STATE OF CALIFORNIA DEPARTMENT OF REAL ESTATE SUBDIVISIONS HUD/INTERSTATE LAND SALES FACT SHEET RE 614D (Rev. 3/05) Registration documents: Registration fees — Check should include • • • • • • Final subdivision public report Certification letter (RE 614C) Completed HUD/Interstate Land Sales Fact Sheet (RE 614D) Mail registration documents to: The name of the developer The name of the subdivision OILSR or registration number Mail registration fees to: HUD-OCRA Interstate Land Sales/RESPA Division 451 7th Street South West, Room 9154 Washington, D.C. 20410 HUD-OCRA Office of RESPA and Interstate Land Sales P.O. Box 100655 Atlanta, GA 30384-0655 SUBDIVISION INFORMATION 1. SUBDIVISION NAME 2. DRE FILE NUMBER 3. DEVELOPER’S NAME TELEPHONE NUMBER DEVELOPER’S ADDRESS 4. AGENT’S NAME TELEPHONE NUMBER AGENT’S ADDRESS 5. DEVELOPER’S LEGAL ENTITY LIST STATE OF ORGANIZATION BUSINESS ADDRESS TYPE OF LEGAL ENTITY (CHECK ONE) — *LIST THE NAMES AND ADDRESSES OF THE OFFICERS AND DIRECTORS ON THE REVERSE SIDE. SOLE PROPRIETORSHIP 6. CORPORATION* TOTAL NUMBER OF LOTS 7. PARTNERSHIP* LIST OTHER* OFFERING SIZE (NOTE: IF AN INITIAL REGISTRATION OF FEWER THAN 100 LOTS, EXPLAIN THE BASIS FOR THE REGISTRATION ON THE REVERSE SIDE.) TOTAL NUMBER OF ACRES IN OFFERING FEDERAL FILING (INDICATE TYPE) INITIAL FILING ADDITION OF LOTS TO AN ALREADY EXISTING FILING (CONSOLIDATION) AMENDED FILING IF A FEDERAL FILING HAS BEEN MADE ON PRIOR OFFERINGS IN THE SUBDIVISION, STATE THE PRESENT REGISTRATION (HUD) NUMBER: 8. SERVICES — PROVIDE IF NOT DISCLOSED IN THE PUBLIC REPORT ROADS – SERVICE PROVIDED & MAINTAINED BY SERVICE AVAILABILITY DATE WATER – SERVICE PROVIDED & MAINTAINED BY SERVICE AVAILABILITY DATE SEWER – SERVICE PROVIDED & MAINTAINED BY SERVICE AVAILABILITY DATE ELECTRICITY – SERVICE PROVIDED & MAINTAINED BY SERVICE AVAILABILITY DATE American LegalNet, Inc. www.FormsWorkflow.com RE 614D — Reverse American LegalNet, Inc. www.FormsWorkflow.com