Intervention Affidavit Form - Nevada Department Of Business And Industry Page 3
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4STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
2501 East Sahara Avenue, Suite 202 * Las Vegas, NV 89104-4137 * (702) 486-4480
E-mail:
CICOmbudsman@red.state.nv.us
7.
The “Complaint” must include all of the following information, please see the example below. Please adhere to
the format provided for more efficient identification of the allegations.
a. You are required to state the alleged violations.
b. You are required to sate the law and/or governing document violation(s) that have been violated.
c. You are required to state a brief statement of the facts that may give context to the alleged
violation(s).
d. You are required to indicate how you think the allegations should be resolved.
e. DO NOT WRITE “SEE ATTACHED” and then attach documents. Affidavits received with “SEE
ATTACHED” WILL NOT BE PROCESSED.
f.
Use additional pages, if necessary, according to the format indicated as acceptable.
8.
The following information provides an example of what is considered an acceptable format:
COMPLAINT:
State the alleged violations in one or more sentences.
Example: “On August 1, 2011, I received written notice that I violated a HOA policy regarding the proper use
of the Clubhouse. The notice stated that I used the Clubhouse during prohibited hours, so I was assessed a fine.
However, the association had not provided the revision of the policy, in writing, to the unit owners for at least 30
days before I was assessed. Therefore, I should not have been fined.”
SUPPORTING LAW:
Nevada Revised Statues 116 and its sub-parts must support your allegations. State the particular provision where
the law supports the allegations and/or provide the section of the governing documents that supports your
allegations.
Example: NRS 116.31031 allows a homeowner 30 days to be made aware, in writing, of rules before any fines
are assessed. OR - if indicated in governing documents - The HOA bylaws adopted provide that a homeowner
must be made aware, in writing, of a violation for at least 30 days before any fines can be assessed. See attached
bylaws.
RESOLUTION:
State how you think the matter should be resolved.
Example: “I would like the fine removed because unit owners were not made aware, in writing, of the change in
policy 30 days prior to the assessment of the fine.”
BRIEF STATEMENT OF FACTS:
Include additional information to support your allegations.
Revised 08/11/11
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