UNITED240STATES240BANKRUPTCY240COURT NORTHERN240DISTRICT240OF240FLORIDA240In240re:VERIFIED EX PARTE MOTION FOR MORTGAGE MODIFICATION MEDIATION ("MMM") - PARTIES REPRESENTED BY AN ATTORNEY The Debtor(s) request entry of an order referring the Debtor and Lender, ("Lender") to Mortgage Modification Mediation ("MMM"), and alleges: 1.Debtor is an individual who filed for bankruptcy relief under, or converted to chapteron .2.Debtor requests MMM for real property ("Property") located at the following street address:. a.The account number(s) for this Property is(last four digits of all account numbers for the same Lender).b.The Property is (check one box):c.The Lender's full name and current address are:*All references to "Debtor" shall include and refer to both debtors in a case filed jointly by two individuals.FLNB240Local240Form2403 (07/18) DIVISIONDebtor(s)Case No.:Chapter: The Debtor's primary residence Not the Debtor's primary residence 1 American LegalNet, Inc. www.FormsWorkFlow.com d.Borrowers obligated on the promissory note and mortgage on the Property are: 3.Debtor and debtor's counsel shall comply with the procedures and guidelines containedwithin Amended Administrative Order 15-001 available atwww.flnb.uscourts.gov/mortgage-modification-mediation .4.Debtor consents to Lender communicating directly with Debtor's attorney for any and allaspects of the MMM program. Unless otherwise ordered, the parties shall use a secure Portal(the "Portal") authorized pursuant to Amended Administrative Order 15-001 for thesubmission of all documents related to the MMM process. The parties may communicateoutside the Portal orally, but all written communication shall occur through the Portal.5.Prior to filing this motion, Debtor or Debtor's attorney has collected all of the requiredsupporting documentation along with the appropriate modification forms via the MMMPortal. Within seven (7) days after the selection of a Mediator or the Lender's registration onthe MMM Portal, the Debtor or Debtor's attorney shall upload and submit through the MMMPortal all forms needed for MMM with the Lender, and shall pay the non-refundable MMMPortal submission fee; and will upload this Order to the MMM Portal as part of thesubmission of Debtor's documentation.6.The Debtor certifies that the Debtor's portion of the required mediator's fee is in hand, or hasbeen remitted to Debtor's attorney. Debtor understands and acknowledges that after themediator is designated, the mediator's fee is not refundable for any reason at any time. Debtor only Debtor and non-filing co-obligor/co-borrower/third party (within ten (10) daysof the date of this Order, debtor must provide Lender the names, addresses, telephone numbers, and email addresses, if any, of any non-Debtors who are co-obligors, co- borrowers, or third parties to the obligation(s) to be modified.)2 American LegalNet, Inc. www.FormsWorkFlow.com 7.The Debtor's filing fee for this case and any prior case filed in this district has been paid infull or has been waived by court order.Wherefore, Debtor requests the entry of an order granting this Ex Parte Motion, and requests such other and further relief as this Court deems just and proper. Date /s/ Bar No.:DEBTOR'S VERIFICATION Pursuant to 28 U.S.C. 247 1746, I declare under penalty of perjury the foregoing is true and correct. DATE: Debtor Joint Debtor3 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the Verified Ex Parte Motion for Mortgage Modification Mediation (MMM) was served by U.S., first class Mail, upon the parties listed below , . on 20 /s/ Bar No.:Copies to: Lender (identify name of Lender and where notice sent) Lender's Counsel (if known)4 American LegalNet, Inc. www.FormsWorkFlow.com