Form 646 - Notification Of Association Name Change
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1A STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY - REAL ESTATE DIVISION
OFFICE OF THE OMBUDSMAN FOR COMMON-INTEREST 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.nv.gov
NOTIFICATION OF ASSOCIATION NAME CHANGE
Should the Declarant or the Board of Directors legally change the name of the association, it is
imperative that the name change be recorded with the Office of the Ombudsman for Common-Interest
Communities and Condominiums Hotels to prevent a duplication of associations registered with the
Real Estate Division.
This form is to officially notify the Office of the Ombudsman for Common-Interest Communities and
Condominium Hotels of a legal name change for the following association. Attached is a copy of the filed
and recorded document that has been processed with the Office of the Secretary of State.
Secretary of State entity number
Secretary of State filing date:
:
______________________
______/______/______
)
For SOS filing information, log onto
_________________________________________________________________________,
(Name of the association as currently registered with the Secretary of State)
was registered with Secretary of State as
_________________________________________________________________________,
(Name of association prior to the change)
Subdivision name(s) for the Association: ______________________________________________________
(For instructions on how to locate the subdivision name, visit )
If association belongs to a master planned community, please provide master’s name: __________________________
NOTE: Pursuant to NRS 116.31155(2), all master associations are responsible for payment of the annual unit fee with the Ombudsman for
each sub-association unless governing documents provide otherwise; verification required by this office.
Current number of units conveyed
Maximum number of units that may be built
: ________________
: _________________
** Is the association a (check one) □ Condominium □ Cooperative □ Planned Community □ Condominium Hotel?
** If a planned community, indicate which types of units it includes:
□ Single Family Dwelling
□ Condominium
□ Townhouse
□ Manufactured Housing
□ Duplex
Name of person completing this form: (print) _________________________________________ Title: _________________________
Person authorized to sign form: □ Board Member (title: _________) □ Community Manager (License #___________) □ Declarant
Signature: _________________________________Print name: _____________________________ Date signed: _____/_____/_____
Person signing is attesting to the accuracy of the information provided.
Processed by: ____________________________
Date Processed: _____________________________
Date Received: __________________________
Revised 8/13/15
646
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