Real Estate Fraud Complaint Form (Page 6 of 6) in pdf

Real Estate Fraud Complaint Form Page 6

_____________________________________________________________________________

Did you authorize another individual to complete or assist you in completing this form?

Yes

If yes:

Name of individual that assisted/completed this form:

Contact Information:

Address:

Phone No:

What is that individuals relationship to you:

NOTE: Section 148.5(a) of the California Penal Code states:

“Every person who reports to any peace officer listed in Section 830.1 or

830.2, or subdivision (a) of Section 830.33, district attorney, or deputy

district attorney that a felony or misdemeanor has been committed,

knowing the report to be false, is guilty of a misdemeanor.”

I declare under penalty of perjury, under the laws of the State of California, that the foregoing statements and

photocopies of attached documents are true and correct.

Date_______________________

________________________

Signature of Complainant

YOU MUST SIGN AND DATE PAGE 6 OF YOUR COMPLETED FORM

WHETHER OR NOT YOU HAVE ADDITIONAL STATEMENT PAGES ATTACHED

Page 6 of 6

Real Estate Fraud Complaint Form Page 6