`PREMEDIATION REPORT
`-
`c
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`JCDéCSV'lsiQN59II‘IiA
`
`STATE OF CONNECTICUT
`SUPERIOR COURT m
`IIIIIIIIIIIIIIIIII
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`
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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
`
`KNLCV186035586$
`7/3/2018
`New London
`ameo
`e Iator
`DateW
` Donna MarcAurele
`8/23/2018
`
`The following is a report of the premediation meeting(s):
`
`1. Did the mortgagor(s) attend the scheduled meeting(s) with the mediator?
`Explain:
`
`IE Yes E] No
`
`2. Did the mortgagor fully or substantially complete the forms and furnish the documentation requested
`by the mortgagee?
`
`[3 Yes g No
`
`
`
`
`
`ro osal to the mort a ee on 9/12/1 .Explain: The mort a or submitted a settlement
`
`3. Did the mortgagee timely supply the forms, requested documentation and information:
`
`to the mediator?
`
`to the mortgagor(s)?
`
`X Yes |:] No
`
`D Yes |:] No
`
`Date Supplied
`
`8/2/2018
`
`Date Supplied
`
`4. Other information relevant to the objectives of the mediation program:
`
`E Mediation with the mortgagee will be scheduled.
`
`D Mediation with the mortgagee will not be scheduled; mediation is terminated.
`
`
`Note:
`
`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.
`
`
`Th'
`
`rep was delivered to all parties on:
`
`
`
`Mediat
`
`5 Signature
`
`g I \ZI\Y
`(Date)
`
`Oil tater
`(Date)
`
`FILED
`
`StP 122018
`
`SUPERIOR COURT - NEW LONDO
`JUDICIAL DISTRICT AT NEW LONDg'N
`
`JD-CV—134 New. 8/13
`
`Page 1 of 1
`
`W00
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