SUPERIOR COURT CIVIL DIVISION
_______________________ UNIT DOCKET NO. ___________________
______________________________________,
Plaintiff,
v.
______________________________________,
Defendant(s).
CERTIFICATION IN SUPPORT OF COMPLIANCE WITH THE CARES ACT
Pursuant to Administrative Order 49, ¶ 22, plaintiffs in all foreclosure actions filed between March 27, 2020 and
December 31, 2020 must file a certification in substantially this form.
In compliance with the federal Coronavirus Aid, Relief and Economic Security Act (CARES Act), Plaintiff
swears or affirm under penalty of perjury (CHECK ALL THAT APPLY):
The mortgage on the property that is the subject of this foreclosure is not a “federally-backed
mortgage loan” as defined by the CARES Act.
The subject mortgage is a “federally-backed mortgage loan” and, after a good faith effort by
Plaintiff or its agent to offer Defendant(s) a CARES Act forbearance, in accordance with
Regulation X, 12 C.F.R. §1024.39, if applicable:
Defendant(s) failed to respond to the offer.
Defendant(s) declined the offer.
I declare that the above statements are true and accurate to the best of my knowledge and belief. I
understand that if the above statements are false, I will be subject to the penalty of perjury or other sanctions in the
discretion of the Court.
Date: ____________________
Signature of Plaintiff or authorized agent or representative: ____________________________________________
Printed Name: ____________________________________________
Appendix B
