STATE OF CALIFORNIA DEPARTMENT OF REAL ESTATE Providing Service, Protecting You PUBLIC REPORT EXPEDITED AMENDMENT APPLICATION RE 635A (Rev. 8/10) GENERAL INFORMATION 9 Refer to page 5 for RE 635A usage restrictions. 9 Submit original RE 635A and one photocopy of page one; attach fee to the copy of this page. 1. 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 2. SUBDIVISION IDENTIFICATION AND LOCATION FOR OFFICE USE ONLY DATE RECEIVED FILE NUMBER AMOUNT REQUIRED $ AMOUNT RECEIVED $ REFUND AMOUNT $ 3. SUBDIVIDER INFORMATION DRE FILE NUMBER NAME PREVIOUS DEPUTY ASSIGNED FILE ATTENTION NAME OF SUBDIVISION BUSINESS ADDRESS TRACT NUMBER CITY NAME TO BE USED IN ADVERTISING STATE ZIP CODE CITY TELEPHONE NUMBER (INCLUDE A/C) FAX NUMBER COUNTY EMAIL ADDRESS CHECK APPROPRIATE BOX(ES) TYPE OF APPLICATION 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. CHANGE OF OWNERSHIP (SEE PAGE 5) 4. 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 APPROVED: MAIL TO SRP CALL SRP FOR PICK UP American LegalNet, Inc. www.FormsWorkFlow.com RE 635A Page 2 of 5 5. If the sole reason for requesting an amendment is to correct an error in the public report, include a brief explanation concerning the origin of the error(s) being corrected. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 6. This amended public report will cover the following interests: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 7. I am familiar with the contents of DRE Subdivision File No. ___________________. The offering to be made under authority of this amended public report includes only the following changes in the terms and provisions of the offering IURP WKH VXEGLYLVLRQ ¿OH DQGRU WKH PRVW UHFHQWO\ LVVXHG VXEGLYLVLRQ SXEOLF UHSRUW (QXPHUDWH GHVFULEH DQG DSSHQG documents, as necessary, to explain/show the changes in the offering. See Regulation 2800 for a listing of material changes.) _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________  , KDYH H[DPLQHG WKH ¿QDO VXEGLYLVLRQ SXEOLF UHSRUW ZKLFK KDV DQ RULJLQDO LVVXDQFH GDWH RI BBBBBBBBBBBBBBBBBBBB and the last amendment dated ____________________. The following changes to the subdivision public report (or to WKH DPHQGPHQW LI DQ\ DUH QHFHVVDU\ WR UHÀHFW WKH WUXH WHUPV FRQGLWLRQV DQG SURYLVLRQV RI WKH RIIHULQJ IRU ZKLFK DQ amended public report is requested: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 5 RE 635A $ :LOO ORWVXQLWV EH VXEMHFW WR WUDQVIHU IHHV DV GH¿QHG LQ 6HFWLRQ  RI WKH &LYLO &RGH" ,I