TO BE COMPLETED FOR EVERY SALE BY COURT APPOINTED REFEREE
THE ORIGINAL MUST BE FILED WITH THE COUNTY CLERK WITH A COPY SENT TO THE SUPREME COURT
CHAMBERS OF THE ASSIGNED JUDGE WITHIN 30 DAYS OF SALE
_____________________________________________________________________________________
FORECLOSURE ACTION SURPLUS MONIES FORM
SUPREME COURT OF THE STATE OF NEW YORK, FOURTH JUDICIAL DISTRICT
______________________________ Hon.: _________________________
Plaintiff(s) Index No.: _________________________
-against-
______________________________
Defendant(s)
Property Address: ____________________________________________ Sale Date: ___ / ___ / _____
A. Were there surplus funds? Yes No
B. To be completed by the Referee
a. Amount of final judgment of foreclosure $ _______________
b. Sale price of property $ _______________
c. Upset price $ _______________
d. Surplus amount $ _______________
C. To be completed by Referee conducting the sale (please print)
Name: _________________________ Telephone: _
Address: _
E-mail Address: _
Signature and Date:
D. To be completed by Plaintiff’s Representative E. To be completed by Purchaser
Name (please print) Name (please print)
Address: Address:
E-mail Address: E-mail Address:
Signature and Date: Signature and Date:
Did TOTAL referee fees earned in this matter exceed $1,100? Yes No
If Yes, total amount received: ____________________
*E-FILED CASES MUST BE FILED TO NYSCEF AS A “FORECLOSURE ACTION SURPLUS MONIES FORM”
