Form 667 - Annual Hotel Unit Owner Registration
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1STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY REAL ESTATE DIVISION
OFFICE OF THE OMBUDSMAN FOR COMMONINTEREST COMMUNITIES AND CONDOMINIUM HOTELS
1179 Fairview Drive, Suite E * Carson City, NV 89701‐5453 * (775) 687‐4280
2501 East Sahara Avenue, Suite 202 * Las Vegas, NV 89104‐4137
(702) 486‐4480 * Toll free: (877) 829‐9907 * Fax: (702) 486‐4520
E‐mail: CICOmbudsman@red.state.nv.us
ANNUAL HOTEL UNIT OWNER REGISTRATION
NRS 116B.125 defines “Hotel Unit Owner” as the owner of the hotel unit and the shared components. The hotel unit
owner may be the declarant or any successor or assignee of the declarant or an affiliate of the declarant.
As of May 5, 2011, the hotel unit owner’s portion of a Condominium Hotel is required to register with the Office of
the Ombudsman for Owners in Common-Interest Communities and Condominium Hotels annually, pursuant to
NRS 116B.625.
_____________________________________________________________________
Name of Hotel Unit Owner:
Contact Name: _____________________________________Title: ___________________________________________
Telephone Number: ______________________ Email Address: _____________________________________________
Legal name of the condominium hotel association, located within the hotel, as it appears on the Secretary of State’s web
site:
___________________________________________________________________________________________________
(For SOS filing information, log onto )
Hotel’s unit owners physical address:
Current mailing address:
______________________________________________
______________________________________________
City: _____________________ State: NV Zip: ________
______________________________________________
County the hotel is located in: ______________________
City: __________________State: ______ Zip: ________
The amount of budgeted expenses (both shared expenses and total expenses) for current year: $ _______________________
The date which the most recent audit or review of the financial statements was completed: _____/_____/_____
If audited, what was the opinion:
□ qualified
□ unqualified
*An unqualified opinion results when an auditor finds no material misstatements in the financial reports.
*A qualified opinion results when an auditor finds a deviation from generally accepted accounting procedures or a limitation to the audit’s
scope.
Reserve Study (NRS 116B.610)
Has a reserve study ever been conducted?
□ Yes
□ No
Date the most recent reserve study was performed (Mo./day/yr.): _____/_____/_____
Name of Reserve Specialist who conducted study: _____________________________________ Registration #: _________
Has the hotel unit owner performed its annual review of the reserve study pursuant to NRS 116B.610 (1) (b)?
□ Yes
□ No
Has the hotel unit owner made the necessary adjustments after the review pursuant to NRS 116B.610 (1) (c)?
□ Yes
□ No
Name of person completing this form (print): ____________________________________________ Title: __________________________
Signature: _________________________________Print name: ______________________________ Date signed: ____________________
Authorized person signing is attesting to the accuracy of the information provided.
For office use only:
Processed by: _______________________
Date Received: ______________________________________
Date Processed: ________________________
Revised 03/12/12
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667
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