STATE OF CALIFORNIA — DEPARTMENT OF REAL ESTATE — SUBDIVISIONS TIME-SHARE PRELIMINARY PUBLIC REPORT APPLICATION RE 603G (New 6/05) 1. GENERAL INFORMATION A. TYPE OF TIME-SHARE PLAN: (CHECK ONE BOX) SINGLE-SITE TIME-SHARE PLAN MULTI-SITE/SPECIFIC TIME-SHARE INTEREST MULTI-SITE TIME-SHARE PLAN/NON-SPECIFIC TIME-SHARE INTEREST FOR DRE USE ONLY FILE NUMBER AMOUNT REQUIRED $ AMOUNT RECEIVED $ REFUND AMOUNT $ B. APPLICATION FOR: (CHECK ONE BOX) ORIGINAL ORIGINAL OVERALL (COVERS MORE THAN ONE PHASE) AMENDMENT FILE # _______________________________ RENEWAL FILE # _______________________________ 2. TIME-SHARE PLAN IDENTIFICATION AMT TRANSFERRED FOR LOTS $ FROM FILE # 5. DEVELOPER INFORMATION DEVELOPER NAME NAME OF TIME-SHARE PLAN 3. TIME-SHARE PLAN LOCATION If this is a non-specific time-share interest in a multi-site time-share plan and this filing incudes more than one site, include location information for additional sites on separate sheets. ATTENTION ADDRESS TRACK NUMBER OR TRACT NAME (IF APPLICABLE) CITY STREET ADDRESS (IF ANY) STATE ZIP CODE CITY TELEPHONE NUMBER FAX NUMBER COUNTY STATE 6. SINGLE RESPONSIBLE PARTY (SRP) SRP NAME IS TIME-SHARE PLAN LOCATED WITHIN CITY LIMITS? YES ATTENTION NO IF NO, NEAREST TOWN/CITY? MILES/DIRECTION FROM TOWN/CITY? ADDRESS 4. ACCOMMODATION INFORMATION LIST ACCOMMODATIONS CITY AMOUNT OF ANNUAL TIME TO BE SOLD PER ACCOMMODATION, IN TERMS OF 7-DAY STATE ZIP CODE TELEPHONE NUMBER FAX NUMBER USE INCREMENTS OR OTHER TIME INCREMENTS TOTAL NUMBER OF ANNUAL TIME-SHARE INTERESTS (NUMBER OF TIME-SHARE INTERESTS PER ACCOMMODATION MULTIPLIED BY TOTAL NUMBER OF ACCOMMODATIONS DEDICATED TO THE TIME-SHARE PLAN) WHEN PUBLIC REPORT IS READY: MAIL TO SRP CALL SRP FOR PICK-UP. NUMBER OF BIENNIAL TIME-SHARE INTERESTS PER ACCOMMODATION IF OFFERING A POINTS BASED SYSTEM? YES IF YES, TOTAL # OF POINTS OFFERED? NO DURATION OF TIME-SHARE INTERESTS American LegalNet, Inc. www.FormsWorkflow.com 7. OVERALL PROJECT PLAN SINGLE PHASE A. What type of project is this application for? .................................................................... MULTIPLE PHASE B. How many time-share interests/lots/accommodations (other than common area but including this filing) are in the overall project to date? ................................................... ___________________________ C. If you checked multiple phase above how many phases are in the project? .................... ___________________________ This application is for which phase? (1st, 3rd, etc.) ........................................................ ___________________________ What is the total number of accommodations 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 Common Area Lot Numbers / Letters 8. INTERESTS TO BE CONVEYED Time-share estate as defined in B&P Code §11212(s)(1) Time-share use as defined in B&P Code §11212(s)(2) Annual uses Fixed accommodation, fixed time Fixed accommodation, variable time Points/symbol system Biennial uses Variable accommodation, fixed time Variable accommodation, variable time 9. IMPROVEMENTS A. Number of buildings containing accommodations ........................................................... ___________________________ B. Estimated completion date of accommodations ............................................................... ___________________________ C. Estimated completion date of common area and facilities included in this filing ........... ___________________________ RE 603G Page 2 of 4 American LegalNet, Inc. www.FormsWorkflow.com 10. COMMON AREA IMPROVEMENTS (IF APPLICABLE) A. Describe below the improvements (i.e., recreational facilities, landscaping, etc.) to the common area lots that will be completed as part of this filing. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ B. Describe the common area lot improvements (i.e., recreational facilities, landscaping, etc.) that have previously been completed in this development, which will be available for the use of purchasers of time-share interests in this filing. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 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 (Time-Share Plan) (RE 612C) and a completed and executed Reservation Deposit Handling Agreement (Time-Share Plan) (RE 612B). Complete and enclose one sample copy of RE 612C and one sample copy of RE 612B, 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, option to purchase, certified escrow instructions, or other evidence of a future interest in the property. Evidence of future vesting must include a “date certain”; the date by which vesting must occur. The preliminary report must include the two following certification paragraphs: 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. 13. NON-RESIDENT DEVELOPER If developer is a non-resident of the State of California, submit a completed Consent to Service of Process (RE 608’s) for substituted service of process upon the California Secretary of State and a certificate of qualification from the California Secretary of State, if applicant is a nonresident corporation or limited liability company. RE 603G Page 3 of 4 American LegalNet, Inc. www.FormsWorkflow.com 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 DEVELOPER DATE » PRINTED NAME OF DEVELOPER NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. SIGNATURE OF DEVELOPER DATE » PRINTED NAME OF DEVELOPER NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. SIGNATURE OF DEVELOPER DATE » PRINTED NAME OF DEVELOPER NAME OF CORPORATION, LLC, PARTNERSHIP, ETC. EXECUTED AT: (STREET ADDRESS, CITY, COUNTY, STATE) Note • If the developer is a corporation, limited liability company (LLC), partnership, etc., the individual(s) signing the certification must stipulate the capacity (i.e., president, manager, general partner, etc.) of the signer, and an authorization to sign (i.e., corporate resolution, LLC statement, or partnership statement) must be submitted. • If an agent will be submitting documents to the Department of Real Estate on behalf of the developer, the developer must provide written authorization to that effect. • Certification signed outside the State of California must be acknowledged by a notary public. RE 603G Page 4 of 4 American LegalNet, Inc. www.FormsWorkflow.com