STATE OF CALIFORNIA CERTIFICATION (Reviewed Budget) DEPARTMENT OF REAL ESTATE SUBDIVISIONS DBP FILE NUMBER CURRENT FILE NUMBER RE 684A (Rev. 9/06) SUBDIVIDER MASTER FILE NUMBER TRACT NUMBER TRACT NAME ADVERTISING NAME STREET ADDRESS CITY CROSS STREETS COUNTY A. File information: (Check one box and enter 2nd, 3rd, etc., and 1, 2, 3, etc., in the spaces below as appropriate.) 1. This is a condominium project located on ________ lot(s). This is the ______ phase of a ______ phase project. 2. The ______ phase of a ______ phase project with no additional tract maps. 3. This is a multiple (tract) map filing, and this application covers the ______ (tract) map of ______ total single-phase maps. 4. This is a multiple-phase, multiple (tract) map filing, and this application covers the ______ phase of the ______ (tract) map of a total of ______ phases and ______ maps. B. Complete the following information: 1. Number of residential units/lots in this filing: ............................................... _______________________ 2. Number of buildings containing residential units in this filing: .................... _______________________ 3. Estimated completion date of residential units in this filing: ......................... _______________________ 4. Estimated completion date of common area improvements and facilities included in this filing: .................................................................................... _______________________ 5. Common area lots (numbers/letters) in this filing: ......................................... _______________________ 6. Common area improvements and facilities included in this filing: ___________________________________________________________________________________________ C. The attached copy of DRE budget review reflects the budget for this phase was deemed adequate by DRE Appraiser _______________________________________ on ____________________, File No. ________________________. D. The budgets covering this subdivision are currently under review under Master File No. ________________________. CERTIFICATION I hereby certify under penalty of perjury that the above information is true and correct and that less than eighteen months have passed since the budget for this phase was reviewed by DRE or appropriate budgets are currently under review by the DRE. I further certify that there have been no changes whatsoever in this phase (e.g., number of residential units/lots, common area lots, common area improvements and facilities, etc.) or in the phasing plan and the offering is exactly as represented when the budget was reviewed. SIGNATURE OF SUBDIVIDER DATE PRINTED NAME OF SUBDIVIDER TITLE CORPORATION, PARTNERSHIP, JOINT VENTURE NAME, IF APPLICABLE BUSINESS TELEPHONE NO. (include area code) BUSINESS ADDRESS (STREET ADDRESS, CITY, STATE AND ZIP CODE) American LegalNet, Inc. www.FormsWorkflow.com