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Marks-Roos Yearly Fiscal Status Report For Local Obligors Form. This is a California form and can be use in State Treasurers Office Statewide.
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For Office Use Only
STATE OF CALIFORNIA
MARKS-ROOS YEARLY FISCAL STATUS REPORT
FOR LOCAL OBLIGORS
Fiscal Year ________________
CDIAC # ______________
California Debt and Investment Advisory Commission
915 Capitol Mall, Room 400, Sacramento, CA 95814
P.O. Box 942809, Sacramento, CA 94209-0001
Tel: (916) 653-3269 FAX (916) 654-7440
California Government Code Section 6599.1 requires that all issuers selling Mark-Roos bonds, which is part of the Mark-Roos Local Bond Pooling Act
of 1985, after January 1, 1996 are required to report specific information to the Commission by October 30th of the current year and each year thereafter,
until maturity.
Is this issue subject to both Marks–Roos and Mello-Roos Yearly Fiscal Status Reporting Requirements?
I.
Yes
No
GENERAL INFORMATION
A.
B.
C.
D.
E.
Local Obligor Issuer
Name/Title/Series of Bond Issue
Date of Bond Issue
Original Principal Amount of Bonds
Reserve Fund Minimum Balance Required
____________________________________________________
____________________________________________________
____________________________________________________
$ ___________________________________________________
Yes
Amount $ __________________ No
Part of Authority Reserve Fund
Yes
Percent of Reserve Fund ______________
F. Name of Authority that purchased debt ____________________________________________________
G. Date of Authority Bond(s) Issuance _______________________
II.
FUND BALANCE FISCAL STATUS
Balances Reported as of:
A. Principal Amount of Bonds Outstanding
June 30, ____________ (Year)
$ ___________________________
B. Bond Reserve Fund
$ ___________________________
C. Capitalized Interest Fund
$ ___________________________
III. DELINQUENT REPORTING INFORMATION
Delinquent Parcel Information Reported as of Equalized Tax Roll of:__________________ (Date)
A. Delinquency Rate
B. Are the Property Taxes Paid Under the
County’s Teeter Plan:
(Percent)
Yes
No
IV.
RETIRED ISSUES
This issue is retired and not longer subject to the Yearly Fiscal Status report filing requirements. (Indicate reason for retirement)
A. Matured
Yes
No
If yes, indicate final maturity date: ________________________
B. Refunded Entirely
Yes
No
If yes, state refunding bond title: __________________________
_________________________________________________________ and issue date: __________________________
C. Other: _______________________________________________________________________________________________
V.
NAME OF PARTY COMPLETING THIS FORM
Name ___________________________________________________________________________________________________
Title ___________________________________________________________________________________________________
Firm/Agency _____________________________________________________________________________________________
Address ________________________________________________________________________________________________
City/State/Zip ____________________________________________________________________________________________
Phone ______________________________________________ Date of Report ______________________________________
Email: _______________________________________________
9/26/2012