Complaint form

Southern Homes of The Carolinas, Inc. investigates complaints against our real estate licensees accused of misconduct.

1. This form should be used when filing a complaint against a Southern Homes of The Carolinas, Inc. real estate broker. Please read and follow these instructions.

1. Please fill in the information requested below.

IMPORTANT

Southern Homes of The Carolinas, Inc. cannot:

Give legal advice or act as your attorney,
Order monies to be paid or refunded to you.
Assist in resolving disputes involving compensation between brokers.

If you have these types of issues, you should consult a private attorney.

"*" indicates required fields

COMPLAINING WITNESS INFORMATION

Enter Your Full Name (Identifies you as the Complaining Witness)

First Name*

Middle Name*

Last Name*

Mailing Address*

City State 9-Digit Zipcode Lookup

You must provide either a valid home phone, cell phone and/or an email address.

Home Phone

Cell Phone

Email Address

REAL ESTATE LICENSEE(S) COMPLAINED AGAINST

BROKER #1

Licensee's Name*

Company Name*

Physical Address*

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 hired or consulted an attorney regarding your complaint?

Is there a pending or completed lawsuit regarding your complaint?

When did this event occur?*

Where did this event occur? Give the property address including city, state, and zip code (if applicable).*

Provide a detailed written statement describing your complaint. Be factual. Include the name, address, and telephone number of any additional broker(s) and witness(es) to the matter in question.

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, etc.), retaining the originals for your files. *Max file upload size 5MBs.

*Accepted File Types: .txt .pdf .docx .doc

*Max file upload size 5MBs.

Max. file size: 256 MB.

File

Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

File

Max. file size: 256 MB.

Signature and Certification

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

Signature Required*

(Type your name)

Date Signed

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