STATE OF CALIFORNIA DEPARTMENT OF REAL ESTATE PUBLIC REPORT EXPEDITED AMENDMENT/RENEWAL APPLICATION RE 635A (Rev. 3/19) GENERAL INFORMATION Refer to page 4 for RE 635A usage restrictions.Submit original RE 635A and one photocopy of page one; attach fee to the copy of this page. FOR OFFICE USE ONLY DATE RECEIVED FILE NUMBER AMOUNT REQUIRED $ AMOUNT RECEIVED $ REFUND AMOUNT $ QUESTIONNAIRE 1. THIS APPLICATION IS FOR A: [check box(es)]AMENDMENT OF: RENEWAL OF: FINAL PUBLIC REPORT CONDITIONAL PUBLIC REPORT CONDITIONAL PUBLIC REPORT 2.TYPE OF SUBDIVISIONSTANDARD COMMUNITY APARTMENT CONDOMINIUM MOBILE HOME PLANNED DEVELOPMENT CONVERSION STOCK COOPERATIVE LIMITED EQUITY HOUSING CO-OP UNDIVIDED INTEREST MIXED USE TENANCY-IN COMMON 3.SUBDIVISION IDENTIFICATION AND LOCATIONDRE FILE NUMBER PREVIOUS REAL ESTATE SPECIALIST ASSIGNED FILE LIST MASTER FILE NO. (IF APPLICABLE) NAME OF SUBDIVISION TRACT NUMBER NAME TO BE USED IN ADVERTISING STREET ADDRESS (OR NEAREST CROSS STREETS) CITY COUNTY IF SUBDIVISION IS LOCATED WITHIN CITY LIMITS, LIST NAME OF CITY. IF RURAL SUBDIVISION, LIST NAME OF NEAREST TOWN/CITY. LIST THE MILES/DIRECTION FROM NEAREST TOWN/CITY. IF STOCK COOPERATIVE CONVERSION OR LEHC, IDENTIFY UNIT NUMBERS. CHECK APPROPRIATE BOX(ES) All residential lots/units to be sold vacant All residential lots/units to be sold with completed residential structures. Residential lots/units to be sold both vacant and improved with residential structures. All lots/units to be sold with age restrictions. All lots/units to be sold as raw land. All lots/units to be leased. 4.SUBDIVIDER INFORMATIONNAME ATTENTION BUSINESS ADDRESS CITY STATE ZIP CODE TELEPHONE NUMBER (INCLUDE A/C) FAX NUMBER EMAIL ADDRESS TYPE OF APPLICATION CHANGE OF OWNERSHIP (SEE PAGE 4) 5.SINGLE RESPONSIBLE PARTY (SRP)NAME ATTENTION BUSINESS ADDRESS CITY STATE ZIP CODE TELEPHONE NUMBER (INCLUDE A/C) FAX NUMBER EMAIL ADDRESS WHEN PUBLIC REPORT IS READY: EMAIL TO SRP EMAIL ADDRESS: MAIL TO SRP CALL SRP FOR PICK UP American LegalNet, Inc. www.FormsWorkFlow.com 6. Page 2 of 4 Is this application for the Renewal of a Conditional Public Report with no changes to the offering?.................................................................................................................................................. Yes If none, so state: etc.) and/or budget acceptance are not considered changes to the offering. (Please use RE 635 if adding conditions under B&P Code Section 11018.12.) Note: concerning the origin of the error(s) being corrected. changes.) American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 4 regarding the typewritten public report.)CERTIFICATION I hereby certify under penalty of perjury, that there are no changes in the subdivision offering other than those enumerated and described in items 9 and 10, including any attachments pertinent to items 9 and 10, and that the information set forth in this application and in the documents appended hereto is true and complete to the best of my knowledge and belief. SIGNATURE OF SUBDIVIDER PRINTED NAME OF SUBDIVIDER CAPACITY DATE NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. SIGNATURE OF SUBDIVIDER DATE PRINTED NAME OF SUBDIVIDER CAPACITY NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. BUSINESS ADDRESS CITY COUNTY STATE American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 4 RE 635A USAGE RESTRICTIONS 225 Applicant is a person/entity other than the person/entity to was issued. (See note to the right regarding 223Change of Ownership224 exception.) Professions Code. 225 Renewal applications for final public reports and applications pertinent to any public report originally issued prior to May 5, 1962. 225 A subdivision offering that is, or is to be, registered with 225 Adding or revising security to be posted for guaranteeing area. 225 Applications to add vacant lots/units to be sold under an seller or seller controlled entity. Public Report, if adding conditions under B&P Code Section 11018.12. or foreclosure. CHANGE OF OWNERSHIP change of ownership provided the a. A current title report which shows title vested in the new owner. f. If the new subdivider is not a resident of the State of California and personal service of process upon the entity interest only). 611A. Note: Any documents that can show changes plainly noted against the previously submitted documents would be helpful for review. American LegalNet, Inc. www.FormsWorkFlow.com