Blank Nevada 530 PDF Template

The Nevada 530 form, known as the Intervention Affidavit, serves as a crucial document for individuals seeking to address grievances related to alleged violations of state laws or homeowners association regulations. By completing this form, claimants can formally outline their concerns and initiate a process for resolution. If you believe you have been wronged, consider filling out the form by clicking the button below.

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The Nevada 530 form is an important document for homeowners who believe their rights have been violated within a homeowners association (HOA). This form, officially known as the Intervention Affidavit, allows individuals to formally state their grievances and seek resolution. It requires the claimant to provide personal details, including the name of the respondent—typically the person or entity accused of the violation—and the relevant homeowners association. Essential information such as the association’s Secretary of State entity number and contact details must also be included. The claimant must affirm that they have notified the respondent of the issues at hand through certified mail, ensuring that there is a record of communication. Additionally, the form calls for a brief statement of facts regarding the complaint, along with a proposed resolution and any supporting laws or governing documents that apply. By signing the affidavit, the claimant asserts that the information provided is accurate and truthful, reinforcing the seriousness of the matter. This form plays a crucial role in addressing disputes within HOAs and helps to facilitate a fair process for all parties involved.

Nevada 530 Sample

STATE OF NEVADA

DEPARTMENT OF BUSINESS AND INDUSTRY

REAL ESTATE DIVISION

2501 East Sahara Avenue, Suite 214 * LAS VEGAS, NV 89104-4137 * (702) 486-4480

E-mail: CICOmbudsman@red.nv.gov

http://www.red.nv.gov

INTERVENTION AFFIDAVIT

You must read form #530a prior to completing this form

STATE OF NEVADA

COUNTY OF _______________________Date: ___________________

I, _________________________________________ (Claimant), after being first duly sworn, state under penalty of

perjury and based upon personal knowledge:

1.I have been aggrieved by an alleged violation of Chapter 116 of the Nevada Revised Statutes, Nevada Administrative Code or the governing documents of the association. The person or entity who committed the alleged violation is: ___________________________________________________________(Respondent).

2.The Homeowners Association involved in this intervention affidavit is: ______________________________

Secretary of State entity # for the association is: _________________________________________________

(To locate File #: http://nvsos.gov/sosentitysearch/CorpSearch.aspx) Address for the Homeowners Association: ____________________________________________________

Phone number for the Homeowners Association (President or other contact): ________________________

Name of President or contact for the Homeowners Association: ____________________________________

3.I have provided the Respondent, _________________________________ via certified mail, return receipt requested, with written notice of the exact issues listed in the intervention affidavit.

4._________ (initials required) Attached to the Affidavit as Exhibit “1” is a copy of the certified letter sent to respondent AND stapled to that letter is the certified return receipt from the post office.

Revised 09/09/15

Page 1 of 2

530

STATE OF NEVADA

DEPARTMENT OF BUSINESS AND INDUSTRY

REAL ESTATE DIVISION

2501 East Sahara Avenue, Suite 214 * LAS VEGAS, NV 89104-4137 * (702) 486-4480

E-mail: CICOmbudsman@red.nv.govhttp://www.red.nv.gov

COMPLAINT:

__________________________________________________________________________________________

BRIEF STATEMENT OF FACTS:

__________________________________________________________________________________________

RESOLUTION:

__________________________________________________________________________________________

SUPPORTING LAW AND/OR GOVERNING DOCUMENT:

__________________________________________________________________________________________

I have read the foregoing Affidavit consisting of

pages (including all additional attached pages), and

it is true and correct to the best of my knowledge and belief.

(Signature of complainant) _____________________________

Name ______________________________________________

Street Address _______________________________________

City, State, Zip _______________________________________

Area Code __________ Phone__________________________

Subscribed and sworn to before me

This ___ day of _____________, 20____.

__________________________________NOTARY PUBLIC

Revised 09/09/15

Page 2 of 2

530

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File Attributes

Fact Name	Details
Purpose	The Nevada 530 form is used to file an Intervention Affidavit regarding alleged violations by a homeowners association.
Governing Laws	This form is governed by Chapter 116 of the Nevada Revised Statutes and the Nevada Administrative Code.
Required Notice	Claimants must provide written notice to the respondent via certified mail before submitting the affidavit.
Supporting Documentation	A certified letter and its return receipt must be attached as Exhibit “1” to the affidavit.

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