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            "text": "County: ___ Case Number: ___ FC ___ Parties: ___",
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                {
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                        "label": "County: ___ Case Number: ___ FC ___ Parties: ___",
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            },
            "text": "Plaintiff's Checklist",
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            },
            "level": 3
        },
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            "type": "text",
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            },
            "text": "17th Judicial Circuit Foreclosure Mediation Program"
        },
        {
            "id": "p1.4",
            "order": 5,
            "type": "text",
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            "text": "(This document must be submitted to the Program Administrator at least 10 calendar days before the first mediation management conference or mediation session.)"
        },
        {
            "id": "p1.5",
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            "type": "text",
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            },
            "text": "Please list a contact person for this case. The Program Administrator will contact this person to deal with any issues. The contact person may be an attorney representing the plaintiff."
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            "text": "Name:",
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                    "text": "___",
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                    "text": "Title: ___",
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                                "label": "Title: ___",
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                    "text": "Telephone Number: ___",
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                                "label": "Telephone Number: ___",
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            ]
        },
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            "id": "p1.8",
            "order": 15,
            "type": "heading",
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                "t": 558.72,
                "r": 108.96,
                "b": 545.52
            },
            "text": "E-mail address:",
            "level": 3
        },
        {
            "id": "p1.9",
            "order": 16,
            "type": "text",
            "bbox": {
                "l": 33.6,
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            },
            "text": "___",
            "children": [
                {
                    "id": "p1.9.1",
                    "order": 17,
                    "type": "form_field",
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                    "text": "",
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        },
        {
            "id": "p1.10",
            "order": 18,
            "type": "heading",
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            },
            "text": "Home Loan Information",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p1.11",
            "order": 19,
            "type": "heading",
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            },
            "text": "Loan servicer:",
            "level": 3
        },
        {
            "id": "p1.12",
            "order": 20,
            "type": "text",
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            "text": "___",
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                    "id": "p1.12.1",
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            "text": "",
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            "children": [
                {
                    "id": "p1.13.1",
                    "order": 23,
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                    },
                    "text": "Does the plaintiff have a second lien on the home?",
                    "marker": "1."
                },
                {
                    "id": "p1.13.2",
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                    "type": "list_item",
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                    },
                    "text": "Yes □ No",
                    "marker": "□",
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                            "type": "form_field",
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                    ]
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            ]
        },
        {
            "id": "p1.14",
            "order": 27,
            "type": "text",
            "bbox": {
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            },
            "text": "(If yes, please answer A and B below.)"
        },
        {
            "id": "p1.15",
            "order": 28,
            "type": "list",
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            "text": "",
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            "children": [
                {
                    "id": "p1.15.1",
                    "order": 29,
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                    "text": "Does the plaintiff or the loan servicer participate in Second Lien Modification Program (2MP)?",
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                {
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                    "order": 30,
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                    "text": "Does the plaintiff or the loan servicer have another program addressing a second lien?",
                    "marker": "B."
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                    "text": "Yes □ No",
                    "marker": "□",
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                                "field_kind": "checkbox",
                                "label": "Yes",
                                "source": "glyph",
                                "label_source": "parent_text",
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                        },
                        {
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                                "source": "glyph",
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            ]
        },
        {
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            },
            "text": "(If yes, please attach a description of the program to this checklist.)"
        },
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            "type": "list",
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            "text": "",
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            "children": [
                {
                    "id": "p1.17.1",
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                    "text": "Please indicate the owner of the loan and any other boxes that apply:",
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                },
                {
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                    },
                    "text": "Fannie Mae □ Ginnie Mae □ FHA Loan □ RHS Loan □ Freddie Mac □ Private Investor Owned",
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                                "label": "FHA Loan",
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                                "field_kind": "checkbox",
                                "label": "RHS Loan",
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                                "label_source": "parent_text",
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                        },
                        {
                            "id": "p1.17.2.5",
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                                "field_kind": "checkbox",
                                "label": "Freddie Mac",
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                        },
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                            "id": "p1.17.2.6",
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                                "field_kind": "checkbox",
                                "label": "Private Investor Owned",
                                "source": "glyph",
                                "label_source": "parent_text",
                                "label_ref": "p1.17.2",
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                                "text_span": 0
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                    ]
                },
                {
                    "id": "p1.17.3",
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                    "type": "list_item",
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                    },
                    "text": "VA Loan □ Other: _____",
                    "marker": "□",
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                        {
                            "id": "p1.17.3.1",
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                            "type": "form_field",
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                                "field_kind": "text",
                                "label": "□ Other",
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                                "field_kind": "checkbox",
                                "label": "VA Loan",
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            ]
        },
        {
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            "type": "heading",
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            },
            "text": "Loss Mitigation",
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            "level": 3
        },
        {
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            "text": "",
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            "children": [
                {
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                    "text": "Has the lender received a complete packet and all required documents necessary for review?",
                    "marker": "3."
                },
                {
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                    "text": "Yes □ No",
                    "marker": "□",
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                        {
                            "id": "p1.19.2.1",
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                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Yes",
                                "source": "glyph",
                                "label_source": "parent_text",
                                "label_ref": "p1.19.2",
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                                "text_span": 1
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                        },
                        {
                            "id": "p1.19.2.2",
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                            "type": "form_field",
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                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "No",
                                "source": "glyph",
                                "label_source": "parent_text",
                                "label_ref": "p1.19.2",
                                "text_offset": 6,
                                "text_span": 0
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                        }
                    ]
                }
            ]
        },
        {
            "id": "p1.20",
            "order": 56,
            "type": "text",
            "bbox": {
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            },
            "text": "(If no, please attach an itemized list of the missing documents to this checklist.)"
        },
        {
            "id": "p1.21",
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            "type": "list",
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            "text": "",
            "attrs": {
                "item_count": 3
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            "children": [
                {
                    "id": "p1.21.1",
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                    "bbox": {
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                    },
                    "text": "Lender/servicer-specific loss mitigation application materials were due to the Mediation Program within 10 calendar days of the Notice of Entry. Please select the appropriate option below:",
                    "marker": "4."
                },
                {
                    "id": "p1.21.2",
                    "order": 59,
                    "type": "list_item",
                    "bbox": {
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                        "b": 134.4
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                    "text": "Lender/servicer-specific application materials were sent to FM@17thCircuit.IllinoisCourts.gov on _____(date).",
                    "marker": "□",
                    "children": [
                        {
                            "id": "p1.21.2.1",
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                            "type": "form_field",
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                                "field_kind": "text",
                                "label": "(date)",
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                                "label_source": "parent_text",
                                "label_ref": "p1.21.2"
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                        },
                        {
                            "id": "p1.21.2.2",
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                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "Lender/servicer-specific application materials were sent to FM@17thCircuit.IllinoisCourts.gov on _____(date).",
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                                "label_source": "parent_text",
                                "label_ref": "p1.21.2",
                                "text_offset": 0,
                                "text_span": 0
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                        },
                        {
                            "id": "p1.21.2.3",
                            "order": 62,
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                            "bbox": {
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                            "text": "FM@17thCircuit.IllinoisCourts.gov",
                            "attrs": {
                                "uri": "mailto:FM@17thCircuit.IllinoisCourts.gov",
                                "action_type": "/URI"
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                    ]
                },
                {
                    "id": "p1.21.3",
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                    "type": "list_item",
                    "bbox": {
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                    "text": "The forms provided by the Mediation Program include: Request for Mortgage Assistance (RMA), Mortgage Assistance Application (Form 710), Dodd-Frank Certification, IRS Forms 4506C & 4506T, the Financial Worksheet, and the Hardship Letter. Lender/servicer-specific materials were not sent to the Mediation Program as the above-listed forms are accepted by the lender/servicer.",
                    "marker": "□",
                    "children": [
                        {
                            "id": "p1.21.3.1",
                            "order": 64,
                            "type": "form_field",
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                            "text": "",
                            "attrs": {
                                "field_kind": "checkbox",
                                "label": "The forms provided by the Mediation Program include: Request for Mortgage Assistance (RMA), Mortgage Assistance Application (Form 710), Dodd-Frank Certification, IRS Forms 4506C & 4506T, the Financial Worksheet, and the Hardship Letter. Lender/servicer-specific materials were not sent to the Mediation Program as the above-listed forms are accepted by the lender/servicer.",
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                                "label_source": "parent_text",
                                "label_ref": "p1.21.3",
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                                "text_span": 0
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                }
            ]
        },
        {
            "id": "p1.22",
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            "type": "footer",
            "bbox": {
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                "b": 49.2
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            "text": "EXHIBIT FM-5",
            "attrs": {
                "block_label": "footer"
            }
        },
        {
            "id": "p1.23",
            "order": 66,
            "type": "footer",
            "bbox": {
                "l": 158.16,
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                "b": 36
            },
            "text": "This document is not confidential and may be shared with the court.",
            "attrs": {
                "block_label": "footer"
            }
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}