Revised 8/24/09 Page 1 of 2 Form 651
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY - REAL ESTATE DIVISION
OFFICE OF THE OMBUDSMAN FOR COMMON-INTEREST COMMUNITIES AND CONDOMINIUM HOTELS
3300 W. Sahara Ave., Suite 325 * Las Vegas, Nevada 89102
*
(702) 486-4480 * Toll free: (877) 829-9907 * Fax: (702) 486-4520
http://red.nv.gov
FILING FOR EXEMPTION AS A
LIMITED PURPOSE ASSOCIATION CREATED AS A RURAL AGRICULTURAL
RESIDENTIAL COMMON-INTEREST COMMUNITY
Name of Association: ___________________________________________________________________________
Secretary of State entity number: ________________________ Secretary of State file date: ___________________
Association’s Physical Address: __________________________________________________________________
Association’s Mailing Address: ___________________________________________________________________
Association’s Telephone Number: ____________________________ Fax Number: ________________________
Management Company (if any) ___________________________________________________________________
Management Company’s address: _________________________________________________________________
DESCRIPTION OF ASSOCIATION PROPERTY
Number of units: ____ Number of units declarant reserves right to convey ____ Approx. age of development: ___
Is the association a: (check one) □ Condominium □ Cooperative □
Planned Community**
** If a planned community, indicate which types of units it includes:
□ Single Family Dwelling □ Condominium □ Townhouse □ Manufactured Housing □ Duplex
REQUIRED DOCUMENTATION
A complete recorded copy of the declaration (CC&Rs) and any recorded amendments must accompany this request.
The section in the declaration/CC&Rs must be tabbed indicating the association was created for a rural
agricultural association.
By and through this document the aforementioned association hereby submits to the Nevada Real Estate Division
this form for filing of exemption pursuant to Assembly Bill 207, Sec.1 (2009 Legislative Session).
