STATE OF CALIFORNIA DEPARTMENT OF REAL ESTATE Real Estate MATTERS! PRELIMINARY PUBLIC REPORT APPLICATION RE 603B (Rev. 8/12) FOR DRE USE ONLY 1. GENERAL INFORMATION A. TYPE OF SUBDIVISION: (CHECK ONE BOX) … STANDARD … STANDARD — MOBILE HOME … CONDOMINIUM … CONDOMINIUM CONVERSION … STOCK COOPERATIVE … STOCK COOPERATIVE CONVERSION … LIMITED EQUITY HOUSING COOPERATIVE (LEHC) … PLANNED DEVELOPMENT … PLANNED DEVELOPMENT — MOBILE HOME … COMMUNITY APARTMENT … OTHER: FILE NUMBER AMOUNT REQUIRED $ AMOUNT RECEIVED $ REFUND AMOUNT $ AMT. TRANSFERRED FOR LOTS $ FROM FILE # 4. SUBDIVIDER INFORMATION SUBDIVIDER NAME B. APPLICATION FOR: (CHECK ONE BOX) … ORIGINAL … INTERIM FILE # ____________________ … ORIGINAL OVERALL (COVERS MORE THAN ONE PHASE) … AMENDMENT FILE # ________________________________ … RENEWAL FILE # ________________________________ 2. SUBDIVISION IDENTIFICATION AND LOCATION ATTENTION ADDRESS CITY NAME OF SUBDIVISION STATE ZIP CODE TELEPHONE NUMBER FAX NUMBER TRACT NUMBER ADVERTISING NAME EMAIL ADDRESS STREET ADDRESS (OR NEAREST CROSS STREETS) 5. SINGLE RESPONSIBLE PARTY (SRP) CITY COUNTY SRP NAME IS SUBDIVISION LOCATED WITHIN CITY LIMITS? IF YES, WHAT CITY? ATTENTION … YES … ADDRESS NO IF NO, NEAREST TOWN/CITY? MILES/DIRECTION FROM TOWN/CITY? CITY 3. SIZE OF THIS FILING NUMBER OF RESIDENTIAL LOTS/UNITS (Do not include common area lots) STATE ZIP CODE LIST COMMON AREA LOT NUMBERS/LETTERS TELEPHONE NUMBER FAX NUMBER LOTS/UNITS TO BE LOTS TO BE SOLD/LEASED EMAIL ADDRESS … … WHEN PUBLIC REPORT IS READY: … SOLD … LEASED NUMBER OF COMMON AREA LOTS WITH HOUSING VACANT … BOTH NUMBER OF ACRES IN THIS FILING (NOT SQUARE FEET) … MAIL TO SRP … CALL SRP FOR PICK UP. 6. OVERALL PROJECT PLAN SINGLE PHASE A. What type of project is this application for? ..................................................................... MULTIPLE PHASE B. How many lots/units RWKHU WKDQ FRPPRQ DUHD EXW LQFOXGLQJ WKLV ¿OLQJ are in the overall project to date? .................................................................................................................. ___________________________ & +RZ PDQ\ DFUHV DUH LQ WKH RYHUDOO SURMHFW WR GDWH LQFOXGLQJ WKLV ¿OLQJ"......................... ___________________________ D. If you checked multiple phase above how many phases are in the project? .................... ___________________________ This application is for which phase? VW UG HWF ........................................................ ___________________________ What is the total number of lots/units in the overall project? ........................................... ___________________________ What is the approximate completion date for the overall project? ................................... ___________________________ List the phase and common area lot numbers/letters for each prior phase. Phase Number 7. 8. Common Area Lot Numbers / Letters LEGAL INTEREST TO BE OFFERED A. Unit or Lot Fee Interest Leasehold Interest for Term ______ Years Real Property Sales Contract Other (explain) B. Common Area Interest Conveyed to Owners Association Fractional Undivided Interest Other (explain) IMPROVEMENTS A. Number of buildings containing residential units ............................................................. ___________________________ B. Estimated completion date of residential units ................................................................. ___________________________ & (VWLPDWHG FRPSOHWLRQ GDWH RI FRPPRQ DUHD DQG IDFLOLWLHV LQFOXGHG LQ WKLV ¿OLQJ ............ ___________________________ D. Describe the type of car storage (i.e., garage, carport, or open space) and number of each type to be individually owned, if any. RE 603B E. Describe the type of car storage (i.e., garage, carport, or open space) and number of each type to be included in the common area, if any. Page 2 of 4 9. COMMON AREA IMPROVEMENTS (IF APPLICABLE) A. Indicate on the map and describe below the improvements LH UHFUHDWLRQDO IDFLOLWLHV ODQGVFDSLQJ HWF to the comPRQ DUHD ORWV WKDW ZLOO EH FRPSOHWHG DV SDUW RI WKLV ¿OLQJ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ B. Describe the common area lot improvements LH UHFUHDWLRQDO IDFLOLWLHV ODQGVFDSLQJ HWF that have previously EHHQ FRPSOHWHG LQ WKLV GHYHORSPHQW ZKLFK ZLOO EH DYDLODEOH IRU WKH XVH RI SXUFKDVHUV RI ORWVXQLWV LQ WKLV ¿OLQJ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 10. LOCATION OF SUBDIVISION SALES RECORDS NAME OF CUSTODIAN TELEPHONE NUMBER ( ) STREET ADDRESS (DO NOT LIST POST OFFICE BOX) CITY COUNTY STATE ZIP CODE 11. RESERVATION DEPOSIT HANDLING Deposits received from persons in connection with the taking of reservations for lots/units under authority of a preliminary public report will be immediately placed into the following neutral escrow depository along with a completed and executed Reservation Instrument (RE 612) and a completed and executed Reservation Deposit Handling Agreement (RE 612A). Complete and enclose one sample copy of RE 612 and one sample copy of RE 612A, personally signed by the subdivider and the escrow holder. NAME OF ESCROW DEPOSITORY TELEPHONE NUMBER ( ) STREET ADDRESS (DO NOT LIST POST OFFICE BOX) CITY STATE ZIP CODE 12. PRELIMINARY REPORT Submit a preliminary report from title company. If you do not currently hold title, also submit a copy of the agreement, RSWLRQ WR SXUFKDVH FHUWL¿HG HVFURZ LQVWUXFWLRQV RU RWKHU HYLGHQFH RI D IXWXUH LQWHUHVW LQ WKH SURSHUW\ (YLGHQFH RI IXWXUH vesting must include a “date certain”; the date by which vesting must occur. The preliminary report must include the two IROORZLQJ FHUWL¿FDWLRQ SDUDJUDSKV No known matters otherwise appropriate to be shown have been deleted from this report which is not a policy of title insurance, but a report to facilitate the issuance of a policy of title insurance. For the purposes of policy issuance no items (or items ____) may be eliminated on the basis of indemnity agreement or other agreement satisfactory to the company as insurer. RE 603B Page 3 of 4 13. SUBDIVISION MAP Submit a copy of the approved tentative map or recorded map. If the tentative map itself does not show approval, submit separate (current) evidence of approval by local government. 14. NON-RESIDENT SUBDIVIDER If subdivider is a non-resident of the State of California, submit a completed Consent to Service of Process (RE 608’s) for VXEVWLWXWHG VHUYLFH RI SURFHVV XSRQ WKH &DOLIRUQLD 6HFUHWDU\ RI 6WDWH DQG D FHUWL¿FDWH RI TXDOL¿FDWLRQ IURP WKH &DOLIRUQLD Secretary of State, if applicant is a nonresident corporation or limited liability company. CERTIFICATION I declare under penalty of perjury that the representations and answers to questions in this application and in all documents submitted as a part of this application are true and complete to the best of my knowledge and belief. SIGNATURE OF SUBDIVIDER DATE » PRINTED NAME OF SUBDIVIDER NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. SIGNATURE OF SUBDIVIDER DATE » PRINTED NAME OF SUBDIVIDER NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. SIGNATURE OF SUBDIVIDER DATE » PRINTED NAME OF SUBDIVIDER NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. EXECUTED AT: (STREET ADDRESS, CITY, COUNTY, STATE) Note ‡ ,I WKH VXEGLYLGHU LV D FRUSRUDWLRQ OLPLWHG OLDELOLW\ FRPSDQ\ //& SDUWQHUVKLS HWF WKH LQGLYLGXDOV VLJQLQJ WKH FHUWL¿FDWLRQ PXVW VWLSXODWH WKH FDSDFLW\ LH SUHVLGHQW PDQDJHU JHQHUDO SDUWQHU HWF RI WKH VLJQHU DQG DQ DXWKRUL]DWLRQ WR sign (i.e., corporate resolution, LLC statement, or partnership statement) must be submitted. ‡ ,I DQ DJHQW ZLOO EH VXEPLWWLQJ GRFXPHQWV WR WKH 'HSDUWPHQW RI 5HDO (VWDWH RQ EHKDOI RI WKH VXEGLYLGHU WKH VXEGLYLGHU PXVW SURYLGH ZULWWHQ DXWKRUL]DWLRQ WR WKDW HIIHFW ‡ &HUWL¿FDWLRQ VLJQHG RXWVLGH WKH 6WDWH RI &DOLIRUQLD PXVW EH DFNQRZOHGJHG E\ D QRWDU\ SXEOLF RE 603B Page 4 of 4