Professional Documents
Culture Documents
Party
Submitting: First American Bank – Judgment Creditor Ex. #83 2-ECF No. 17-50
Adv. No._________________
The collection of this information is authorized by Section 9 of the Federal Deposit Insurance Act (12 U.S.C. §1819) and
Section 202(f) of Title II of the Federal Trade Improvement Act (15 U.S.C. §57a(f)). The FDIC will use this information to
respond to your questions and requests for assistance involving activities or practices of FDIC-insured depository institutions.
Submitting this information to the FDIC is voluntary. Failure to submit all of the information requested and to complete the
form entirely could delay or prevent the response to your request. The information provided by individuals is protected by the
Privacy Act, 5 USC §552a. The information may be furnished to the institution which is the subject of the complaint or inquiry;
to the Federal or State supervisory authority that has direct supervision over the financial institution; to appropriate Federal,
state, local or foreign law enforcement authorities; to a court, administrative tribunal, or a party in litigation; to contractors,
agents and other third parties as authorized by law, and in accordance with any of the other routine uses described in the
FDIC Consumer Complaint and Inquiry Records (FDIC-30-64-0005) System of Records. A complete copy of this System of
Records is available at www.fdic.gov/about/privacy. If you have questions or concerns about the collection or use of the
information, you may contact the FDIC's Chief Privacy Officer at privacy@fdic.gov.
Privacy Act Statement Updated 11/20/2017
Public reporting burden for this collection of information Is estimated to average .25 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
review the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to the Paper Reduction Act Clearance Officer, Legal Division, Federal Deposit Insurance Corporation,
550 17th Street, N.W., Washington, D.C. 20429, and the Office of Management and Budget, Paperwork Reduction Project
(3064-0134), Washington, D.C. 20503.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection unless it displays a currently
valid 0MB control number.
Paperwork Reduction Act Statement Updated 11/20/2017
Purpose: This form collects information about complaints of non-compliance with the appraisal independence standards and
the Uniform Standards of Professional Appraisal Practice, including complaints from appraisers, individuals, financial
institutions, and other entities.
Complaint Process: Your complaint will be reviewed by the appropriate regulator(s). Please do not submit documents with
your complaint, as the regulator(s) will contact you if more information is needed. Please note the regulator(s) may not be
able to provide the resolution you request because of legal and other constraints. For example, regulator(s) considering a
complaint do not have j urisdiction to directly award damages, settle fee disputes, or act as your attorney or expert witness. A
regulator's review of your complaint will focus on potential violations of applicable law or regulatory policy and could result in
a regulator taking action(s) against the entity about which you are complaining.
Do not include any information in your complaint that you consider confidential or do not want disclosed during the complaint
review process. While completing this form is voluntary, failure to provide all of the information may delay or prevent the
appropriate regulator from reviewing your complaint.
Whistleblowers: Federal and state laws offer protection for whistleblowers.
* Required Fields
https://ask.fdic.gov/FOIClnteragencyForml
"A-50" 1 / ,1
Your Information:
Salutation I Mr. v
*Last Name Schneider "First Name Laurence
Business Name j
•Email jordyn.schneider1998@gmail
*Confirm E-mail Address I jordyn, Schneider1998@gma
Phone numbers must be numeric, no dashes or parenthesis (ex:1234567890)
Phone Number1(561) 314-9
*Mailing Street 17685 Circle Pond Court
Street Address, line 2 i
•Mailing City Boca Raton *Mailing State/Province FL V
0 Mortgage Broker
0 Appraiser
0 Other
* Please provide information regarding the person or entity you are complaining about. If more than one, please
provide information in the "Describe your complaint" section, below.
•Last Name Molestina *First Name Carlos
*Business Name First American Bank
- - -
Phone numbers must be numeric, no dashes or parenthesis (ex:1234567890)
Phone Number
* Mailing Street 1650 Louis Avenue
Street Address, line 2
1
https://ask.fdlc.gov/FDIClnteragencyForm/ 214
Case 9:20-cv-81728-DMM
Case 20-22398-MAM
DocumentDoc
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10/5/2020 lnteragency Appraisal Complaint Form
0 Appraiser independence
~ Non-compliance with Uniform Standards of Professional Appraisal Practice
0 Improper (or attempted improper) influencing of an appraiser or the appraisal process
0 Removal or exclusion from an approved appraiser list or addition to a "do not use" list
0 Appraisal fee-related Issue
~ Appraisal report inaccurate
~ Other !Fraudulent Affidavit to get a n!
Address of Property
* Street Address, line 1 17685 Circle Pond Court
Street Address, line 2
*City Boca Raton •state FL V
--
Who did you contact?
If yes, date of contact !...,,,..,.,...,,..,..,,,.,,..,,..,_ _ _ _ ___,
MM'DDIYYYY
At what company or government
agency? -
,__-
_-_-
_-_-_
-_-_
-_-_
- _,
,
For more information on appraiser Independence or the Uniform Standards of Professional Appraisal Practice
(USPAP), go to: http:1/ReferMyAppreisalComplaint.ASC.gov.
m*Checking this box authorizes the FDIC to respond and investigate (if applicable) your concerns.
https://ask.fdic.gov/FDIClnteragencyForm/
,, ,.
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10/5/2020
CONTACT US
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lnteragency Appraisal Complaint Form
Thank you for contacting the FDIC regarding your appraisal concerns on October 5, 2020. Your.case number is: 01206362.
The FDIC's authority to act on your behalf is limited to the enforcement of federal banking laws and regulations for banks
supervis ed by the FDIC.
Additional correspondence regarding this matter should include your case number and be forwarded to the FDIC at:
CONTACT US
STAY INFORMED
GET STARTED
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https://ask.fdic.gov/FDIClnteragencyForm/
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Case 9:20-cv-81728-DMM
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36-4Entered
Filed 12/18/20
on FLSD Docket
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101512020 lnteragency Appraisal Complaint Form
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I want to ...
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