Management

New York State

Department of State, Division of Licensing Services

(518) 474-4429

www.dos.ny.gov

New York State Division of ​Consumer Rights

(888) 392-3644

New York State Housing and Anti-Discrimination Disclosure Form

Federal, State and local Fair Housing and Anti-discrimination Laws provide comprehensive protections from discrimination in ​housing. It is unlawful for any property owner, landlord, property manager or other person who sells, rents or leases housing, to ​discriminate based on certain protected characteristics, which include, but are not limited to race, creed, color, national origin, ​sexual orientation, gender identity or expression, military status, sex, age, disability, marital status, lawful source of income or ​familial status. Real estate professionals must also comply with all Fair Housing and Anti-discrimination Laws.

Real estate brokers and real estate salespersons, and their employees and agents violate the Law if they:

• Discriminate based on any protected characteristic when negotiating a sale, rental or lease, including representing that a ​property is not available when it is available.

• Negotiate discriminatory terms of sale, rental or lease, such as stating a different price because of race,national origin or ​other protected characteristic.

• Discriminate based on any protected characteristic because it is the preference of a seller or landlord.

• Discriminate by “steering” which occurs when a real estate professional guides prospective buyers or renters towards or ​away from certain neighborhoods, locations or buildings, based on any protected characteristic.

• Discriminate by “blockbusting” which occurs when a real estate professional represents that a change has occurred or may ​occur in future in the composition of a block, neighborhood or area, with respect to any protected characteristics, and that the ​change will lead to undesirable consequences for that area, such as lower property values, increase in crime, or decline in ​the quality of schools.

• Discriminate by pressuring a client or employee to violate the Law.

• Express any discrimination because of any protected characteristic by any statement, publication,advertisement, ​application, inquiry or any Fair Housing Law record.

YOU HAVE THE RIGHT TO FILE A COMPLAINT

If you believe you have been the victim of housing discrimination you should file a complaint with the

New York State Division of Human Rights (DHR). Complaints may be filed by:

• Downloading a complaint form from the DHR website: www.dhr.ny.gov;

• Stop by a DHR office in person, or contact one of the Division’s offices, by telephone or by mail, to obtain a complaint form ​and/or other assistance in filing a complaint. A list of office locations is available online at: https://dhr.ny.gov/contact-us, and ​the Fair Housing HOTLINE at (844)-862-8703.

You may also file a complaint with the NYS Department of State, Division of Licensing Services. Complaints

may be filed by:

• Downloading a complaint form from the Department of State’s website

https://www.dos.ny.gov/licensing/complaint_links.html

• Stop by a Department’s office in person, or contact one of the Department’s offices, by telephone or by mail, to obtain a ​complaint form.

• Call the Department at (518) 474-4429.

There is no fee charged to you for these services. It is unlawful for anyone to retaliate against you for filing a complaint.

DOS-2156 (065/20)

New York State

Department of State, Division of Licensing Services

(518) 474-4429

www.dos.ny.gov

New York State Division of ​Consumer Rights

(888) 392-3644

New York State Housing and Anti-Discrimination Disclosure Form

For more information on Fair Housing Act rights and responsibilities please visit

https://dhr.ny.gov/fairhousing and https://www.dos.ny.gov/licensing/fairhousing.html.

This form was provided to me by

(print name of Real Estate Salesperson/

Broker) of

(print name of Real Estate company, firm or brokerage)

(I)(We)

(Buyer/Tenant/Seller/Landlord) acknowledge receipt of a copy of this disclosure form:

Buyer/Tenant/Seller/Landlord Signature

Date:

Buyer/Tenant/Seller/Landlord Signature

Date:

Real Estate broker and real estate salespersons are required by New York State law to provide you with this ​Disclosure.

DOS-2156 (06/20)