RF-109 Rev. 03/18
Arizona Department of Real Estate (ADRE)
Real Estate Recovery Fund
www.azre.gov
Judgment Debtor Notice (RF-109)
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
100 N. 15th Ave., Suite 201 PHOENIX, AZ 85007
For Department Use Only
RF File No.
TO: (Print names of all Judgment Debtors)
______
________________________________________________________________________________________________
______________________________________________________________________________________________________
B
ased on a judgment against you in favor of ____________________________________________________, application is
being made to the Arizona Department of Real Estate for payment from the Real Estate Recovery Fund.
I
f payment is made from the Recovery Fund, all licenses and license rights that you have under Arizona real estate law
will be automatically terminated on the date of payment and may only be reinstated pursuant to A.R.S. § 32-2131(A)(3),
on a showing that:
1. T
he Recovery Fund has been reimbursed for the amount paid plus interest at the current legal rate;
2. The underlying judgment has been fully satisfied; and
3. Y
ou have filed an original application for a license.
If you wish to contest payment from the Recovery Fund, you must file a detailed written response to the Application. The Real
Estate Commissioner must
receive your response at the address below within 35 calendar days after the date this notice is
mailed, delivered or first published. You must also send a copy of the response to the Claimant at the address below. If you fail
to respond as required, you waive your right to present your objections to payment, and you will not be entitled to notice of any
action taken or proposed to be taken by the Commissioner with respect to the claim. A.R.S. § 32-2188.01(C)
Applicant’s Name(s):
_____________________________________________________________________________________________________
Attorney’s Name/Firm (if applicable):
_____________________________________________________________________________________________________
Attorney’s Applicant’s Address:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
City, State, Zip: _________________________________________________________________________________________
Telephone and Fax: ____________________________________________ Email: ___________________________________
NOTE:
The response must include sufficient information and references to documents to fully explain the basis for opposing the
allegations contained in the application. Mail or submit via Message Center
your response, supporting documents and a
copy of this Notice to:
Recovery Fund Administrator
Arizona Department of Real Estate
100 N. 15th Ave., Suite 201
Phoenix, AZ 85007