Form UCS-840F Request for Judicial Intervention Addendum - New York

Form UCS-840F is a New York State Unified Court System form also known as the "Request For Judicial Intervention Addendum". The latest edition of the form was released in December 1, 2013 and is available for digital filing.

Download an up-to-date Form UCS-840F in PDF-format down below or look it up on the New York State Unified Court System Forms website.

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UCS-840F
FORECLOSURE
Request for Judicial Intervention Addendum
12/2013
________________________
________________________
___________________________
COURT, COUNTY OF
INDEX NO.
For use in ALL mortgage foreclosure actions where the property is: (check if applicable)
Instructions
G
1. A one- to four-family owner-occupied residential property
If # 1 or # 2 is applicable:
• Select “Residential Mortgage Foreclosure Settlement
OR
Conference” as the Nature of Judicial Intervention on the RJI.
G
2. An owner-occupied condominium
• Identify the mortgage servicer.
• The Defendant/Respondent Information section below MUST
Mortgage Servicer: ______________________________________________
be completed for all defendants and attached to the RJI.
DEFENDANT/RESPONDENT INFORMATION: List parties in caption order. Attach additional sheets as necessary.
1.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
2.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
3.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
4.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
5.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
ATTENTION: Proof of service must be filed with this RJI for each defendant upon whom a summons and complaint or summons with notice has been served. [CPLR § 3408]
UCS-840F
FORECLOSURE
Request for Judicial Intervention Addendum
12/2013
________________________
________________________
___________________________
COURT, COUNTY OF
INDEX NO.
For use in ALL mortgage foreclosure actions where the property is: (check if applicable)
Instructions
G
1. A one- to four-family owner-occupied residential property
If # 1 or # 2 is applicable:
• Select “Residential Mortgage Foreclosure Settlement
OR
Conference” as the Nature of Judicial Intervention on the RJI.
G
2. An owner-occupied condominium
• Identify the mortgage servicer.
• The Defendant/Respondent Information section below MUST
Mortgage Servicer: ______________________________________________
be completed for all defendants and attached to the RJI.
DEFENDANT/RESPONDENT INFORMATION: List parties in caption order. Attach additional sheets as necessary.
1.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
2.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
3.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
4.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
5.
Last Name: _________________________________ First Name: _____________________________
Primary Phone: (
)
-
Secondary Phone: (
)
-
Address: ______________________________________________________________________________________________________________
e-mail: _______________________________________
)
(Street Address)
(City)
(State)
(Zip
Comments: _________________________________________________________________________________________
90-day Notice [RPAPL § 1304(1)] mailed on:_______/_______/____________
ATTENTION: Proof of service must be filed with this RJI for each defendant upon whom a summons and complaint or summons with notice has been served. [CPLR § 3408]

Download Form UCS-840F Request for Judicial Intervention Addendum - New York

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