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Eastern Middle Tennessee Association REALTORS® Inc.
2588 N. Mt. Juliet Road
Mt. Juliet, TN  37122
     

    Request and Agreement to Arbitrate

    (1)  The undersigned, by becoming and remaining a member of the Board of 
            REALTORS® (or Participant in its MLS), has previously consented to arbitration through the Board 
            under its rules and regulations. 
    (2)  I am informed that each person named below is a member in good standing of the Board (or Participant in 
           its MLS), or was a member of said Board of REALTORS® at the time the dispute arose.
    (3)  A dispute arising our of the real estate business as defined by Article 17 of the Code of Ethics exists 
         between me and (list all persons you wish to name a respondents to this arbitration):
    , Realtor® principal 
                                        Name                                                                                                  Address
    , Realtor® principal 
                                        Name                                                                                                  Address
    (4)  There is due, unpaid and owing to me (or I retain) from the above-named persons the sum of $.
           My claim is predicated upon the statement attached, marked Exhibit I and incorporated by reference into 
           this application.
    (5)  I request and consent to arbitration through the Board in accordance with its Code of Ethics and 
         Arbitration Manual (alternatively, "in accordance with the professional standards procedures set forth in 
          the bylaws of the Board"), and I agree to abide by the arbitration award and to comply with it promptly.

          In the event I do not comply with arbitration award and it is necessary for any party to this arbitration to 
          obtain judicial confirmation and enforcement of the arbitration award against me, I agree to pay the party 
          obtaining such confirmation the costs and reasonable attorney's fees incurred in obtaining such 
          confirmation and enforcement.

    (6)  I enclose my check in the sum of $for the arbitration filing deposit.*
    (7)  I understand that I may be represented by legal counsel, and that I should give written notice no less
          than fifteen (15) days before the hearing of the name, address, and phone number of my attorney to all
          parties and the Board. Failure to provide this notice may result in a continuance of the hearing, if the
          Hearing Panel determines that the rights of the other party(ies) require representation.

          Each party must provide a list of the names of witnesses he intends to cll at the hearing to the Board and
          to all other parties not less than fifteen (15) days prior to the hearing.Each party shall arrange for 
          his witnesses to be present at the time and place designated for the hearing. The following REALTOR®
          nonprincipal (or REALTOR-ASSOCIATE® nonprincipal) affiliated with my firm has a financial interest in
          theoutcome of the proceeding and has the right to be present throughout the hearing:

    (8)  I declare that this application and the allegations contained herein are true and correct to the best of my 
          knowledge and belief and this request for arbitration is filed within one hundred eighty (180) days after
          the closing  of the transaction, if any, or within one hundred eighty (180) days after the facts constituting
          the arbitrable matter could have been know in the exercise of reasonable diligence, whichever is later.
    (9)  If either party to an arbitration request believes that the Grievance Committee has incorrectly classified 
          the issue presented in the request (i.e., mandatory or voluntary), the party has twenty (20) days from the 
          date of receipt of the Grievance Committee's decision to file a written appeal of the decision.  Only 
          those materials that the Grievance Committee had at the time of its determination may be considered with 
          the appeal by the Board of Directors.
    (10)Are the circumstances giving rise to this arbitration request the subject of civil litigation?Yes No
    Complainant(s):
    _______________________________
    Name (Type/Print).                                                      Signature of REALTOR® Principal                                                  Date
    Address                                                                                                                                                           Telephone
    ________________________________
    Name (Type/Print).                                                      Signature of REALTOR® Principal                                                  Date
    Address                                                                                                                                                           Telephone

    Fill in blanks, print and then fax to 773-1738 or 
    mail to Eastern Middle Tennessee Association REALTORS® Inc. at the above address.