Real Estate Fraud Complaint Form Page 4

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If you request that we „not‟ contact, please briefly state the reason why:
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(no originals)
Provide COPIES only
of any document(s) you have to support your complaint. For example, if you suspect a
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forgery, provide the document(s) containing the alleged forgery. Provide any other documents in support of your complaint.
Supporting documents attached?
Yes ___
No ___
In a brief statement tell us the full story beginning with the date of first contact. Keep dates of events in sequential order and
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include any misrepresentations made by the person(s) you‟re complaining about. Please include only the facts and details about
how the alleged fraud occurred. Please be concise.
: Write the full names of individuals, including all witnesses present during the transaction(s). Be factual and detailed. Try to answer the
NOTE
questions: Who? What? When? Where? Why? and How? Attach additional sheets if you need more space. If attaching additional sheets,
please put your name and the REF number, if given, at the top of all additional pages. (The REF number is located on the front page, top-right,
of this complaint form.) If no REF number is listed, please put your name on the top right corner of all additional sheets.
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YOU MUST SIGN AND DATE PAGE 6 OF YOUR COMPLETED FORM
WHETHER OR NOT YOU HAVE ADDITIONAL STATEMENT PAGES ATTACHED
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