Sworn Answer To Complaint Filed - Kentucky Real Estate Commission

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CASE #
Office Use Only
SWORN ANSWER TO COMPLAINT FILED WITH
Kentucky Real Estate Commission
10200 Linn Station Road, Suite 201
Louisville, KY 40223
(502) 429-7250 or Toll-free 1-888-373-3300
PLEASE TYPE, USE WORD PROCESSING, OR PRINT LEGIBLY
THIS FORM
**YOU MUST USE
IN SUBMISSION OF YOUR ANSWER**
(The original of this Form must be submitted--photocopies are not accepted.)
____________________________________ vs _______________________________________
(Name of Complainant)
(Name of Respondent)
(Full names only, no initials or nicknames)
RESPONDENT ADDRESS:
CITY:
STATE
ZIP
COUNTY: __________________________
TELEPHONE &
(
)
(Day)
EMAIL
(
)
(Evening)
(
)
(Fax)
(
)
(Cell)
(EMAIL ADDRESS-
)
Important
REAL ESTATE COMPANY:
PRINCIPAL BROKER:
COMPANY ADDRESS:
CITY:
STATE
ZIP
TELEPHONE: (
)
(Daytime)
COUNTY: _________________________
STATE OF KENTUCKY
COUNTY OF: _________________________
Page 1 of 5 – SWORN ANSWER FORM
Document #702, 5-16-17

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