Form #E-1

Land of the Sky Association of REALTORS®

21 Restaurant Court Asheville NC 28805

To the Grievance Committee of the Land of the Sky Association of REALTORS®

Date*

Date

Respondent*

An alleged violation of Article(s)*

of the Code of Ethics and/or other membership duty as set forth in the bylaws of the Board in

and alleges that the above charge(s) (is/are) supported by the attached statement, which is signed and dated by the complainant(s) and which explains when the alleged violation(s) occurred and, if a different date, when the complainant(s) first knew about the alleged violations. This complaint is true and correct to the best knowledge and belief of the undersigned and is filed within one hundred eighty (180) days after the facts constituting the matter complained of could have been known in the exercise of reasonable diligence or within one hundred eighty (180) days after the conclusion of the transaction, or event, whichever is later.

Date(s) alleged violation(s) took place*

Date

Date(s) you became aware of the facts on which the alleged violation(s) (is/are) based*

Date

I (we) declare that to the best of my (our) knowledge and belief, my (our) allegations in this complaint are true.

Are the circumstances giving rise to this ethics complaint involved in civil or criminal litigation or in any proceeding before the state real estate licensing authority or any other state or federal regulatory or administrative agency?*

YesNo

You may file an ethics complaint in any jurisdiction where a Realtor® is a member or MLS participant. Note that the Realtors® Code of Ethics, Standard of Practice 14-1 provides, in relevant part, “Realtors® shall not be subject to disciplinary proceeding in more than one Board of Realtors® . . . with respect to alleged violations of the Code of Ethics relating to the same transaction or event.”

Have you filed, or do you intend to file, a similar or related complaint with another Association(s) of Realtors®?*

YesNo

If so, name of other Association(s)

Date(s) filed

Date

I understand that should the Grievance Committee dismiss this ethics complaint in part or in total, that I have twenty (20) days from transmittal of the dismissal notice to appeal the dismissal to the Board of Directors. Complainant(s)

Type/Print Name

Address

Phone

Email

example@example.com

Form #E-1

Ethics Complaint