TO BE COMPLETED FOR EVERY SALE BY A COURT-APPOINTED REFEREE AND
FILED WITH COUNTY CLERKAND CHAMBERS WITHIN 30 DAYS OF SALE
FORECLOSURE ACTION SURPLUS MONIES FORM
SUPREME COURT OF THE STATE OF NEW YORK
____________________COUNTY
Plaintiff(s) Part __________________________
-against- Hon. __________________________
Index No. __________________________
Defendant(s)
Property Address:_______________________________________________________________
Judgment of Foreclosure Date____________ Sale Date____________
A. Were there surplus funds? Yes No
B. To be completed by the Referee
Amount of final judgment of foreclosure $___________________________
Sale price of property $___________________________
Upset price $___________________________
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 E. To be completed by Purchaser
Representative
Name (please print) Name (please print)
________________________________ ________________________________
Address:_________________________ Address:_________________________
________________________________ ________________________________
E-mail Address:___________________ E-mail Address:___________________
Telephone:_______________________ Telephone:_______________________
Signature and Date: Signature and Date:
________________________________ _______________________________
Print Form