Fillable APPLICATION FOR AMENDED TIMESHARE PUBLIC REPORT (FORM Y) (Arizona Department of Real Estate)

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APPLICATION FOR AMENDED TIMESHARE PUBLIC REPORT (FORM Y) (Arizona Department of Real Estate)

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Type of Change Cont.
Routine Processing 14. Ambulance Service Change
Expedited Processing of less than six (6) component sites
15. Police Service Change
Expedited Processing of six (6) or more component sites
16. Sales Change
17. Titles & Encumbrances Change
18. Management & Exchange Network Change
1. Applicant Change 19. Budgets & Assessments Change
2. Project Change 20. Taxes Change
3. Timeshare Use Change
21. Interval Owners Associations Change
4. Project Location Change
5.
Narrative of Offering
Change
6. Utilities Change
7. Access Streets & Roads Change
Required Documents
8. Common Area Facilities Change
22. Amended Purchase Agreement
9. Assurances for Completion of Improvements Change
23. Reviewed/Modified Out-of-State Public Report
10. Shopping Facilities Change
24. Draft Copy of Amended Public Disclosure Report
11. Public Transportation Change
12. Medical Facilities Change
13. Fire Protection Change
Application Processing Requested
Type of Change
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
APPLICATION FOR AMENDED TIMESHARE PUBLIC REPORT (FORM Y)
AMENDED TIMESHARE PUBLIC REPORT
CHECKLIST
Please select desired application processing type and all changes, and supporting
documentation, that are being submitted as part of this application for amendment
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
FormY-Amended_Timeshare_Disclosure_Report_App Page 1 of 7
APPLICATION FOR AMENDED TIMESHARE PUBLIC REPORT (FORM Y)
ATTESTATION
Timeshare Project
Owner/Applicant
hereby provides notice of the following changes to our development/project and sales offering or information
previously provided to the Arizona Department of Real Estate under Registration No. .
(Attach to this application a “red line” copy of the existing, or Out-of-State (situs), Public Report showing the changes
being made.)
Until such time as the Amended Public report is received by ADRE, the above Timeshare Developer agrees
that sales of lots/interests in the above cited development/project will be suspended. Upon confirmation that
ADRE has received the application, the developer may continue sales under current guidelines by providing all potential
Purchasers with a copy of the current Public Disclosure Report, and all requested amendment changes, prior to signing
the Purchase Agreement, and obtaining an ADRE required Receipt. It is understood that the final sale is conditioned
upon Purchasers’ receiving the Amended Public Disclosure Report in paper format, with a dated and signed receipt
obtained from Purchasers.
The undersigned, , being duly sworn deposes and says:
• I have the legal authority to execute and provide this notice on behalf of the above named Owner/Applicant;
• I have throughly reviewed all information submitted to ADRE and confirm that it is in compliance with Arizona
Statutes and Rules pertaining to Timeshare Development.
• The statements herein contained, and the documents submitted herewith, are full, true and complete; and
• There are no necessary changes to our development, our sales offering, or information previously provided to
the Department, other than as listed herein, prior to the completion of sale.
• Receipts will be obtained from purchasers for all public reports and disclosures of changes.
• If used, an "Out-of-State Public Report " (Situs Approval) conforms to all Arizona statutes and rules, including, but
not limited to, A.R.S. §32-2197.08, the rescission requirements of §32-2197.03, as well as all requirements of this
Application for Amended Timeshare Public Report (Form Y)
Print Name Signature
PLEASE NOTE THAT YOU MUST SIGN IN THE PRESENCE OF A NOTARY PUBLIC
Date
Subscribed and sworn before me this date:
Place Notary Seal / Stamp below
Notary Public Signature
click to sign
signature
click to edit
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSION
ER
FormY-Amended_Timeshare_Disclosure_Report_App Page 2 of 7
APPLICATION FOR AMENDED TIMESHARE PUBLIC REPORT (FORM Y)
QUESTIONNAIRE
• FAILURE TO ANSWER THE FOLLOWING QUESTIONS IN COMPLETE DETAIL WILL DELAY THE PROCESSING OF THIS
APPLICATION
• ANY DEVELOPER SUBMITTING THIS APPLICATION FOR AMENDED TIMESHARE PUBLIC REPORT MUST BE LISTED AND
IS REQUIRED TO EXECUTE THIS APPLICATION AS THE APPLICANT.
• Application Processing Requested:
Routine Processing
Expedited Processing of less than six (6) component sites.
Expedited Processing of six (6) or more component sites.
1. APPLICANT (Owner/Developer):
Name(s)
Address
City/State/Zip
Telephone:
Email Address:
If the applicant is a corporation, partnership, limited liability company or trust, check type of entity (NOTE - All listings of
corporate or partnership entities must include reference to the state in which the corporation was incorporated or state
in which the partnership was formed):
Partnership
Limited Liability Company
Trust
Give name and address of all officers, general partners, members, trustees or other persons who exercise control of the entity. If
ownership of the timeshare has changed at all, the applicant must submit an entirely new application for Timeshare Public Report
List the percentage interest of each person/entity owning a 10% interest or more including any person owning 10%
or more of any entity listed. All persons owning a 10% interest or more must complete ADRE Form(s) LI-214 and LI-244
For a trust, list the beneficiaries holding 10% or more of the beneficial interest (2
nd
Beneficiaries only, if a 2 Beneficiary
Trust):
From whom does Trustee accept instructions:
Will anyone besides the owner(s) named above be executing any documents on behalf of the applicant in connection
with this filing? Yes No . If Yes, submit the following with application:
• Copy of Power of Attorney.
• A copy of the Delegation of Authority signed by the owner(s) indicating who may sign on their behalf.
• Any individual signing on behalf of the corporation must submit a corporate resolution authorizing that person
to sign on behalf of the corporation.
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
FormY-Amended_Timeshare_Disclosure_Report_App Page 3 of 7
2. TIMESHARE PROJECT(S):
Name of timeshare project(s), as shown in the Declaration of Dedication of the project:
Name to be used in marketing or promotional activity, if different from above (aka):
Designate the number and type of units to be included in this application:
are 3 bedrooms of square feet each
are 2 bedrooms of square feet each
are 1 bedroom of square feet each
are studios of s
quare feet each
are rooms of square feet each
Designate the number of timeshare intervals to be included in this application:
Will the timeshare offering include lockouts? No Yes. If yes, designate the number of units as well as a
description of the lock-out offerings:
Detail the number and duration of interests for each dwelling unit including maintenance periods (for example 50 one-
week interval interests and one two-week maintenance period per unit, or other):
Provide a detailed description of the furnishings and other personal property to be included in the timeshare offering for
each type of unit being offered:
Specify number of units within the entire timeshare project(s):
Project Map recorded:
Recording number , records of County, State of. .
Estimated completion date for construction of dwelling units: . Describe phasing plan, if applicable:
3. TIMESHARE USE:
Will the sale of interval interests be evidenced by a recorded deed or by a right to use other than fee title?
Yes No. Please describe:
If interests are less than perpetuity, they are for a term of years with renewal periods of
Will the offering be:
fixed unit, fixed time; fixed unit, variable time; variable unit, fixed time; variable unit, variable time; or other
(describe):
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMI
SSIONER
FormY-Amended_Timeshare_Disclosure_Report_App Page 4 of 7
4. PROJECT LOCATION(S):
Physical Address (street location):
City:
County
State
Zip Code
Best route for getting to the development including miles & direction from nearest City or Town:
Is the project located adjacent or near any property that may be considered a hazard or nuisance which could adversely
affect purchasers: Yes No. If yes, describe and give the distance and location:
Provide the name, location and distance from the nearest civilian airport to the development:
5. NARRATIVE OF OFFERING:
Provide a complete and comprehensive statement of the timeshare offering that includes a description of the total
facility (including the type and number of housing structures, number of stories in each building, the common and public
use areas and any shared use facilities):
6. UTILITIES:
Provide a statement of the availability of utilities, i.e. electricity, telephone, natural gas, water and sewage disposal:
If incom
plete, provide completion dates:
7. ACCESS STREETS AND ROADS:
Are the exterior streets providing access to the development: public or private
Who is responsible for maintenance of the exterior streets:
Estimated completion date for exterior streets:
Are the interior streets providing access to the development: public or private
Who is responsible for maintenance of the interior streets:
Estima
ted completion date for interior streets:
8. COMMON AREA FACILITIES:
State the nature and value of all common area facilities and recreational facilities to be included in this offering:
Who is re
sponsible for maintenance of the common area facilities and recreational facilities:
Estima
ted completion date for common area facilities and recreational facilities:
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSION
ER
FormY-Amended_Timeshare_Disclosure_Report_App Page 5 of 7
9. ASSURANCES FOR COMPLETION OF IMPROVEMENTS:
Pursuant to A.R.S.§ 32-2197.05, adequate financial or other arrangements acceptable to the Commissioner are required
to assure completion of the project including the above described utilities, streets and common area facilities.
Examples of assurances that must be submitted and accepted prior to issuance of the public report include:
Performance bonds, letters of credit from a regulated bank or lending institution, irrevocable contracts backed by cash
held in trust or escrow or other arrangements acceptable the Commissioner. See Rule R4-28-A1211
for further
assistance.
Describe what assurance(s) have been established:
10. SHOPPING FACILITIES:
Describe shopping facilities available:
11. PUBLIC TRANSPORTATION:
Describe public transportation available:
12. MEDICAL FACILITIES:
Describe medical facilities available:
13. FIRE PROTECTION:
Describe fire protection available:
14. AMBULANCE SERVICE:
Describe ambulance service available:
15. POLICE SERVICE:
Describe police service available:
16. SALES:
Describe how sales will be made and the manner by which title right or other interest contracted for is to be conveyed
to purchaser:
Describe where purchaser’s deposit and earnest monies will be deposited and held pending the expiration of the ten
(10) day rescission period and close of escrow (type, name and address of depository):
Provide the name, address and telephone number of the Arizona Broker who will be responsible for sales. If none, so
state and explain why:
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
FormY-Amended_Timeshare_Disclosure_Report_App Page 6 of 7
Location of development sales records. State of Arizona address at which records will be kept, name of custodian and
telephone number:
17. TITLES AND ENCUMBRANCES:
Title to the property is vested with:
If title is not vested with the applicant, please describe applicant’s interest in the property:
Are there any mortgages, deeds of trust, liens or other encumbrances recorded against the property? Yes No.
If yes, list and describe arrangements for protecting the interest of the purchaser or lessee in the event of a default.
Additionally, describ
e arrangements for releasing individual units and intervals from any blanket lien or encumbrance:
18. MANAGEMENT AND EXCHANGE NETWORK:
The timeshare project will be managed by:
(provide copy of management agreement)
Identify all exchange programs to be offered whereby a purchaser may exchange occupancy rights (provide copies of all
contracts with exchange providers, promotional and informational material relating thereto):
19. BUDGETS AND ASSESSMENTS:
Describe the operating costs of the timeshare program, including costs for operation, management and reserves:
Describe the provisions made for payment of all operating costs:
The assessments are
currently $ per . Explain why this sum is adequate to support the operation:
What charges will a purchaser be obligated to pay as the proportionate share of the operating costs of the timeshare
offering and of the project as a whole, including the supporting facilities such as central heating and cooling, landscaping
and other common or public areas?
What financial arrangements exist for developer’s guarantee of payment of assessments on unsold interests on
dedicated units?
Will additional assessments be levied during occupancy of a timeshare interval? Yes No. If Yes, please describe:
20. TAXES:
How are the timeshare dwelling units assessed for the purpose of property taxation?
Tax payments payable to in the amount of $ per .
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
FormY-Amended_Timeshare_Disclosure_Report_App Page 7 of 7
Special district or, improvement district tax payable to in the amount of $ per .
Has the property enrolled as a Member Land of the Central Arizona Groundwater Replenishment District
(CAGRD, Telephone No. 623-869-2333) pursuant to A.R.S. §48-3774?
If yes, include notice from CAGRD confirming payment of all fees.
Other tax assessment(s):
21. INTERVAL OWNERS ASSOCIATIONS:
Name of Association:
Is the Association legally formed and operational? Yes No. If Yes, describe:
Will control of the association be turned over to interval owners? Yes No. If Yes, describe when and under what
conditions:
Will title to the common areas be transferred to the association? Yes No. If Yes, describe when and under what
conditions:
Will all interval owners be required to become members of the Association? Yes No.
Are there any other owner’s associations in which owners will be members? Yes No. If Yes, describe:
21. INTERVAL OWNERS ASSOCIATIONS:
22. CONTRACTΘDDITIONAL DISCLOSURES
Provide a copy of purchase agreement or contract with additional disclosure addendum "Exhibit A - ARIZONA TIMESHARE CONTRACT
DISCLOSURE ADDENDUM" attached hereto, pursuant to ADRE "Application for Time-Share Public Report."
Provide a copy of purchase agreement or contract that includes additional disclosures found in "Exhibit B - ADDITIONAL
DISCLOSURES" attached hereto, pursuant to ADRE "Application for Time-share Public Report."
Yes No
24. DRAFT COPY OF AMENDED PUBLIC REPORT
Seller must provide a draft copy of amended Public Disclosure Report demonstrating all changes outlined in this
submission, according to the statutory guidelines pursuant to A.R.S. §32-2197.08 and the rescission provisions
pursuant to A.R.S. §32-2197.03, as well as all requirements of this application "Amended Timeshare Public
Report" and the attached Required Receipt of Disclosure Report.
If a prior "situs approval" for an Out-of-State Public Report has been allowed, the Out-of-State Public Report must be
revised and provided, using the ADRE Public Disclosure Report Template, to confirm the inclusion of all requirements
per A.R.S. §32-2197.08 and the rescission provisions pursuant to A.R.S. §32-2197.03, as well as all requirements of this
application "Amended Timeshare Public Report (Form Y)
23. OUT-OF-STATE PUBLIC REPORT
Arizona Department of Real Estate (ADRE)
Development Services
Di
v
ision
www.azre.gov
100 N 15
TH
AVE, SUITE
201
PHOENIX, AZ
85007
DOUGLAS A. D
U
CEY
GO
V
ER
NO
R
JUDY LOWE
COMMISSIONER
EXHIBIT “A”
ARIZONA TIMESHARE CONTRACT DISCLOSURE ADDENDUM
(As required by Arizona Revised Statutes 32-2197.03, 32-2197.16)
PLEASE READ CAREFULLY
The Seller shall give a prospective purchaser a copy of the Public Report and Purchase Agreement and an opportunity to read
and review both before the prospective purchaser signs this document.
Section A
1. REQUIRED PUBLIC REPORT
The Seller has provided the Purchaser(s) with a paper copy of the Public Report and Purchase Agreement, and the
Purchaser(s) has read and reviewed the Public Report and Purchase Agreement before signing this document.
Purc
haser(s) initials required _______, _______, _______, _______
2. CONTRACT CANCELLATION WITHOUT PENALTY
Purchaser(s) understands they have ten (10) calendar days from signing this Purchase Agreement to cancel the purchase
agreement without a penalty.
Purc
haser(s) initials required _______, _______, _______, _______
3. PURCHASER(S) IS RESPONSIBLE FOR ASSESSMENTS
Purchaser(s) understands that by signing this Purchase Agreement the Purchaser(s) may be responsible for paying
maintenance fees, taxes, and other assessments every year for the duration of ownership.
Purc
haser(s) initials required _______, _______, _______, _______
4. NOT AN INVESTMENT
Purchaser(s) understand that Timeshares are NOT investments.
Purc
haser(s) initials required _______, _______, _______, _______
5. FINAL CONTRACT TERMS & CONFLICTING SELLER STATEMENTS
Purchaser(s) understands that a fully signed purchase agreement is final, and that any conflicting statements made by the
seller are NOT part of the purchase agreement.
Purc
haser(s) initials required _______, _______, _______, _______
6. LEGAL RIGHT TO FILE A COMPLAINT
Purchaser(s) understands that they have the right to file a consumer complaint with the Arizona Attorney General.
Purc
haser(s) initials required _______, _______, _______, _______
7. REQUIRED DISCLOSURE DOCUMENT (SECTION B)
Seller has provided the Purchaser(s) with a separate Arizona required Disclosure Document (Section B attached hereto)
to disclose the Purchaser’s actual and potential liabilities under this Purchase Agreement. Purchasers agree to all terms of
Section B.
Purc
haser(s) initials required _______, _______, _______, _______
Arizona Department of Real Estate (ADRE)
Development Services
Di
v
ision
www.azre.gov
100 N 15
TH
AVE, SUITE
201
PHOENIX, AZ
85007
DOUGLAS A. D
U
CEY
GO
V
ER
NO
R
JUDY LOWE
COMMISSIONER
Timeshare Contract Disclosure_8/2019
DISCLOSURE OF PURCHASER’S ACTUAL & POTENTIAL LIABILITIES
Section B
Before entering i
nto a Purchase Agreement the Seller has provided the Purchaser with this separate
disclosure document to adequately inform the Purchaser of the purchaser’s actual and potential
liabilities under the Purchase Agreement.
TIMESHSHARE DURATION
Is there a duration to the timeshare agreement entered into by the purchaser?
No, the
re is no duration, and therefore no end date to the timeshare agreement. The purchaser must pay all fees
required under the agreement until the timeshare is transferred or sold or until the purchaser’s death.
Yes, the end date of the timeshare agreement is: (MM/DD/YYYY)
Purcha
ser(s) initials required _______, _______, _______, _______
POTENTIAL FINANCIAL OBLIGATION
Estim
ated total potential financial obligation of the purchaser during the first year of ownership that includes additional
charges to which the purchaser may be subject during the first year of ownership, including all potential assessments.
HISTO
RICAL ASSESSMENTS
For each
of the previous three years, if known, the maximum amount of assessments levied were as follows:
PRIOR Y
EAR MAXIMUM KNOWN ASSESSMENTS
1
2
3
FIRST YEAR’S ASSESSMENTS
The maximum amount of the firs
t year's assessments is disclosed and is
known
to be
$ , at the time of purchase.
The maximum amount of the first year's assessments are unknown.
Arizona Department of Real Estate (ADRE)
Development Services
Di
v
ision
www.azre.gov
100 N 15
TH
AVE, SUITE
201
PHOENIX, AZ
85007
DOUGLAS A. D
U
CEY
GO
V
ER
NO
R
JUDY LOWE
COMMISSIONER
Timeshare Contract Disclosure_8/2019
UNKNOWN FIRST YEAR’S ASSESSMENTS
If the maximum amount of the first year's assessments are unknown at the time of purchase, the purchaser
understands the following:
A. The purchaser will be required to pay assessments in addition to the disclosed purchase
payment and that the amount of those assessments is currently unknown.
Purchaser(s) initials required; , , ,
B. The maximum amount assessed in the first three year's assessments is known to be
$ (see above) at the time of purchase; therefore the minimum good faith
estimate of assessments in the first year is estimated to be at least this amount.
Purchaser(s) initials required; , , ,
LIMIT ON FIRST YEAR’S ASSESSMENTS
Does the purchase agreement provide for a limit on assessments during the first year of ownership?
Yes, the limit on assessments during the first year shall not exceed:
No, there is no limit on the assessments that the owner may be charged
in the first year of ownership.
Purchaser(s) initials required; , , ,
Any blank spaces in this purchase agreement, or the Disclosure Addendums included here, make the contract voidable.
All Parties to this agreement agree to accept any potential risks that may occur as a result of depositing the monies
related to this escrow in a depository outside the State of Arizona.
BY SIGNING BELOW, PURCHASER ACKNOWEDGES THAT PURCHASER(S) HAVE READ
AND UNDERSTAND THE INFORMATION IN THIS DISCLOSURE, AND HAVE RECEIVED A
PAPER COPY OF THE ENTIRE PURCHASE AGREEMENT AND ALL DISCLOSURES.
Purchaser Date Purchaser Date
Purchaser Date Purchaser Date
Authorized Seller (Print) Date Authorized Seller (Signature) Date
Authorized Seller’s Mailing Address
Telephone
Email
Rev 8.
21.19
Arizona Department of Real Estate (ADRE)
Education Division
www.azre.gov
100 N 15
TH
AVE, SUITE 201
PHOENIX, AZ 85007
DOUGLAS A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
EXHIBIT “B”
ADDITIONAL DISCLOSURES
Any agreement or contract for the purchase, lease, or use of a time-share must include the
following language in large or bold print above the Purchaser’s signature line:
“Purchaser’s Right to Rescind. Notwithstanding any other statements in this agreement,
Owner/Purchaser has the legal right to rescind this Agreement without penalty or
obligation, or cause of any kind, by midnight on the tenth (10th) calendar day (or any
longer period of time allowed in this agreement) following the day the Owner /Purchaser
executed the Purchase Agreement, by sending or delivering a written notice of rescission
to the Seller: (delivery address of the Seller). Notice of rescission is effective on the date
the cancellation is sent. Owner/Purchaser may execute all documents in advance.
However, the closing, as evidenced by delivery of the deed or other document, is
prohibited before the ten (10) calendar day cancellation period expires."
EXHIBIT “C”
CONFIDENTIAL
1. A.R.S. § 25-502(K) STATES: “Each licensing board or agency that issues professional
licenses or certificates shall record the social security number of the licensee or certificate
holder in its data base in order to aid the Department of Economic Security in locating non-
custodial parents or the assets of the non-custodial parents.” You must provide the
Department of Real Estate with your social security number, however, the number will not be
disclosed to anyone other than a representative from another government agency in the
course of the representative’s official duties.
2. LEGAL NAME:_______________________________________________________
3. SOCIAL SECURITY NUMBER:_________________________________________
4. I DECLARE THAT THE INFORMATION IS TRUE AND CORRECT.
1. SIGNATURE OF LICENSEE:_______________________________DATE_______
STATE OF ARIZONA
DEPARTMENT OF REAL ESTATE
Douglas a. Ducey
Governor
Judy Lowe
Commissioner
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
Phone: 602. 771.7750 Fax: 602. 468.0562
STATE OF ARIZONA RESCISSION RIGHTS
Notwithstanding any other statements in this agreement, Owner/Purchaser has the legal
right to rescind this Agreement without penalty or obligation, or cause of any kind, by
midnight on the tenth (10th) calendar day (or any longer period of time allowed in this
agreement) following the day the Owner /Purchaser executed the Purchase Agreement, by
sending or delivering a written notice of rescission to the Seller. Notice of rescission is
effective on the date the cancellation is sent. Owner/Purchaser may execute all documents
in advance. However, the closing, as evidenced by delivery of the deed or other document,
is prohibited before the ten (10) calendar day cancellation period expires.
REQUIRED RECEIPT OF DISCLOSURE REPORT
The law and regulations of the Real Estate Commissioner require that the owner, agent
or subdivider of this development furnish you, as a prospective customer, with a paper
copy of the Disclosure report. It is recommended that you read the report before you make
any written offer to purchase or lease an interest in the development, and before you pay
any money or other consideration toward the purchase or lease of an interest in the
development.
FOR YOUR PROTECTION, PLEASE DO NOT SIGN THIS RECEIPT UNTIL YOU HAVE
RECEIVED A COPY OF THE REPORT AND HAVE HAD THE OPPORTUNITY TO READ
IT.
NAME OF TIMESHARE:
ARIZONA REGISTRATION NO.:
I understand that the report is not a recommendation or endorsement of the development, but is
for information only.
(Name) (Name)
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APPLICATION FOR AMENDED TIMESHARE PUBLIC REPORT (FORM Y) (Arizona Department of Real Estate)

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Completed 12 August 2020

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