FORM E-1

I (we) the undersigned complainant(s), hereby allege that the following persons have engaged in conduct subject to disciplinary action by the Greater Baton Rouge Association of REALTORS®:

Select number of Complainant(s)/Person(s) Filing

Name of Complainant/ Person Filing

First NameLast Name

Name of Complainant 2/ Person 2 Filing

First NameLast Name

Name of Complainant 3/ Person 3 Filing

First NameLast Name

Address of Complainant/ Person Filing

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Address of Complainant 2/ Person 2 Filing

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Address of Complainant 3/ Person 3 Filing

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number of Complainant/Person Filing

Please enter a valid phone number.Format: (000) 000-0000.

Phone Number of Complainant 2/Person 2 Filing

Please enter a valid phone number.Format: (000) 000-0000.

Phone Number of Complainant 3/Person 3 Filing

Please enter a valid phone number.Format: (000) 000-0000.

Email of Complainant/ Person Filing

example@example.com

Email of Complainant 2/ Person 2 Filing

example@example.com

Email of Complainant 3/ Person 3 Filing

example@example.com

Select number of Respondent(s)/ Violator(s)

RESPONDENT/VIOLATOR:

First NameLast Name

RESPONDENT 2/VIOLATOR 2:

First NameLast Name

RESPONDENT 3/VIOLATOR 3:

First NameLast Name

RESPONDENT/VIOLATORS:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

RESPONDENT 2 /VIOLATORS 2:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

RESPONDENT 3/VIOLATORS 3:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

RESPONDENT/VIOLATOR's BROKERAGE

RESPONDENT 2 /VIOLATOR's 2 BROKERAGE

RESPONDENT 3/VIOLATOR's 3 BROKERAGE

The above-named respondent(s) have violated the following Code of ethics violations: Type a question

The above-named respondent 2 have violated the following Code of ethics violations: Type a question

The above-named respondent 3 have violated the following Code of ethics violations: Type a question

The above-named respondent(s) has also violated the following sections of the MLS Rules and Regulations:

The above-named respondent 2 has also violated the following sections of the MLS Rules and Regulations:

The above-named respondent 3 has also violated the following sections of the MLS Rules and Regulations:

The above-named respondent(s) has also violated the following membership duties set forth in the bylaws of the Association:

The above-named respondent 2 has also violated the following membership duties set forth in the bylaws of the Association:

The above-named respondent 3 has also violated the following membership duties set forth in the bylaws of the Association:

The facts and circumstances supporting the above allegations(s) are detailed in the attached statement marked “Exhibit 1”, which is hereby incorporated by reference and made part of this complaint.

Please attach written explanation of alleged violations as "Exhibit 1"

I am informed that the named respondent(s) are current REALTOR® members of the Greater Baton Rouge Association of REALTORS® and/or participants/subscribers in the MLS or that the property at issue is located within the jurisdiction of this Association.

Date of knowledge of alleged misconduct:

Date

This complaint, meeting all filing requirements, must be filed within 180 calendar days after the facts constituting alleged misconduct could have been known in the exercise of reasonable diligence or one hundred eighty (180)days after the conclusion of the transaction, or event, whichever is later.

Are the circumstances giving rise to this complaint, or the respondents in this case, involved in a civil or criminal proceeding or in any proceeding before a governmental agency?

If answered Yes to the question above please provide a written statement of explanation.

REALTORS® shall not be subject to disciplinary proceedings in more than one Board of REALTORS® association regarding alleged violations of the Code of Ethics related to the same transaction or event. Have you filed or intend to file, a similar or related to the complaint with another Association of REALTORS®?

If answered Yes to the question above, please provide the name of the other Association and the date(s) filed.

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

Will you be represented by attorney?

Name of attorney if represented:

First NameLast Name

Phone number of Attorney

Please enter a valid phone number.Format: (000) 000-0000.

Email address of Attorney

example@example.com

I agree to abide by the rules and procedures used by this Association to conduct disciplinary hearings. I understand that the proceedings regarding this matter will be kept confidential and that I have an obligation to maintain and protect this confidentiality.

Under the penalties of perjury, I declare that to the best of my knowledge and belief my allegations in this complaint are true and correct.

Please upload supporting documents including photos, text messages, property disclosures, purchase agreement, etc.

GREATER BATON ROUGE ASSOCIATION OF REALTORS®

FORM E-1