mmm form i (effective 1/ 17) - united states courts...m.mm form i (effective 1/17) 6. i am familiar...

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MMM Form I (Effective 1/ 17) UNITED STATES BANKRUPTCY COURT DISTIUCT OF ARIZONA VERIFICATION OF QUALIFICATIONS TO ACT AS MEDIATOR IN THE MORTGAGE MODIFICATION MEDIATION PROGRAM (MMM) Name: Jillian Hinda Bar ID (list all applicable state bar numbers): _0_ 2_7_7_18 ______________ _ Address: 20325 N. 51 st Avenue Suite 166, Glendale , AZ 85308 Phone Number: 602-3 _ 1.Z.:_9369 _______ E-mail Address: [email protected] 9J!!. ________ _ In accordance with the I'vlorlgage Modification Mediation Procedures for the District of Arizona, I verit)' that I am qualified for and agree to serve as a Mediator for the calendar year of 20J]_. after which I must reapply. as follows: I. Minimum Qualifications to act as a Mediator in the Arizona MMM program. a. I am a registered user on PACER and CM/ECF. b. I have satisfactorily completed at least six (6) hours of MMM training presented by Mortgage Modification Education and: (check all that apply) [i] I am an active and licensed member of the Arizona Bar and have been admitted to practice in a state or federal cou1t for at least five (5) years. D I am a re ti red Arizona state court judge or fed era I judge. D I am an active panel trustee in good standing with the Office of the United States Trustee with at least five (5) years of service as a panel Trustee in Arizona. D I am an active and licensed member of the bar and approved MMM mediator on the register of mediators with the Clerk of the United States Bankruptcy Courts for the District of through . I agree to accept MMM assignments in Arizona. 2. Additional Qualifications to be considered: (check all that apply) D I have completed the following legal education on mediation, in addition to or other than as described above. (ATTACH CERTIFICATE TO THIS - l -

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Page 1: MMM Form I (Effective 1/ 17) - United States Courts...M.MM Form I (Effective 1/17) 6. I am familiar \Vith and will comply with all notice and reporting requirements as implemented

MMM Form I (Effective 1/ 17)

UNITED STATES BANKRUPTCY COURT DISTIUCT OF ARIZONA

VERIFICATION OF QUALIFICATIONS TO ACT AS MEDIATOR IN THE MORTGAGE MODIFICATION MEDIATION PROGRAM (MMM)

Name: Jillian Hinda

Bar ID (list all applicable state bar numbers): _0_2_7_7_18 ______________ _

Address: 20325 N. 51 st Avenue Suite 166, Glendale, AZ 85308

Phone Number: 602-3_1.Z.:_9369 _______ E-mail Address: [email protected]!!. ________ _

In accordance with the I'vlorlgage Modification Mediation Procedures for the District of Arizona, I verit)' that I am qualified for and agree to serve as a Mediator for the calendar year of 20J]_. after which I must reapply. as follows:

I. Minimum Qualifications to act as a Mediator in the Arizona MMM program.

a. I am a registered user on PACER and CM/ECF.

b. I have satisfactorily completed at least six (6) hours of MMM training presented by Mortgage Modification Education and: (check all that apply)

[i] I am an active and licensed member of the Arizona Bar and have been admitted to practice in a state or federal cou1t for at least five (5) years.

D I am a re ti red Arizona state court judge or fed era I judge.

D I am an active panel trustee in good standing with the Office of the United States Trustee with at least five (5) years of service as a panel Trustee in Arizona.

D I am an active and licensed member of the bar and approved MMM mediator on the register of mediators with the Clerk of the United States Bankruptcy Courts for the District of through . I agree to accept MMM assignments in Arizona.

2. Additional Qualifications to be considered: (check all that apply)

D I have completed the following legal education on mediation, in addition to or other than as described above. (ATTACH CERTIFICATE TO THIS SHL:I~T)

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Page 2: MMM Form I (Effective 1/ 17) - United States Courts...M.MM Form I (Effective 1/17) 6. I am familiar \Vith and will comply with all notice and reporting requirements as implemented

l\HvlM Form I (Effective 1/ 17)

0 I have completed at least __ mediation sessions. including __ l'v1MM sessions .

I mn a full ~ or part-time 0 bankruptcy practitioner \vith __ 6_ years experience.

0 I have working kn<wiledge of governmental and banking mortgage modification programs (please list):

~ Add here any other relevant factors that should be considered:

Throughout my bankruptcy practice I have worked with my clients on various issues

related to their mortgages.

3. Additional required information: (ansv.'er all that apply)

~ There are or have been no disciplinary proceedings instituted against the app licant. nor any suspension of any license. certificate or privilege to appear before any judicial, regulatory or administrative body. or any resignation or termination in order to avoid disciplinary or qisbarment proceedings, except as described in detail below:

NON E

~ Applicant has never been denied admission to the State Bar of Arizona. (Give particulars if ever denied admission):

NONE

~ Applicant is a member of good standing in all the following State Bar Associations:

State Bar of Arizona

State Bar of Michigan

4. I have taken the oath or affirmation prescribed by 28 U.S.C. § 453 and have attached proof thereof to this Verification.

5. I agree to accept the current compensation rate established by the United States Bankruptcy Cou11 for the District of Arizona.

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Page 3: MMM Form I (Effective 1/ 17) - United States Courts...M.MM Form I (Effective 1/17) 6. I am familiar \Vith and will comply with all notice and reporting requirements as implemented

M.MM Form I (Effect ive 1/ 17)

6. I am familiar \Vith and will comply with all notice and reporting requirements as implemented in General Order 16-2 and the l\'IMM Program Procedures and Forms.

7. I will disclose to the Court any bias or prejudice which may disqualify me as a mediator.

8. I \Viii accept referrals for cases filed in: (check all that apply): ~ Phoenix, D Tucson, D Yuma.

I certify under penalty of pc1:jury that all the information on this form is true .

By: -fsignaturc)

(Print Name)

THIS FORM MUST BE FILED WITH THE CLERK'S OFFICE AT 230 N. 1 sT A VE., STE 101, PHOENIX, AZ 85003 OR 38 S. SCOTT AVE., TUCSON, AZ 85701. YOU MAY ATTACH A ONE PAGE RESUME TO THIS VERIFICATION.

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Page 4: MMM Form I (Effective 1/ 17) - United States Courts...M.MM Form I (Effective 1/17) 6. I am familiar \Vith and will comply with all notice and reporting requirements as implemented

l'v1MM Form I (Effective l / l7)

UNITED STATES BANKRUPTCY COURT DISTRICT OF ARIZONA

MEIJIATOR'S OATH

Each mediator of the United States Bankruptcy Court shall take the follO\ving oath or affirmation before performing the duties of his office:

"!, Jillian Hinda do sofemn(v swear or C?ffirm that I will administerjustice without re.)pect to persons, and do equal rt~'{hts to the poor and to the rich, and that 1 willfaiti?fitL~v and impartially discharxe and pe1j(m11 aLI The duties incumbent upon me as a mediator.fhr the United States Bankruptcy Court; District of Arizona, under the Constitution and laws of the United States . ..

State of A~.z.oncl ) )

County of M dIJ cop.;) )

By: ~ _,__J c£ :S\\\,cv- \\l/\~

(Print Name)

,, _~~ -Subscribed and sworn before me this JJ.Q__ day ,) t1Y\t )dI'J , 20 ~·

. 4 -

NAOMI J. NIELSEN Nobly POOie. Staled AllDlll

. MARICOPA COUNTY My Commilllon Explrn

February 18, 2020

Page 5: MMM Form I (Effective 1/ 17) - United States Courts...M.MM Form I (Effective 1/17) 6. I am familiar \Vith and will comply with all notice and reporting requirements as implemented

., - . ...... -It.. -:.. .fl! ·~ LI• .,~

Mortgage Modification Education M'aww;.1nartg•g«r1'1ot/ln1:attla.n•duet*t.lon~cun1

( ... "ER·• T'l ~Tr'{ .1,,. ··T.E""' Q. F...... ,I\ rf"'T"E1\TDANCE· -: _i .J -.iii. _,._A -". ,.• ~~ -"' " .. f~ ,J,. .,...!.. • ,!_ • . "

Jillian Hindo l \;ls ~ ·om pkt1'd I•.;: lun1 r" (i1wlush ·~·of l ho ur z·i hit'->)

i\ l ort)..'..11~2,\: 'VI udi fk;1tion 0.h 'cl i;:1 t inn Trait ii ng

On the 9th day of December, 2016

~J' /,,.:_::._L:::..---'~'.:4=,....2'-'S';'-+-~"'9'-"-'&"P'

Mortgage Modification Education, Inc. MME

.,