Fillable In the matter of Request for Mediation COLORADO (Colorado Association of Realtors)

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In the matter of Request for Mediation COLORADO (Colorado Association of Realtors)

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COLORADO ASSOCIATION OF REALTORS
®
309 Inverness Way South
Englewood, CO 80112
(303) 790-7099
Request for Mediation
In the matter of
_________________________________ vs. ___________________________________
REALTOR® Principal REALTOR Principal
_________________________________ ___________________________________
_________________________________ ___________________________________
Firm Firm
_________________________________ ___________________________________
Address Address
_________________________________ ___________________________________
City, State Zip City, State Zip
_________________________________ ___________________________________
Email Email
_________________________________ ___________________________________
Local Board/Association Name Local Board/Association Name
I am requesting mediation with the above-named disputant prior to a hearing of this dispute by
the Professional Standards Committee of the Colorado Association of REALTORS
®
. There is
due, unpaid, and owing to me (or I retain) from the above- named person the sum of
$_________________. My claim is predicated upon the statement attached, marked Exhibit I
and incorporated by reference into this application.
______________________________________________ __________________________
Signature of REALTOR® Principal/Authorized Designee Date
(Amended03/13)CodeofEthicsandArbitrationManual
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In the matter of Request for Mediation COLORADO (Colorado Association of Realtors)

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Completed 29 July 2020

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