Lot Transfer Form

Lots/Lot # _______ Lot Holder_________________________

The above lot holder is a member in good standing and has paid all fee's, dues, utility charges and assessments as required by the By-Laws.

Date: ________ Treasurer: ___________________________

REASSIGNMENT

Lots/Lot #________

Reassigned to: ______________________________________

Address: ______________________________________

______________________________________

Phone Number/s: __________________ __________________

Note: Upon completion of the lot transfer form, mail form and mandatory copy of sales agreement to the BCHA Secretary. The Secretary will then schedule your appointment with the Board of Directors for completion. It is also agreed and understood that the lots, as described above, remain the property of the BCHA and that the lot holder ONLY owns the improvements thereon.

Date:___________________ Releasing Lot Holder: ________________________

Date:____________________ New Lot Holder: ____________________________

Approval

Board of Directors

_______________________________________ ___________________________________________

_______________________________________ ___________________________________________

Electric Meter Reading: _______________ Water Meter Reading: ________

PO Box 608 96 Boulder City Nevada 89006-0896

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