Complaint Form -Real Estate Finance Bureau
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2OFFICE OF ATTORNEY GENERAL ERIC T. SCHNEIDERMAN
STATE OF NEW YORK DEPARTMENT OF LAW
COMPLAINT FORM
REAL ESTATE FINANCE BUREAU
PLEASE PRINT CLEARLY OR TYPE
1.
Name and address of building or development:
______________________________________________________________________________
______________________________________________________________________________
2.
Offering plan file no. (if known): _________________
3.
Are you a: (a) tenant _______apt. no. ________(b) subtenant ______apt. no.
(c) owner of unit ______apt. no. __________(d) offeree of unit ______apt. no. _____
4.
If tenant, are you: (a) rent-stabilized _______(b) rent-controlled _______
(c) other (specify)________________
5.
Check the items below that indicate the nature of the complaint (check all that applies):
a.
____Condominium
b.
____Construction defects (building wide)
c.
____Conversion of occupied residential building
d.
____Cooperative
e.
____Default / Insolvency of sponsor/ developer
f.
____Financial misconduct by sponsor or developer
g.
____HDFC cooperative
h.
____Homeowners’ association
i.
____Rental apartment rented from developer or sponsor
j.
____Real estate syndication
k.
____Sponsor or developer control of board
l.
____Timeshare sold or located in New York State
m.
____Other (specify)_________________________________________________
6.
Complaint Statement:
Please be as specific as possible. Attach COPIES of any relevant documents. DO NOT
SUBMIT ORIGINAL DOCUMENTS. If necessary attach additional sheets.
REF002 - (rev. 5/12)
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