Real Estate Fraud Complaint Form (Page 3 of 3) in pdf

Real Estate Fraud Complaint Form Page 3

REAL ESTATE FRAUD COMPLAINT FORM

Page 3

List names, addresses and phone numbers of other individuals who may have further knowledge of this matter. Have you

contacted them? When?

If your complaint involves a real estate loan (mortgage), provide the name and address of the mortgage company, lender,

broker, escrow company and title company.

Are you willing to appear in court as a witness to this complaint, and truthfully testify to the allegations made in this

complaint?

Yes

If no, give reason.

So that we may properly evaluate your complaint it is important that you attach a

written summary of your complaint to this form. If additional room is needed to answer

any of the above questions, please feel free to attach additional sheets. We prefer that

this summary be typed, but if you do not have access to a computer your summary can

be handwritten. We would like the summary to be in English, but if necessary you can

write the summary in Spanish and we will translate it. If you need to submit it in a

language other than English or Spanish please let us know and we will try and

accommodate you. If you have a disability or some other problem that prevents you

from writing this summary, please advise us of that and we will make other

arrangements for you.

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

photocopies of attached documents are true and correct.

Date: ___________________________

___________________________________________________

Signature of Complainant(s)

Real Estate Fraud Complaint Form Page 3