Mediation Conference Report Residential Foreclosure Mediation {119}

STATE OF ILLINOIS ) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS _______________________________________ Plaintiff vs CASE NO. __________________________________ _______________________________________ Defendant Mediation Conference Report Residential Foreclosure Mediation Pre-mediation Screening in this case was held on: ________________________, 20_____. Parties Present: (Please use check boxes) Plaintiff: Defendant: Mediator Action: (Please use check boxes) Mediation Services terminated due to Plaintiff's/ Defendant's failure to appear; referred to Trial Court. (Circle) By Counsel By Counsel By Representative In person Mediation Services terminated due to the Parties' failure to agree; referred to Trial Court. Mediation Services terminated due to Plaintiff's failure to participate in good faith; referred to Trial Court. By agreement of the parties: (Please use check boxes) 1. Deed in Lieu of Foreclosure; referred to Trial Court for dismissal. 2. Consent Judgment without deficiency; referred to Trial Court for Entry of Order. 3. Loan Modification; see Agreement; referred to Trial Court. 4. Other Agreement; see Agreement of the parties; referred to Trial Court. 5. Continue Mediation until ________________________, 20_____, at ________ pm at the Will County Court Annex-3rd Floor (Arbitration Center), 57 N. Ottawa Street, Joliet, Illinois. The parties agree as follows: _________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Respectfully Submitted: Date: ______________________________, 20________ _______________________________________________________ (Mediator's Signature) PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY White ­ Court Yellow ­ Plaintiff Pink ­ Defendant American LegalNet, Inc. www.FormsWorkFlow.com 119 Revised (07/10)