Li-400 Disclosure Document Checklist
Download a blank fillable Li-400 Disclosure Document Checklist in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Li-400 Disclosure Document Checklist with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2DOUGLAS A. DUCEY
Arizona Department of Real Estate (ADRE)
GOVERNOR
Education Division
JUDY LOWE
COMMISSIONER
th
2910 N. 44
STREET ● SUITE 100 ● PHOENIX, AZ ● 85018
DISCLOSURE DOCUMENT CHECKLIST (LI-400)
• Form LI-400 form is being used for:
LICENSING –
ENTITY –
ARS §32-2123 & AAC R4-28-301
ARS §32-2125 &
AAC R4-28-302
Original Salesperson/Broker Application Disclosure
Corporation (CO)
Renewal Disclosure
Partnership (PA)
Timely Disclosure (10 business days from conviction, judgment, etc.)
Limited Liability Company (CO)
Late Disclosure (over 10 business days from conviction, judgment, etc.)
PUBLIC REPORT –
EDUCATION –
ARS §32-2183
AAC R4-28-301
School Owner / Administrator
Subdivision Application
Unsubdivided Land Application
Time-Share Application
Membership Campground Application
Certificate of Authority to Operate a Cemetery
• The disclosure is for: (for multiple disclosures, use one form per disclosure):
CRIMINAL OFFENSE: (Complete Sections 2 & 5)
Conviction for a misdemeanor or felony;
Deferral of a judgment or sentencing for a misdemeanor or felony;
CIVIL ACTION: (Complete Sections 3 & 5)
Order, judgment or adverse decision involving fraud or dishonesty;
Order, judgment or adverse decision – Involving the conduct of any business/transaction in:
Real Estate
Cemetery
Time-Share
Membership Camping;
DISCIPLINARY ACTION: (Complete Sections 4 & 5)
Restriction,
Suspension,
Revocation,
Civil Penalty imposed under the License; and/or
Denial of a:
Professional License
Occupational License
Registration currently or previously held;
Order, judgment or decree:
Permanently or temporarily enjoining from engaging or continuing any conduct or
practice in connection with the sale or purchase of:
Real Estate
Cemetery
Time-Share
Membership Camping;
Securities;
Involving:
Consumer Fraud;
Violation of Racketeering Laws;
Payment from a Recovery Fund; or
Payment from a Fund of Last Resort
LI-213 REV 11-2011
Page 1 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal