UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF FLORIDA www.flsb.uscourts.gov In re: Case No. Chapter Debtor / NOTICE OF CLERK'S DESIGNATION OF MORTGAGE MODIFICATION MEDIATOR A Notice of Selection of Mortgage Modification Mediator was filed by the Debtor indicating that the parties have failed to agree on the selection of a mediator in this case. Pursuant to Mortgage Modification Mediation ("MMM") Program Procedures adopted under Administrative Order 14-03, this matter is assigned to the mediator designated below. A mediator who is unable to serve shall, within seven days from the date of this notice, provide written notice of inability to serve to the clerk and all parties to the mediation, and the clerk shall designate an alternate mediator. Local Rule 9019-2(b)(3) shall apply to any challenge to the clerk's designated mediator. Name of Mediator: __________________________________ Address __________________________________ City, State, Zip Code __________________________________ Telephone Email Address:______________________ CLERK OF COURT By: _______________________________ Deputy Clerk Telephone:_________________________ Dated: Copies to: [all parties to the mediation] MMM-LF-12 (08/01/2014) American LegalNet, Inc. www.FormsWorkFlow.com