<p> Mortgage possession Claim No.</p><p>Claimant: Defendant:</p><p>Csl Sol Rep I/P Tel Lett N/A Name Claimant</p><p>1st Deft</p><p>2nd Deft</p><p>Other Person</p><p>Date of Mtg Length of term: Notice to occupiers □ Unexpired term: Months in arrears: Notice to Local Auth. □ LR entries Amount borrowed £ Balance o/s £ □ FLA search □ CMI £ Arrears £ (excl costs/penalties) Mtg Protocol □ Norgan minimum £ Last payment (date + amount): </p><p>Ppty value £ Occupiers; family +age(s)/tenants</p><p>Failed arrangements: </p><p> Possession: Possession in [ ] days</p><p> Suspended on CMI as they fall due and arrears (figure above) by:</p><p> Payment of £ by [ ] (and)</p><p> Payments of £ per week/month from [ ]</p><p> Payments of £ per week/month from [ ]</p><p> Money claim adjourned generally with liberty to restore</p><p> Money Judgment: for balance o/s (figure above) o Not to be enforced while possession remains suspended / without the permission of the court</p><p> Adjournment:  To FOD after: [ ] time estimate [ ]  Generally with liberty to restore. If no application to restore is made by 4.00 pm on [ ] the proceedings do stand automatically struck out on that date at that time without further order  Adjourned generally on condition that the defendant/s pay the CMI as they fall due and the arrears of £ by instalments of £ per month, starting on [ ] with permission to the claimant to restore if the condition is not complied with</p><p> Claim struck out/dismissed  Liberty to apply for a review after 6/12 months  The Claimant’s costs of this hearing shall not be added to the mortgage account because </p><p>[Deputy] District Judge: Date:</p><p>Version - May 2015 NOT PART OF THE ORDER</p><p>RECORD OF EVIDENCE</p><p>Claimant</p><p>Defendant</p>