Form 562 - Annual Association Registration
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4STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY - REAL ESTATE DIVISION
OFFICE OF THE OMBUDSMAN FOR COMMON-INTEREST COMMUNITIES AND CONDOMINIUM HOTELS
2501 East Sahara Avenue, Suite 201 * Las Vegas, NV 89104-4137
(702) 486-4480 * Toll free: (877) 829-9907 * Fax: (702) 486-4520
E-mail:
mailto:CICOmbudsman@red.nv.gov
ANNUAL ASSOCIATION REGISTRATION
NOTE: Please read instructions on pages 3 & 4 of how to complete the form.
Association’s legal name: ____________________________________________________________________
(Articles of Incorporation)
Subdivision name(s) for the Association:
__________________________________________________________________
(For instructions on how to locate the subdivision name, visit uploadedFiles/rednvgov/Content/Publications/References/subdivision_search.pdf)
Nevada Secretary of State (SOS) entity number: _______________ SOS original filing date: ____/____/____
(For SOS filing information, log onto )
Is the common-interest community a master association or sub-association? (If so, indicate which.) □ Master □ Sub □ N/A
If a sub-association, to which master association does the sub-association belong too? _____________________________________
Association’s physical address:
Current billing address:
(If no address list closest cross streets)
__________________________________________________
__________________________________________________
__________________________________________________
City: ______________________ State: NV Zip: ___________
City: ___________________ State: ______ Zip: ___________
County the association is located in: ____________________
Association Telephone Number: ________________________
Pursuant to NRS 116.3101 and NRS 116B.415, indicate the type of common-interest community (choose one):
□Profit corporation □Non-profit corporation □Trust
□General partnership
□Limited partnership
□Limited liability company
Is the association a (check one)?
If a planned community what type(s) of units are
□ Condominium
□ Cooperative
included:
□ Condominium Hotel
□ Planned Community
□ Single Family Dwelling
□ Condominium
□ Duplex □ Townhouse □ Manufactured Housing
As of this date, the number of units that currently have
Number of foreclosures, in the prior fiscal year, based on
liens filed against them for unpaid assessments: ______
liens for failure of unit owner to pay assessments:_______
Units/Budget/Assessments
Number of annexed units with a Certificate of Occupancy: __________
(
See page 3 regarding residential single family dwelling custom homes under Units/Budget/Assessments)
Max. (total) # of units declarant reserves right to annex as indicated in the Covenant, Conditions & Restrictions (CC&Rs)? __________
Have the declarant’s developmental rights (right to annex additional units into the community) expired? □Yes
□ No
Date most recent annual meeting was held: (M/D/YR): _____/_____/_____ Accounting Fiscal Year End (Month /Day): _____/_____
Total annual budgeted assessments (combined assessment amounts for all units within the community): $_________________________
Total annual budgeted revenue (combined assessment amounts for all units, including interest, other income, etc.): $ ________________
The most recent independent CPA financial statements, required by NRS 116.31144, were: □ reviewed
□ audited □ <$45,000
If the association’s total annual budget is less than $45,000, a review or an audit is not required to be conducted.
The fiscal or calendar year for which the reviewed or audited financial statements represent: __________________________________
If required, has the review or audit above been completed? □Yes
□ No
Date completed (M/D/YR): _____/_____/_____
If not completed, explain: ______________________________________________________________________________________
For office use only
Check No.:_________________________ Amount: _________________ First Date Stamp: _________________________________________
Receipt No.:
Fiscal Year: ______________ Second Date Stamp: _______________________________________
Notes: _______________________________________________________Third Date Stamp: ________________________________________
□
□
□ Master Roster
□C
DOCS - How many: __________
Reserve Study Summary
orrespondence:____________________________
Revised 1/20/16
Page 1 of 4
Form 562
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