`PREMEDIATION REPORT
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`JCDéCSV'lsiQN59II‘IiA
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`STATE OF CONNECTICUT
`SUPERIOR COURT m
`IIIIIIIIIIIIIIIIII
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`W D
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`IME BANK V. KSIEZOPOLSKI PETER X PETER KSIEZOPOLSKI
`Istnct
`u ICIa
`Docket Number
`Return Date
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`KNLCV186035586$
`7/3/2018
`New London
`ameo
`e Iator
`DateW
` Donna MarcAurele
`8/23/2018
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`The following is a report of the premediation meeting(s):
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`1. Did the mortgagor(s) attend the scheduled meeting(s) with the mediator?
`Explain:
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`IE Yes E] No
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`2. Did the mortgagor fully or substantially complete the forms and furnish the documentation requested
`by the mortgagee?
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`[3 Yes g No
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`
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`ro osal to the mort a ee on 9/12/1 .Explain: The mort a or submitted a settlement
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`3. Did the mortgagee timely supply the forms, requested documentation and information:
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`to the mediator?
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`to the mortgagor(s)?
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`X Yes |:] No
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`D Yes |:] No
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`Date Supplied
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`8/2/2018
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`Date Supplied
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`4. Other information relevant to the objectives of the mediation program:
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`E Mediation with the mortgagee will be scheduled.
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`D Mediation with the mortgagee will not be scheduled; mediation is terminated.
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`Note:
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`Any mortgagor wishing to contest such determination shall petition the court and show good cause for
`reinclusion in the mediation program including, but not limited to a material Change in financial
`circumstances or a mistake or misunderstanding of the facts by the mediator.
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`Th'
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`rep was delivered to all parties on:
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`Mediat
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`5 Signature
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`g I \ZI\Y
`(Date)
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`Oil tater
`(Date)
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`FILED
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`StP 122018
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`SUPERIOR COURT - NEW LONDO
`JUDICIAL DISTRICT AT NEW LONDg'N
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`JD-CV—134 New. 8/13
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`Page 1 of 1
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`W00
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