STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
(702) 486-4033 / realest@red.nv.gov / http://red.nv.gov/
Revised 2/11/2020 Page 1 of 1 Form 546A
AFFIDAVIT IN LIEU OF FORM 546
Pursuant to NAC 645.806 3, I, _________________________________________ declare, under penalty of
perjury, that I am not required to file Form 546 Trust Account Reconciliation as I have not within the past year
of the anniversary of the expiration date of my broker’s license received monies belonging to others as
described in NRS 645.310 4:
(Print Broker Name)
If a real estate broker receives money, as a broker, which belongs to others, the real estate
broker shall promptly deposit the money in a separate checking account located in a bank
or credit union in this State which must be designated a trust account. All down payments,
earnest money deposits, rents, or other money which the real estate broker receives, on
behalf of a client or any other person, must be deposited in the account unless all persons
who have any interest in the money have agreed otherwise in writing. A real estate broker
may pay to any seller or the seller’s authorized agent the whole or any portion of such
special deposit. The real estate broker is personally responsible and liable for such deposit
at all times. A real estate broker shall not permit any advance payment of money belonging
to others to be deposited in the real estate broker’s business or personal account or to be
commingled with any money he or she may have on deposit.
I declare under penalty of perjury that the foregoing is true and correct. I also understand that I need to
submit either form 546 or form 546A every year according to the requirements set forth in NAC 645.806
____________________________________________________ ________________________________
Signature of Broker Date Broker License Number
MAIL COMPLETED FORM TO:
Nevada Real Estate Division, ATTN: Compliance, 3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
Email: realest@red.nv.gov http://red.nv.gov/ 702-486-4033
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