612 South Summit Street Little Rock, AR 72201 501.683.8010
The following information is furnished to the Arkansas Real Estate Commission as required by Arkansas
Code Ann. §18-14-203(c)(3) and Commission Regulation 13.1(c)(4) for recertification of the registration
of the Time-Share Plan named below. ATTACH ADDITIONAL SHEETS IF NECESSARY.
1. TIME-SHARE PLAN
I. Name: __________________________________________________________________
II. Location: _______________________________________________________________
III. Address of Project: ________________________________________________________
Street and P.O. Box
________________________________________________________________________
City State Zip Code
2. ON-SITE INDIVIDUAL FOR CONTACT PURPOSES
I. Name & Title: ___________________________________________________________
II. Telephone No.: ___________________________________________________________
III. Email Address:___________________________________________________________
IV. Mailing Address: _________________________________________________________
Street and/or PO Box
________________________________________________________________________
City State Zip Code
3. DEVELOPER’S COMPANY/CORPORATION
I. Name: __________________________________________________________________
II. Location: _______________________________________________________________
III. Name & Title of individual for contact purposes:
________________________________________________________________________
IV. Telephone No.: ___________________________________________________________