Free FORECLOSURE MEDIATION -- MOTION FOR PERMISSION TO REQUEST MEDIATION UP TO 25 DAYS AFTER RETURN DATE OR TO CHANGE MEDIATION PERIO - Connecticut

FORECLOSURE MEDIATION -- MOTION FOR PERMISSION TO REQUEST MEDIATION UP TO 25 DAYS AFTER RETURN DATE OR TO CHANGE MEDIATION PERIOD
JD-CV-96 Rev. 12-08 P.A. 08-176

STATE OF CONNECTICUT

SUPERIOR COURT
Instructions to person filing this form 1. Type or print legibly. 2. Fill out section I or II of this form and file it with the court. 3. An appearance form (JD-CL-12) must be filed with this form if an appearance has not already been filed with the court.
Docket Number Return Date

www.jud.ct.gov

Name of Case (Plaintiff v. Defendant) Judicial District of

I. Motion for Permission to file Foreclosure Mediation Request form up to twenty-five days after the return date:
I request permission to file the attached Foreclosure Mediation Request form (JD-CV-93) on or before for the following (good cause) reason:

FMPSR

(Date)

II. Motion for Modification of Mediation Period:
I request that the mediation period be modified, as follows: Allow up to 30 more days for the mediation period to
(Date)

FMMOD

for the following (good cause) reason: or,

Shorten the mediation period to
(Date)

for the following (good cause) reason:

FMSHORT

Signature of Person Submitting Motion Address (Number, street, town, state, zip code)

Print Name of Person Signing

Date Signed Telephone Number (with area code)

Certification
I certify that a copy of this Foreclosure Mediation Motion was mailed or delivered to all counsel and self-represented (pro se) parties of record on
(Date)

.
Address where the Foreclosure Mediation Motion was mailed or delivered

Name of each party the Foreclosure Mediation Motion was mailed or delivered to*

Signed

Telephone Number (with area code) For Court Use Only File date

Order (For Court Use Only)
Granted until: Denied

By the Court (Judge/Clerk)

Date

*If needed, attach additional sheet with name of each party the Foreclosure Mediation Motion was mailed or delivered to and the address where it was mailed or delivered.

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