COMPLAINT FORM Commission of Real Estate Appraisers, Appraisal Management Companies, and Home Inspectors 500 N. Calvert Street, #302 Baltimore, Maryland 21202 (410) 230-6165 All information must be typewritten or clearly printed. Attach a legible copy of your appraisal report and all other related documentation that you wish to provide in support of your complaint. You may mail or hand deliver your complaint to the Commission.

Your Last Name First Name Appraiser’s Last Name First Name

Street Address Street Address

City, State, Zip City, State, Zip

Phone# Phone #

PLEASE BE ADVISED THAT BY FILING THIS COMPLAINT IT MAY BE NECESSARY FOR YOU TO APPEAR AT A FORMAL HEARING BEFORE THIS COMMISSION OR IN COURT.

APPRAISAL INFORMATION:

Address of the property which was appraised: ______

Type of property: (commercial, residential, multiple family, etc.) ______

Was the appraisal for the purpose of a mortgage loan transaction? YES ( ) NO ( )

Approximate value of the property: ______

Please give a detailed but concise explanation of your complaint in the order in which it occurred. If additional space is required, attach a separate page:

Affidavit: I solemnly affirm under the penalties of perjury that the information contained herein is true and correct to the best of my knowledge, information and belief.

______(Signature of Complainant) (Date)