STATE OF CALIFORNIA DEPARTMENT OF REAL ESTATE SUBDIVISIONS SPECIAL DISTRICT & SPECIAL ASSESSMENT DISTRICT RE 624C (Rev. 3/89) NAME OF SPECIAL DISTRICT SPECIAL DISTRICT LOCATED IN: (CITY/COUNTY) PURPOSE OF DISTRICT (DESCRIBE) v Will bond or assessment be paid in full prior to close of any sales escrows and property conveyed free and clear of lien? ....................................................................................... Yes No Yes No If YES, answer “N/A” to the remainder of this questionnaire and provide that no escrow will close until the lot/unit is free and clear of this bond or assessment. v Have the bonds been issued? ............................................................................................ N/A What is the total amount of the bonds issued/to be issued? .............................................. $ ____________________________ What will be the term (in years) of the bonds? ................................................................. ________________ (years) v What is the current or anticipated tax rate required to finance the repayment of the issued bonds and, if applicable, authorized but unissued bonds? .................................................. ______________________ v Is it anticipated there will be a tax rate increase in the future? ........................................ If YES, what is the maximum future tax rate likely to be required to finance the repayment of bonds? ........................................................................................................................... Yes No N/A ______________________ v List any other information that you believe is important to disclose to lot/unit purchasers concerning the district. COMPLETED BY DATE TITLE TELEPHONE NUMBER American LegalNet, Inc. www.FormsWorkflow.com