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Complete the filing for mediation form. Eligibility requirements pursuant to Rule -1B must be met.See foreclosure mediation (below) for mediation forms. The 100-00014 - Foreclosure Mediation - Certificate of Exemption 11 25 13 form is 1 page long and contains: 0 signatures; 5 check-boxes; 8 other fields. A sample certificate is enclosed with this application. Non-profit Applicants are exempt. New Jersey Foreclosure Mediation. The following information must be obtained from a purchaser in order for the exemption certificate to be fully completed: • Purchaser's name and address;. The Foreclosure Mediation Certificate can be turned in with the Appearance form but must be filed no later than 15 days from the return date on your Summons. Exemption from Foreclosure Fairness Account Fee .