I appeal the violation/fine(s) in the amount(s) levied on the below‐mentioned listing and request an appeal hearing before the MLS Committee.
Name
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First Name
Last Name
Phone Number
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-
Area Code
Phone Number
Email
*
example@example.com
Regarding MLS Listing #
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Listing Address
*
My request is based upon the following reason(s) why my violation/fine should be waived:
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Please upload any documents, materials, or other evidence which support your request.
Browse Files
Cancel
of
I, undersigned, agree with the following statement
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I affirm that the facts set forth in this appeal are true and correct to the best of my knowledge and belief.
Signature
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Date
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Month
-
Day
Year
Date
Submit
Should be Empty: