Form 562 – Fill Out and Use This PDF

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.state.nv.us

http://www.red.state.nv.us

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 http://red.state.nv.us/cic/Publications/subdivision_search.pdf)

Nevada Secretary of State (SOS) entity number: _______________ SOS original filing date: ____/____/____

(For SOS filing information, log onto http://nvsos.gov/sosentitysearch/CorpSearch.aspx)

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):

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: (Mo. /day/yr.): _____/_____/_____ Accounting Fiscal Year End (Mo. /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 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 (Mo. /day/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: ________________________________________

□ DOCS - How many: __________ □ Reserve Study Summary	□ Master Roster	□Correspondence:____________________________
Revised 05/22/13	Page 1 of 4	Form 562

Reserve Study (NRS 116.31152 and NRS 116B.605)

Has a reserve study ever been conducted? □ Yes □ No

Most recent reserve study was conducted (Mo. /day/yr.): ____/____/____

List years that previous site inspection reserve studies were conducted: ________, ________, _________, _______, ________

If a reserve study has not been conducted, is the executive board confirming that the community has no major components in accordance

to NRS 116.0605? □ Yes	□ No	If no, attach explanation to why a reserve study has not been conducted.
Was the most recent study adopted by Board? □ Yes □ No			Date the board adopted the recent study (Mo. /day/yr.): ____/____/____
If a full study with a site inspection reserve study has been conducted, was Form 609 submitted to the Division?				□ Yes □ No

Date Form 609 was submitted to the Division (Mo. /day/yr.): ____/____/____ □ Enclosed: Date on Form 609 ( ____/____/____)

Name of Reserve Specialist (person) who conducted study: __________________________________________ Registration #: ________

BOTH requirements must be met if the reserve study was not conducted by a Reserve Specialist:

If the common-interest community contains 20 or fewer units AND is located in a county whose population is 55,000 or less, the study of the reserves required by NRS 116.31152 may be conducted by any person whom the executive board deems qualified to conduct the study. [NRS 116.31152(2)] If BOTH requirements listed above have been met, provide:

Name of the individual conducting the reserve study: _____________________________ Title (if applicable):__________________

Has the executive board performed its annual review of the reserve study pursuant to NRS 116.31152 (1) (b)?	□ Yes	□ No
Has the executive board made the necessary adjustments after the review pursuant to NRS 116.31152 (1) (c)?	□ Yes	□ No

Required reserve account balance as of the end of the current fiscal year, per the most recent adopted reserve study: $________________

Projected reserve account balance as of the end of the association’s current fiscal year: $ _______________________________________

Is there currently a Reserve Assessment in effect? □ Yes		□ No	If so, how long is the assessment? ______________________________
Board/Management/Declarant
Current number of executive board members: _______		Number of executive board members per governing documents: ________
Have all executive board members completed/signed			Have copies of Form 602 for each board member been
Form 602 with-in 90 days of appointment/election per			submitted to the Division?	□ Yes □ No
NRS 116.31034 (15) or NRS 116B.445(9) □ Yes		□ No	If no, explain: ____________________________________
Executive Board	President		Secretary	Treasurer
Board Member’s Name

Physical address:

Number & Street

City / State / Zip Code

Telephone Number

E-mail Address (Optional)
Indicate title:	□ Vice President □ Director	Director	□ Director □ Hotel Unit Owner
Board Member’s Name

Physical address:

Number & Street

City / State / Zip Code

Telephone Number

E-mail Address (Optional)

Please use a separate sheet of paper for additional board members and attach to this form.

Management Company / Manager

Custodian of Records

Attorney (if applicable)

Declarant

Business Name

Contact Name

Address:

Number & Street

City / State / Zip Code

Telephone Number

Fax Number (optional)

Name of person completing this form (print): ______________________________________________ Title: __________________________

Person authorized to sign form: □ Board Member (title: _____________) □ Community Manager (License #___________) □ Declarant

Print name: _________________________________ Signature: ___________________________________ Date signed: _____/_____/_____

Authorized person signing is attesting to the accuracy of the information provided.

Revised 05/22/13

Page 2 of 4

Form 562

INSTRUCTIONS FOR ANNUAL ASSOCIATION REGISTRATION FORM FILING

NOTE: This registration form and the annual unit fee must be received in the Las Vegas Office of the Ombudsman, no earlier than 45 days and no later than the last business day for the State of Nevada, in the month the association incorporated with the Office of the Secretary of State.

General Information

List all subdivision name(s) for the association filed with the county recorder’s office, in the county in which the association is located. Go to www.red.state.nv.us for instructions on how to locate a subdivision’s name.

Indicate the file number issued by the Secretary of State (SOS) for the business entity formed, as well as the date the association incorporated with the SOS. http://nvsos.gov/sosentitysearch/CorpSearch.aspx)

Select the type of business entity that the association is organized as: Profit; Nonprofit; Trust; General Partnership; Limited Partnership, Limited Liability Company as prescribed in NRS 116.3101(3) (a) or

NRS 116B.415 (3) (a).

General information required by NRS 116.625(4) (e) or NRS 116B.815 (5). Include the association’s legal name, complete physical address or closest cross streets if no physical address, billing/contact address, telephone number for association and county in which the association is physically located.

Types of Common-Interest Communities:

Condominium, defined in NRS 116.027, is a common-interest community in which portions of the real estate are designed for separate ownership and the remainder of the real estate is designated for common

ownership solely by the owners of those portions. A CIC is not a condominium unless the undivided interests in the common elements are vested in the unit’s owners.

Cooperative, defined in NRS 116.031, is a CIC in which the real estate is owned by an association, each of whose members is entitled by virtue of his ownership in the association to exclusive possession of a unit.

Condominium Hotel, defined in NRS 116B.060, is a CIC with real estate designated for separate ownership and a hotel unit.

Planned Community, defined in NRS 116.075, is a CIC that is not a condominium or a cooperative.

However, a condominium or a cooperative may be part of a planned community.

Special instructions for master associations and sub-associations: If a Master Association is indicated, the master association is required to submit a master roster (Form #620) that lists the legal names of all sub- associations, the names of any neighborhood(s) or other units directly under the master association as of the filing date of this form.

If a Sub-association is indicated, the sub association must list the legal name of the master association. Liens: Indicate the number of units the association has liens filed for unpaid owner assessments.

Foreclosures: Indicate the number of completed foreclosures (not the number of Notices of Sale) based on liens for the failure to pay owner assessments. Prior year is the association’s fiscal accounting year.

Units/Budget/Assessments

Indicate the current number of annexed residential units (defined in NRS 116.093 and NRS 116B.235), as well as the total number of units the declarant reserves the right to annex. A Certificate of Occupancy must be issued for units, with the exception of units designated for residential single family dwelling custom homes.

Date association held most recent annual meeting. Indicate the Association’s fiscal year end.

Total annual budgeted assessments (from the adopted budget – collective $ amount of all assessments from unit owners.)

Total annual budgeted revenue (includes all assessments and other revenue anticipated, e.g. interest, and other income - from the adopted budget).

Revised 05/22/13

Page 3 of 4

Form 562

Indicate whether the financial statements were reviewed or audited (must engage an independent CPA), the reporting year the financial statements represent (must be 12 months), and the date the CPA completed the review or audit.

Reserve Study

NOTE: A reserve study is required to be conducted at least once every 5 years by a reserve study specialist who, pursuant to NRS116A.420, is qualified by training and experience.

Please include all applicable information based on the most recent study.

Indicate whether a reserve study has ever been conducted. Date of the most recent adopted study was performed. Years that previous site inspection studies were performed.

Indicate whether the most recent study was adopted by board and the date of adoption, pursuant to NRS 116.31152 (1) and NRS 116B.605 (1).

Indicate date the Reserve Study Summary Form was mailed/sent to Division, pursuant to NRS 116.31152 (4) and NRS 116B.605 (4).

Name and registration number of the Reserve Study Specialist (person not company) who performed the study Reserve Specialist name and number can be located at www.red.state.nv.us

Indicate whether the Executive Board has performed an annual review.

Indicate whether the Executive Board has made the necessary adjustments after the annual review of the reserve study.

Indicate the required reserve account balance at the end of current fiscal year (from adopted reserve study).

Indicate the projected reserve account balance at the end of the association’s current fiscal year (from ratified budget).

Indicate if there is currently a reserve assessment for the reserve account. If so, for how long?

Board/Management/Declarant

NOTE: Each newly elected or appointed board member must complete Form 602 within 90 days of his/her election or appointment and submit a copy of Form 602 to the Division. Only one copy is required, per election or appointment, to be submitted to the Division at the time of registration.

As applicable, include business and contact name, address, telephone number, fax, and e-mail address for the following:

Executive Board – Pursuant to NRS 116.31034 and NRS 116B.445, list all officers and directors. Include physical address and personal telephone number of each board member (management company’s information is not acceptable).

Management Company – Include name of company and the community manager as defined in NRS 116.023 and NRS 116B.050.

Custodian of Records – Identify physical location of CIC records and person responsible for the records, per NRS 116.31175 and NRS 116B.670. The financials and other records must be maintained within the county where the association is located and the books, records and other papers must be made available to the unit owners at the business office or other location not to exceed 60 miles of the location of the association.

Hotel Unit Owner – Defined in NRS 116B.125, this only applies to condominium hotels. It includes the owner of the hotel unit and shared components and may also be declarant, any successor or any designee of the declarant, or an affiliate of the declarant.

Attorney – Only provide information if the association has retained an attorney.

Declarant –As defined in NRS 116.035 and NRS 116B.075, or a successive declarant (developer).

THE PERSON AUTHORIZED TO SIGN THE FORM MUST BE A BOARD MEMBER, DECLARANT OR COMMUNITY MANAGER. THAT PERSON MUST PRINT THEIR NAME, TITLE AND MUST SIGN AND DATE THE FORM. IF THE PERSON IS A COMMUNITY

MANAGER, THEIR LICENSE NUMBER MUST BE LISTED.

Revised 05/22/13

Page 4 of 4

Form 562