Fillable HOMEOWNERS ASSOCIATION (HOA) DISPUTE PROCESS PETITION (Arizona Department of Real Estate)

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HOMEOWNERS ASSOCIATION (HOA) DISPUTE PROCESS PETITION (Arizona Department of Real Estate)

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Arizona Department of Real Estate (ADRE)
Homeowners Association Dispute Resolution
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
HOA_Form_DisputePetitionForm_Rev. 12.2019
1 | P a g e
HOMEOWNERS ASSOCIATION (HOA) DISPUTE PROCESS PETITION
LEGAL ACTION (Complete this section with the Attorney’s information if the Petitioner is being represented on this matter.)
Does an attorney represent you in this matter? Yes No
Has a lawsuit been filed regarding this matter? Yes No
Attorney Name:
Law Firm:
Address:
Suite:
City:
State:
Zip Code:
Fax:
Email address:
INVOLVED PARTIES (An owner’s petition (complaint) must be about a dispute between the owner and the association. An
association’s petition (complaint) must be about a dispute between the association and the owner.)
PETITIONER IS A (check one)
Homeowner
Condominium/Community Association
Planned Community Association
RESPONDENT IS A (check one)
Homeowner
Condominium/Community Association
Planned Community Association
RESPONDENT INFORMATION (Respondent may not be a management company but may be addressed in care of one.) The
Respondent is the person or association against whom action or relief is sought, or who opposes the petition.
Homeowner (Last , First & M.I) or Association Name:
Address:
City:
State:
Zip Code:
Best Phone Contact:
Email address:
PETITIONER (YOUR NAME AND ADDRESS) The person or association completing this form is the Petitioner.
Homeowner (Last , First & M.I) or Association Name:
Address:
City:
State:
Zip Code:
Best Phone Contact:
Email address:
ADDRESS OF SUBJECT PROPERTY (If different than the Petitioiner’s mailing address)
Address:
City:
State:
Zip Code:
COMPLAINT (DO NOT LEAVE THIS SECTION BLANK)
This complaint is a violation of: (Check box and provide the reference of the alleged violation/s. THIS MUST BE COMPLETED.)
Condominium Statutes (example. A.R.S. § 33-1243): _______________________________________________________________
Planned Community Statutes (example. A.R.S. § 33-1809(A)(1)):______________________________________________________
Bylaws (Example: Article 4.1(a)):________________________________________________________________________________
CC&Rs (Example: Article 4, Sec. 4.1):_____________________________________________________________________________
NUMBER OF ISSUES CLAIMED IN THIS PETITION
1 $500
2 $1,000
3 $1,500
4 $2,000
RELIEF REQUESTED
Arizona Department of Real Estate (ADRE)
Homeowners Association Dispute Resolution
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
HOA_Form_DisputePetitionForm_Rev. 12.2019
2 | P a g e
Other than ordering Respondent to pay to the Petitioner the filing fee required by A.R.S § 32-2199.01, if the Petitioner prevails,
Petitioner requests that the following relief be awarded regarding the act, omission, or condition described in this Petition.
Order a party to abide by the Arizona statute specified in the complaint section.
Order a party to abide by the section(s) of the condominium/planned community document(s) specified.
Impose a civil penalty on the basis of the violation specified. (Civil penalties, if granted, are awarded to the state.)
WITNESSES (Please list any witnesses below. If there are more witnesses please list in the narrative statement below.)
Name:
Address:
City:
State:
Zip Code:
Phone:
Email address:
ALLEGED VIOLATION DESCRIPTION - NARRATIVE STATEMENT
*Use the space below to provide a one sentence statement of the violation/s for each issue claimed. Include with the statement a
description, the specific factual basis of, the nature of, and the date and time of the alleged violation/s. (If you require more room
write “See Attached” below and attach the document with your submission of this Petition.)
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Arizona Department of Real Estate (ADRE)
Homeowners Association Dispute Resolution
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
HOA_Form_DisputePetitionForm_Rev. 12.2019
3 | P a g e
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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PETITION CERTIFICATION (MUST BE SIGNED AND DATED)
Under penalty of perjury, I swear that this complaint, consisting of _______ pages, is true and accurate to the best of my knowledge.
____________________________________________________________ ____________________________
PETITIONER SIGNATURE DATE
____________________________________________________________
PETITIONER NAME PRINT
REMINDER: Please check and ensure:
The Petition is fully completed;
Please attach or include ONE COPY of the condominium or planned community documents at issue;
The CORRECT filing fee is enclosed, or paid online through a secure link sent by ADRE once the completed petition is received;
Petition is signed and dated;
I have read the information provided on the ADRE’s Homeowners Association Dispute Process webpage and understand this form.
Submit the Petition and supporting documents through the ADRE Message Center at www.azre.gov or mail to:
ADRE HOA Dispute Process
100 North 15
th
Avenue, Suite 201
Phoenix, AZ 85007
Americans with Disabilities Act
The Department of Real Estate complies with American Disabilities Act. Persons with disabilities may request reasonable accommodations such as interpreters,
alternative formats or assistance with physical disability. Requests for accommodations must be made with 72 hours prior notice. If you require special
accommodations, please contact the Department at (602) 771-7766.
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HOMEOWNERS ASSOCIATION (HOA) DISPUTE PROCESS PETITION (Arizona Department of Real Estate)

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Completed 20 July 2020

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