Form#A-1
Tacoma-Pierce County Association of REALTORS®
Board or StateAssociation
2550 S. Yakima Ave., Suite CTacomaWA98405
AddressCityStateZip
Request and Agreement toArbitrate
(1)The undersigned, by becoming and remaining a member of the Tacoma-Pierce County AssociationofRealtors®
(orParticipantinitsMLS),haspreviouslyconsentedtoarbitrationthroughtheBoardunderitsrulesandregulations.
(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 memberofsaidBoardofRealtors®atthetimethedisputearose.
(3)AdisputearisingoutoftherealestatebusinessasdefinedbyArticle17oftheCodeofEthicsexistsbetweenme(ormyfirm)and (listallpersonsand/orfirmsyouwishtonameasrespondentstothisarbitration):*
,Realtor® principal
NameAddress
,Realtor®principal
NameAddress
FirmAddress
(NOTE:ArbitrationisgenerallyconductedbetweenRealtor®[principals]orbetweenfirmscomprisedofRealtor®principals. Naming a Realtor®[principal] as respondent enables the complainant to know who will participate in the hearing from the respondent’sfirm;namingafirmmayincreasethelikelihoodofcollectinganyresultingaward.)
(4)Thereisdue,unpaidandowingtome(orIretain)fromtheabove-namedpersonsthesumof$. My claim is predicated upon the statement attached, marked Exhibit I and incorporated by reference into this application.The
disputed funds are currentlyheldby.
(5)IrequestandconsenttoarbitrationthroughtheBoardinaccordancewithitsCodeofEthicsandArbitrationManual(alternatively, “inaccordancewiththeprofessionalstandardsproceduressetforthinthebylawsoftheBoard”).Iagreetoabidebythearbitration awardand,ifIamthenon-prevailingparty,to,withinten(10)daysfollowingtransmittaloftheaward,either(1)paytheawardto theparty(ies)namedintheawardor(2)depositthefundswiththeProfessionalStandardsAdministratortobeheldinanescrow or trust account maintained for this purpose. Failure to satisfy the award or to deposit the funds in the escrow or trust account withinthistimeperiodmaybeconsideredaviolationofamembershipdutyandmaysubjectthemembertodisciplinaryactionat thediscretionoftheBoardofDirectorsconsistentwithSection53,TheAward,CodeofEthicsandArbitrationManual.
In the event I do not comply with the arbitration award and it is necessary for any party to this arbitration to obtain judicial confirmationandenforcementofthearbitrationawardagainstme,Iagreetopaythepartyobtainingsuchconfirmationthecosts andreasonableattorney’sfeesincurredinobtainingsuchconfirmationandenforcement.
(6)Ienclosemycheckinthesumof$250.00 forthearbitrationfilingdeposit.**
(7)IunderstandthatImayberepresentedbylegalcounsel,andthatIshouldgivewrittennoticenolessthanfifteen(15)daysbefore thehearingofthename,address,andphonenumberofmyattorneytoallpartiesandtheBoard.Failuretoprovidethisnoticemay resultinacontinuanceofthehearing,iftheHearingPaneldeterminesthattherightsoftheotherparty(ies)requirerepresentation.
*Complainantsmaynameoneormore Realtor® principalsorafirmcomprisedofRealtor® principalsasrespondent(s).Or,complainantsmay
nameRealtor®principalsandfirmsasrespondents.
**Not to exceed$500.
Code of Ethics andArbitrationManual208
(8)EachpartymustprovidealistofthenamesofwitnessesheintendstocallatthehearingtotheBoardandtoallotherpartiesnotless thanfifteen(15)dayspriortothehearing.Eachpartyshallarrangeforhiswitnessestobepresentatthetimeandplacedesignated forthehearing.ThefollowingRealtor®nonprincipal(orRealtor®-associate®nonprincipal)affiliatedwithmyfirmhasafinancialinterestintheoutcomeoftheproceedingandmaybecalledasawitness,andhastherighttobepresentthroughoutthehearing:
.
Allpartiesappearingatahearingmaybecalledasawitnesswithoutadvancenotice.
(9)Ideclarethatthisapplicationandtheallegationscontainedhereinaretrueandcorrecttothebestofmyknowledgeandbeliefand thisrequestforarbitrationisfiledwithinonehundredeighty(180)daysaftertheclosingofthetransaction,ifany,orwithinone hundredeighty(180)daysafterthefactsconstitutingthearbitrablemattercouldhavebeenknownintheexerciseofreasonable diligence, whichever islater.
Date(s) alleged dispute took place ______
(10)IfeitherpartytoanarbitrationrequestbelievesthattheGrievanceCommitteehasincorrectlyclassifiedtheissuepresentedinthe request(i.e.,mandatoryorvoluntary),the party has twenty (20) days from the date of transmittal oftheGrievanceCommittee’s decisiontofileawrittenappealofthedecision.OnlythosematerialsthattheGrievanceCommitteehadatthetimeofitsdetermination maybeconsideredwiththeappealbytheBoardofDirectors.
(11)Arethecircumstancesgivingrisetothisarbitrationrequestthesubjectofcivillitigation?YesNo
(12)Important note related to arbitration conducted pursuant to Standard of Practice 17-4 (1) or (2): Where arbitration is conducted betweentwo(ormore)cooperatingbrokerspursuanttoStandardofPractice17-4(1)or(2),theamountindisputeandtheamount ofanypotentialresultingawardislimitedtotheamountpaidtotherespondentbythelistingbroker,seller,orlandlordandany amountcreditedorpaidtoapartytothetransactionatthedirectionoftherespondent.
(13)Addressofthepropertyinthetransactiongivingrisetothisarbitrationrequest:
(14)The sale/lease closedon:
(15)Agreementstoarbitrateareirrevocableexceptasotherwiseprovidedunderstatelaw.
Complainant(s):
Name(Type/Print) / SignatureofRealtor®Principal / DateAddress
Telephone / Email
Name(Type/Print) / SignatureofRealtor® Principal / Date
Address
Name ofFirm* / Address
Telephone / Email
*IncaseswherearbitrationisrequestedinthenameofafirmcomprisedofRealtor®(principals),therequestmustbesignedbyatleastoneofthe
Realtor® principalsofthefirmasaco-complainant.
(Revised11/15)
209CodeofEthicsandArbitrationManual