Real Estate Fraud Complaint Form printable pdf download

Real Estate Fraud Complaint Form

Office of the District Attorney

Assistant District Attorney

Dave Harris

Stanislaus County

Chief Deputy District Attorneys

Doug Raynaud

Birgit Fladager

Annette Rees

District Attorney

Marlisa Ferreira

Chief Investigator

832 12 th Street, Suite 300

Kevin Bertalotto

Modesto, CA 95354

Mailing address: POB 442, Modesto, CA 95353

Telephone: (209) 525-5550 Fax: (209) 525-5545

REAL ESTATE FRAUD COMPLAINT FORM

Your Full Name:

Residence Address:

Your Birth Date:

Your Drivers Lic #:

Phone Number(s):

Your Occupation:

Business Address:

Business Phone:

I declare I have a complaint against:

Full Name of Suspect:

Suspect’s Address:

Suspect’s Phone:

Business Name:

Business Address:

Business/Cell Phone:

Any other identifying information you have on the suspect(s) such as birthdate, vehicles, description, etc.:

The following documentation supports my allegation and is incorporated and made a part of this complaint:

Advertising Materials

Contract or Agreement

Cancelled check(s) (Front & Back)

Promissory Note, Deeds, and Deeds of Trust

Cash Receipts

Escrow instructions, loan documents, amendments and closing statements

Correspondence between you and the suspect(s) (Letters, E-mails, Faxes)

Copies of all documents which relate to your complaint which are not already listed

Copies of any civil complaints filed on behalf of you or others

Date(s) of transaction involved in this

Location where transaction(s) occurred (Address, City, State):

complaint:

Real Estate Fraud Complaint Form

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