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Supplemental Instructions Form. This is a California form and can be use in Department Of Real Estate Statewide.
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Tags: Supplemental Instructions, RE 621A, California Statewide, Department Of Real Estate
STATE OF CALIFORNIA
DEPARTMENT OF REAL ESTATE
SUBDIVISIONS
SUPPLEMENTAL INSTRUCTIONS
[§11018.5(a)]
RE 621A (Rev. 1/97)
These instructions supplement original escrow instructions heretofore furnished to __________________________
_________________________________________________________________________(hereafter Escrow Depository)
on RE 621 for the subdivision (hereafter The Subdivision) identified as ________________________________________
_________________________________________________________ County of ______________________________,
Department of Real Estate File No. ______________________.
Subdivider has transmitted herewith to Escrow Depository as trustee, a
¨ Surety Bond
¨ Cash Deposit
¨ Letter of Credit ¨ Other: ________________________________________________________________________
along with an applicable agreement and escrow instructions in the amount of ________________________________
_______________________________________________________________________ Dollars ($ _________________).
A copy of said security or evidence of said cash deposit is attached hereto. This security is being provided by subdivider
pursuant to
¨ Section 11018.5 (a)(2)(A)
¨ Section 11018.5 (a)(2)(E)
of the Business and Professions Code for the
purpose of assuring the lien-free completion of the subdivision improvements in The Subdivision for which assurance of lienfree completion is not otherwise provided as of the date of furnishing of this security.
Any security instrument shall remain in the custody or subject to the control of Escrow Depository until the expiration
of all applicable lien periods after receipt of notification by escrow from the ___________________________________
________________________________________ homeowners association that all of the common area improvements and
any cluster building(s) designated in the Planned Construction Statement have been completed.
SIGNATURE OF SUBDIVIDER
DATE
Ø
PRINTED NAME OF SUBDIVIDER
TITLE
ADDRESS
CITY
STATE
ZIP CODE
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RE 621A
Page 2 of 2
DEPARTMENT OF REAL ESTATE
Based upon evidence submitted by subdivider, these supplemental escrow instructions and the form and amount of the
security instrument referred to above are acceptable by the Department of Real Estate of the State of California as a reasonable
arrangement within the meaning of Section 11018.5(a) to assure completion of The Subdivision and all improvements for
which the financial security is provided.
SIGNATURE OF DEPUTY COMMISSIONER
DATE
PRINTED NAME OF DEPUTY COMMISSIONER
TITLE
ADDRESS
CITY
STATE
ESCROW DEPOSITORY
Escrow Depository acknowledges that it holds the above security and acknowledges receipt of an executed copy of the
above supplemental instructions and agrees to carry out the terms thereof.
SIGNATURE OF ESCROW HOLDER
DATE
PRINTED NAME OF ESCROW HOLDER
TITLE
ADDRESS
CITY
STATE
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