY DOCKET NO. F, Plaintiff, v. , Defendant. Civil Action Foreclosure Mediation Completion Report

Date Mediation Scheduled:

Mediation Outcome:
CM NS PS Foreclosure Action Resolved ­ Parties Reached Agreement Foreclosure Action Unresolved ­ No Agreement Reached Provisional Settlement ­ No Need to Reschedule Mediation

Mediator ­ Sign Above

Mediator ­ Print Name Above If Code CM or PS are checked, then check all categories that apply: Reinstatement Principal Forbearance Repayment Plan Forbearance Agreement Extension Agreement Waiver Fees/Penalties Loan Modification Interest Rate Reduction ARM to Fixed Rate Amortization Extended Gov't Fund Incentive Applied Principal Reduction
County Staff: Please return this form to the Civil Practice Division, P.O. Box 981, Trenton, NJ 08625. THE MEDIATOR SHOULD COMPLETE THIS FORECLOSURE MEDIATION COMPLETION REPORT IMMEDIATELY FOLLOWING THE END OF THE FINAL MEDIATION SESSION IN A CASE. THIS FORM MUST ALSO BE COMPLETED IF A PROVISIONAL SETTLEMENT IS REACHED. DO NOT COMPLETE IF ANOTHER MEDIATION SESSION MUST BE SCHEDULED FOR THIS CASE.

Deed in Lieu of Foreclosure Short Sale Voluntary Surrender/Graceful Exit Cash for Keys Other

Revised 4/27/2009, CN: 11274-English

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