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Public Report Expedited Amendment Application (Term-Provision Change) RE 635A - California

Public Report Expedited Amendment Application (Term-Provision Change) Form. This is a California form and can be used in Subdivisions Bureau Of Real Estate Statewide .
 Fillable pdf Last Modified 10/8/2013
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State of California Bureau of real eState Real Estate MATTERS! Public RePoRt exPedited Amendment APPlicAtion RE 635A (Rev. 8/10) GENERAL INFORMATION Refer to page 5 for RE 635A usage restrictions. 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 BRE FILE NUMBER FOR OFFICE USE ONLY FILE NUMBER DATE RECEIVED AMOUNT REQUIRED $ AMOUNT RECEIVED $ REFUND AMOUNT $ 3. SUBDIVIDER INFORMATION 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 BRE 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 from the subdivision file and/or the most recently issued subdivision public report. (Enumerate, describe and append documents, as necessary, to explain/show the changes in the offering. See Regulation 2800 for a listing of material changes.) _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 8. I have examined the final subdivision public report which has an original issuance date of ____________________ and the last amendment dated ____________________. The following changes to the subdivision public report (or to the amendment, if any) are necessary to reflect the true terms, conditions and provisions of the offering for which an amended public report is requested: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com RE 635A Page 3 of 5 A. Will lots/units be subject to transfer fees as defined in Section 1098 of the Civil Code?...................................................................................................................... If Yes, submit a copy of the recorded document required by Section 1098.5 of the Civil Code. Yes No No change B. Is the property within an "airport influence area," also known as an "airport referral area," as determined by an airport land use commission?.......................................................... If YES, the following statement shall be included in the public report: Notice of Airport in Vicinity This property is presently located in the vicinity of an airport, within what is known as an airport influence area. For that reason, the property may be subject to some of the annoyances or inconveniences associated with proximity to airport operations (for example: noise, vibration, or odors). Individual sensitivities to those annoyances can vary from person to person. You may wish to consider what airport annoyances, if any, are associated with the property before you complete your purchase and determine whether they are acceptable to you. C. Is the property located within the jurisdiction of the San Francisco Bay Conservation and Development Commission?............................................................................................. If YES, the following statement shall be included in the public report. Notice of San Francisco Bay Conservation and Development Commission Jurisdiction This property is located within the jurisdiction of the San Francisco Bay Conservation and Development Commission. Use and development of property within the commission's jurisdiction may be subject to special regulations, restrictions, and permit requirements. You may wish to investigate and determine whether they are acceptable to you and your intended use of the property before you complete your transaction. D. Is this subdivisi
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