Complaint Form

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This form should be used when filing a complaint with the North Carolina Real Estate Commission against a real estate broker, firm, a time share project (hereinafter “licensee”), or unlicensed person acting as a broker("Respondent").
Please fill in the information requested below. Then answer the questions and state your complaint at the bottom of this form.
Your complaint will become a public record, and a copy of it will be given to the Respondent complained against.
Persons who file complaints must be willing to appear as a witness, be sworn, testify and be cross-examined concerning the allegations made in their complaints.
Click this link for additional information about the complaint process
To obtain a paper copy of this form click this Complaint form pdf document link.

IMPORTANT

The Real Estate Commission investigates complaints against real estate licensees accused of misconduct. If the Commission finds that real estate licensees have violated the Real Estate License Law or Commission rules, it can suspend or revoke their licenses.

The Real Estate Commission cannot give legal advice or act as your attorney. The Commission cannot assist in resolving disputes involving such matters as quality of workmanship of construction or the payment of real estate brokerage fees. The Commission cannot order monies to be paid or refunded to you or contracts to be canceled. If you have these types of problems, you should consult your attorney.

COMPLAINING WITNESS INFORMATION

Full Name*
(Identifies you as the Complaining Witness)

Mailing Address

City

State

9-Digit Zipcode Lookup

Home Phone

Cell Phone*

Email Address*

REAL ESTATE LICENSEE(S) COMPLAINED AGAINST

BROKER #1

Licensee's Name*

Company Name*

Physical Address*

City*

State*

9-Digit Zipcode Lookup*

BROKER #2 (IF ANY)

Licensee's Name

Company Name

Physical Address

City

State

9-Digit Zipcode Lookup

COMPLAINT DETAILS

Have you consulted an attorney regarding your complaint?*

If "Yes," give attorney's name*

Attorney Phone*

Is there a pending or completed lawsuit regarding your complaint?*

When did this event occur?*

Where did this event occur?*

Provide a detailed written statement describing your complaint. Be factual. Include the name, address, and telephone number of any witness(es) to the transaction in question. Please retain a copy of this complaint for your records. Please notify this office promptly if your contact information changes.
Max characters allowed: 4640 *(If you need additional space please upload an attachment)

Additional Documentation

Furnish copies of all documents pertaining to your complaint (contracts, letters, leases, etc.), retaining the originals for your files. If your total file size is too large to upload please mail either a paper or electronic copy on CD or flash drive to the NCREC.
*Accepted File Types: .tiff .tif .jpeg .jpg .txt .pdf .docx .doc .png
*Max file upload size 2MBs total.

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Total File Upload Size: 0.000*Mb

*Selected file(s) size exceed upload limitations of 6MBs

Signature and Certification

The undersigned hereby swears that the foregoing statement and attachments hereto are true.

Signature Required*

(Type your name)

Date Signed

3/20/2019

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This form is not meant to be printed. If you have already completed the form please use the submit button at the bottom to send the form directly to the Commission.