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SONORA, MEXICO APPLICATION
FOR
ARIZONA SUBDIVISION PUBLIC REPORT
For property located in Mexico, this application must be filed and an Arizona Public Report issued pursuant to A.R.S.
§32-2181, et. seq., prior to the sale of subdivided lands as defined in A.R.S. §32-2101(56), unless an exemption has
been issued pursuant to A.R.S. §32-2181.01.
Persons with disabilities may request reasonable accommodations such as interpreters, alternative formats or
assistance with physical accessibility. Requests for accommodations must be made with 72 hours prior notice. If
you require special accommodations, please contact either office listed above.
SECTION I
INSTRUCTIONS AND GENERAL INFORMATION
1. Review this section thoroughly prior to compiling the required documents in Section II and answering the
questions in Section III of this application.
2. Secure all the required documents listed in Section II.
3. Answer all questions in Section III. If the applicant is unclear as to whether or not certain information requires
disclosure, the information should be disclosed.
4. File the completed application with the ADRE together with the required documents. An initial fee of $450.00
must accompany the application.
An application will not be accepted for initial processing unless Section III has been completed and the $450.00
fee is received. The application and all required documents must be submitted in English.
5. Payment of all fees related to the application must be by check made payable to the Arizona Department of Real
Estate.
6. One or more site inspections of the subdivision may be performed by the ADRE to verify, among other things,
timely completion of improvements. Inspection costs, including travel and subsistence expenses, shall be paid by
the applicant pursuant to A.R.S. §32-2182.
7. Pursuant to A.R.S. §32-2184, a change to the subdivision or the plan under which it is offered for sale or lease,
may invalidate the public report and require application for and the issuance of an amended public report.
Continuing sales or offers for sale or lease after any change without notifying the ADRE and obtaining an
amended public report or an exemption may result in administrative action. This may include, but is not limited
to suspended sales, voidable contract(s) and/or administrative penalties.
8. The applicant for the Arizona Public report shall submit as part of the application a prepared public report
formatted draft on CD-RW, in accordance with the procedures shown in Exhibit B.
Arizona Department of Real Estate (ADRE)
Development Services Division
www.azre.gov
developments@azre.gov
JANICE K. BREWER
GOVERNOR
JUDY LOWE
COMMISSIONER
PHOENIX OFFICE
2910 N. 44
th
STREET STE-100
PHOENIX, AZ 85018
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SECTION II
REQUIRED DOCUMENTS
THE FOLLOWING DOCUMENTS MUST ACCOMPANY THIS APPLICATION AND SHALL CONSTITUTE A PART THEREOF.
1. Copies of all municipal, state and federal approval documents required for the lawful sale of the property in
Mexico. Include English translations of these documents.
2. A legible copy of recorded subdivision map no larger than 11” x 17” (27.94 x 43.18 centimeters) showing book,
page and date of recording and approval by the State and/or municipality as applicable. (Lotification)
3. Title Report that is a true statement of the condition of title to the land issued after recordation of map, dated no
more than 30 days prior to receipt by the Department of Real Estate.
Updated title reports may be required during the process of this application. Reports listing requirements may be
rejected and updates required.
4. A legible copy of all recorded options, contracts of purchase, liens and encumbrances including documents that
show applicant’s ability to deliver title to each lot or unit sold free of the effect of the aforementioned
documents, if not shown within said documents (individual lot release provisions).
5. A Copy of the Contract for Purchase to be used, describing conditions of sale and type of deed or other
conveyance document to be used to convey property to purchaser. All agreements and contracts shall contain
substantially the following language in large or bold print above the signature portion of such document:
“THE DEVELOPER SHALL GIVE A PROSPECTIVE PURCHASER A COPY OF THE PUBLIC REPORT AND AN
OPPORTUNITY TO READ AND REVIEW IT BEFORE THE PROSPECTIVE PURCHASER SIGNS THIS DOCUMENT.”
See Exhibit A” to this application entitled, CONTRACT DISCLOSURES. Additional disclosures may be required as
set forth in Exhibit “A”.
6. Copies of recorded subdivision restrictions, recorded deed restrictions, contract restrictions or other restriction
documents.
7. If the filing is for a condominium, a copy of all legal documents creating the condominium. If the condominium
has not yet been legally created, provide documents that demonstrate and explain the protections in place,
which assure the acquisition by purchasers of a legally created condominium.
8. Document(s) demonstrating legal and permanent access.
9. A Certificate of Good Standing issued by the Arizona Corporation Commission for each corporation (foreign or
domestic) participating in this application as a principal, general partner, or joint venturer owning 10 percent or
more. The date on the Certificate shall not be more than one (1) year from the date of the application.
10. If applicant is a trust beneficiary, limited liability company, partnership or joint venture, a copy of the legal
documents creating same (partnership/joint venture agreement, articles of organization, operating agreements,
trust agreements, etc.). Limited partnerships must provide evidence of registration with the Arizona Secretary of
State’s Office.
11. Authorization for any individual(s) signing on behalf of a corporation, limited liability company, partnership or
owner (corporate resolution, partnership agreement, power-of-attorney, etc.), authorizing the signing of
documents and correspondence related to the application.
12. A copy of documents, agreements or statements demonstrating that adequate financial or other arrangements
acceptable to the Commissioner have been made for installation, completion and delivery of all improvements
and facilities represented in the application. (See Section III, Question 16)
13. A draft Public Report prepared using the Department’s Public Report template. The draft shall be prepared as a
word document in Microsoft Word
and in accordance with Exhibit “B”. The draft shall be submitted on CD-RW
along with one hard copy of the draft Public Report. The CD-RW should not be password or write protected. The
Public Report draft on the CD-RW must include all exhibits that are referenced in the Report such as airport maps
and title exceptions. Do not make reference to an exhibit that cannot be imported into the Public Report draft.
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SECTION III
QUESTIONNAIRE - SUBDIVIDED LANDS
FAILURE TO ANSWER THE FOLLOWING QUESTIONS IN COMPLETE DETAIL WILL DELAY THE PROCESSING OF THE
APPLICATION
1. APPLICANT INFORMATION (Subdivider):
NAME(S) (Last, First MI)
ADDRESS
TELEPHONE
FAX
(a) If the subdivider is other than an individual, such as a corporation, partnership or trust:
NAME OF LEGAL ENTITY
NAME AND ADDRESSES OF ALL OFFICERS, GENERAL PARTNERS, MEMBERS, TRUSTEES OR OTHER PERSONS WHO EXERCISE
CONTROL OF THE ENTITY
Name
Address
(b) If the subdivider is a Subsidiary Corporation:
NAME OF PARENT CORPORATION
ADDRESS OF PARENT CORPORATION
(c) Each applicant for Public Report must complete a Disciplinary Actions Disclosure (LI-214 / 244) form. If the
applicant is not an individual but is an entity (e.g., a corporation, partnership, limited liability company or
trust), answers must be provided by each of the partners, officers, members, beneficiaries, managers or
managerial employees of the applicant entity, and any other individual or entity related to the applicant
entity, to the extent any of the foregoing exercises control [as defined in A.R.S. §32-2101(18)] over the
applicant entity or holds a 10% or greater interest in the applicant entity.
If you answer “yes” to any question, please provide a signed, detailed statement describing the facts and
circumstances, including the date, time and location of the incident or event. You must also provide
supporting documentation identified on Department’s Disclosure Document Checklist (Form LI-400), as
provided in A.A.C. R4-28-301, in order for your application to be considered complete. The Department’s
Licensing Forms are available on-line at the Department’s website, www.azre.gov.
2. SUBDIVISION NAME
LEGAL NAME OF SUBDIVISION, as shown in the legal creating documents of the subdivision
MARKETING OR PROMOTIONAL ACTIVITY NAME, if different from above
3. LOTS OR UNITS
LIST ALL LOTS OR UNITS INCLUDED IN THIS APPLICATION
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4. SUBDIVISION MAP INFORMATION
RECORDED/REGISTERED IN
MUNICIPALITY OF
STATE OF
MEXICO
GROSS ACREAGE IN ENTIRE SUBDIVISION
WHAT IS THE NUMBER OF LOTS, UNITS, PARCELS or TRACTS WITHIN THE ENTIRE SUBDIVISION?
ARE CORNERS PERMANENTLY STAKED? Yes No
EXPLAIN METHOD OF STAKING
5. SUBDIVISION LOCATION
EXACT STREET LOCATION, MUNICIPALITY AND STATE
DRIVING DIRECTIONS (BEST ROUTE) TO THE SUBDIVISION, including miles & direction from the nearest town
6. SUBDIVISION CHARACTERISTICS
DESCRIBE THE PHYSICAL CHARACTERISTICS OF THE SUBDIVISION; i.e. level, rocky, loose soil, washes, arroyos, canyons, etc.
IS THE SUBDIVISION SUBJECT TO:
a) ANY KNOWN FLOODING OR DRAINAGE PROBLEMS? Yes No
b) DOWNSTREAM FROM ANY EXISTING FLOOD STRUCTURE/DAM? Yes No
IF ANSWERED “YES” ABOVE, DESCRIBE AND EXPLAIN WHAT PROTECTIONS HAVE BEEN PROVIDED
ARE THE SUBDIVISION LOTS SUBJECT TO SUBSIDENCE OR EXPANSIVE SOILS? Yes No
7. ADJACENT LANDS When answering the following question, the Department recommends the applicant research
within two (2) miles of the subdivision for unusual safety factors and five (5) miles for factors that may cause a
nuisance or adversely affect lot owners. The disclosures should not be limited to those examples listed in the
question.
ARE THERE ANY EXISTING AND PROPOSED LAND USES ADJACENT TO AND/OR IN THE VICINITY, such as apartments schools,
commercial subdivision, churches, parks or other uses, INCLUDING BUT NOT LIMITED TO ANY UNUSUAL SAFETY FACTORS AND
USES THAT MAY CAUSE A NUISANCE OR ADVERSELY AFFECT LOT OWNERS WITHIN OR NEAR THE SUBDIVISION, such as
shooting ranges, active or abandoned mines, freeways, sewer plants, railroads, canals, landfills, or any unusual or unpleasant
odors, noises, pollutants, cultivation and related dust, agricultural burning, application of pesticides, irrigation and drainage or
other effects?
NOTE: Upon review of the answers above additional information and/or requirements may be requested
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8. ELECTRICITY
ARE ELECTRIC FACILITIES AVAILABLE TO THIS SUBDIVISION? Yes No
IF YES, PROVIDE THE SERVICE PROVIDER (COMPANY) INFORMATION
NAME TELEPHONE
WHERE ARE THE FACILITIES LOCATED IN THIS SUBDIVISION? Distance from the farthest lot included in this application
WHO WILL BE RESPONSIBLE FOR THE COMPLETION OF THE FACILITIES TO THE LOT LINES?
ESTIMATED COMPLETION DATE OF THE FACILITIES TO THE LOT LINES (MM/DD/YYYY)
ARE THE FACILITIES CONDUIT ONLY? Yes No
IF CONDUIT ONLY, EXPLAIN HOW AND WHEN THE FACILITIES WILL BE COMPLETED AND WHO IS RESPONSIBLE FOR THE COSTS
WHAT ARE THE ESTIMATED COSTS THAT A LOT PURCHASER WILL HAVE TO PAY FOR THE COMPLETION OF THE FACILITIES TO
PURCHASER:
a) LOT LINE? $ (DOLLARS)
b) FROM THE LOT LINE TO THE PURCHSER DWELLING? $ (DOLLARS)
ARE THERE ANY OTHER CHARGES/REQUIREMENTS THAT THE PURCHASER MAY BE RESPONSIBLE FOR UPON COMPLETION OF
THE FACILITIES TO RECEIVE POWER? i.e. Current service charges, current hook-up fees, current turn-on fees, meter fees, wire
pulling through conduit, etc.
9. TELEPHONE
ARE THERE TELEPHONE FACILITIES AVAILABLE TO THIS SUBDIVISION? Yes No
IF YES, PROVIDE THE SERVICE PROVIDER (COMPANY) INFORMATION
NAME TELEPHONE
WHERE ARE THE FACILITIES LOCATED IN THIS SUBDIVISION? Distance from the farthest lot included in this application
WHO WILL BE RESPONSIBLE FOR THE COMPLETION OF THE FACILITIES TO THE LOT LINES?
ESTIMATED COMPLETION DATE OF THE FACILITIES TO THE LOT LINES (MM/DD/YYYY)
ARE THE FACILITIES CONDUIT ONLY? Yes No
IF CONDUIT ONLY, EXPLAIN HOW AND WHEN THE FACILITIES WILL BE COMPLETED AND WHO IS RESPONSIBLE FOR THE COSTS
WHAT ARE THE ESTIMATED COSTS THAT A LOT PURCHASER WILL HAVE TO PAY FOR THE COMPLETION OF THE FACILITIES TO
PURCHASER:
a) LOT LINE? $ (DOLLARS)
b) FROM THE LOT LINE TO THE PURCHSER DWELLING? $ (DOLLARS)
ARE THERE ANY OTHER CHARGES/REQUIREMENTS THAT THE PURCHASER MAY BE RESPONSIBLE FOR UPON COMPLETION OF
THE FACILITIES TO RECEIVE POWER? i.e. Current service charges, current hook-up fees, current turn-on fees, meter fees, wire
pulling through conduit, etc.
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10. NATURAL GAS
ARE THERE NATURAL GAS FACILITIES AVAILABLE TO THIS SUBDIVISION? Yes No
IF YES, PROVIDE THE SERVICE PROVIDER (COMPANY) INFORMATION
NAME TELEPHONE
WHERE ARE THE FACILITIES LOCATED IN THIS SUBDIVISION? Distance from the farthest lot included in this application
WHO WILL BE RESPONSIBLE FOR THE COMPLETION OF THE FACILITIES TO THE LOT LINES?
ESTIMATED COMPLETION DATE OF THE FACILITIES TO THE LOT LINES (MM/DD/YYYY)
ARE THE FACILITIES CONDUIT ONLY? Yes No
IF CONDUIT ONLY, EXPLAIN HOW AND WHEN THE FACILITIES WILL BE COMPLETED AND WHO IS RESPONSIBLE FOR THE
COSTS
WHAT ARE THE ESTIMATED COSTS THAT A LOT PURCHASER WILL HAVE TO PAY FOR THE COMPLETION OF THE FACILITIES TO
PURCHASER:
a) LOT LINE? $ (DOLLARS)
b) FROM THE LOT LINE TO THE PURCHSER DWELLING? $ (DOLLARS)
ARE THERE ANY OTHER CHARGES/REQUIREMENTS THAT THE PURCHASER MAY BE RESPONSIBLE FOR UPON COMPLETION
OF THE FACILITIES TO RECEIVE POWER? i.e. Current service charges, current hook-up fees, current turn-on fees, meter fees.
11. WATER
IS A DOMESTIC WATER SUPPLY AVAILABLE TO THIS SUBDIVISION? Yes No
IF YES, PROVIDE THE SERVICE PROVIDER (COMPANY) INFORMATION
NAME TELEPHONE
HOW WILL THE WATER SUPPLY BE PROVIDED?
MUNICIPAL SYSTEM
IRRIGATION DISTRICT
IMPROVEMENT DISTRICT
PRIVATE WATER COMPANY
CO-OP
PUBLIC UTILITY
PRIVATE WELL
WATER HAULER
OTHER
IF PRIVATE WELL OR WATER HAULING WILL BE THE SOURCE OF DOMESTIC WATER, SKIP TO SECTION 12
WHERE ARE THE FACILITIES LOCATED IN THIS SUBDIVISION? Distance from the farthest lot included in this application
WHO WILL BE RESPONSIBLE FOR THE COMPLETION OF THE FACILITIES TO THE LOT LINES?
ESTIMATED COMPLETION DATE OF THE FACILITIES TO THE LOT LINES (MM/DD/YYYY)
WILL FIRE HYDRANTS BE INSTALLED? Yes No IF “YES” WHEN? (MM/DD/YYYY)
WHAT ARE THE ESTIMATED COSTS THAT A LOT PURCHASER WILL HAVE TO PAY FOR THE COMPLETION OF THE FACILITIES TO
PURCHASER:
a) LOT LINE? $ (DOLLARS)
b) FROM THE LOT LINE TO THE PURCHSER DWELLING? $ (DOLLARS)
ARE THERE ANY OTHER CHARGES/REQUIREMENTS THAT THE PURCHASER MAY BE RESPONSIBLE FOR UPON COMPLETION
OF THE FACILITIES TO RECEIVE POWER? i.e. service charges, hook-up fees, turn-on fees, meter fees, subdivision fees, etc.
WHO WILL BE RESPONSIBLE FOR THE MAINTENANCE OF THE WATER LINES OUTSIDE THE SUBDIVISION?
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12. PRIVATE WELL OR WATER HAULER
IF A PRIVATE WELL IS TO BE UTILIZED, DESCRIBE ALL THE REQUIREMENTS AND COSTS INVOLVED TO INSTALL AN
OPERATIONS DOMESTIC WATER SYSTEM. Include all governmental licensing/permitting requirements and their costs; average depth to
water; drilling requirements and costs; equipment costs; all other necessary costs
IF THE SOURCE OF WATER IS A PRIVATE WELL AND DOMESTIC WATER CANNOT BE OBTAINED FROM A PRIVATE WELL, WILL
THE LOT PURCHASER BE OFFERED A REFUND OF THE PURCHASE PRICE? Yes No
IF “YES” EXPLAIN ANY CONDITION OR RESTRICTIONS INVOLVING THE REFUND.
IF WATER IS TO BE TRANSPORTED/HAULED TO INDIVIDUAL LOTS PURCHASERS FOR DOMESTIC USE PROVIDE THE
FOLLOWING:
a) NAME AND LOCATION OF THE SUPPLIER
b) COST ESTIMATES FOR A FOUR-MEMBER FAMILY COMPUTED ON A MONTHLY BASIS (include costs of water;
cistern and other holding tanks necessary; pumps; and any other costs necessary to install an
operational water system)
13. SEWAGE COLLECTION, TREATMENT AND DISPOSAL
WILL THERE BE A SEWAGE COLLECTION, TREATMENT AND DISPOSAL SYSTEM PROVIDER? Yes No
IF YES, PROVIDE THE SERVICE PROVIDER (COMPANY) INFORMATION
NAME TELEPHONE WEBSITE
IF NO SKIP TO SECTION 13
HOW WILL THE SEWAGE COLLECTION BE PROVIDED?
MUNICIPALITY
PUBLIC UTLITY
PRIVATE COMPANY
PRIVATE WATER COMPANY
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS (septic tanks etc.
OTHER
WHO WILL BE RESPONSIBLE FOR THE COMPLETION OF THE FACILITIES TO THE LOT LINES?
ESTIMATED COMPLETION DATE OF THE FACILITIES TO THE LOT LINES (MM/DD/YYYY)
WILL FIRE HYDRANTS BE INSTALLED? Yes No IF “YES” WHEN? (MM/DD/YYYY)
WHAT ARE THE ESTIMATED COSTS THAT A LOT PURCHASER WILL HAVE TO PAY FOR THE COMPLETION OF THE FACILITIES TO
PURCHASER:
a) LOT LINE? $ (DOLLARS)
b) FROM THE LOT LINE TO THE PURCHSER DWELLING? $ (DOLLARS)
ARE THERE ANY OTHER CHARGES/REQUIREMENTS THAT THE PURCHASER MAY BE RESPONSIBLE FOR UPON COMPLETION
OF THE FACILITIES TO RECEIVE POWER? i.e. service charges, hook-up fees, tap-in fees, subdivision fees, etc.
WHO WILL BE RESPONSIBLE FOR THE MAINTENANCE OF THE FACILITIES WITHIN THE SUBDIVISION OTHER THAN FROM THE
LOT LINE TO DWELLING?
WHO WILL BE RESPONSIBLE FOR THE MAINTENANCE OF THE FACILITIES OUTSIDE THE SUBDIVISION?
WHAT COSTS IF ANY WILL THE PURCHASER BE RESPONSIBLE FOR, FOR THE MAINTENANCE OF THE FACILITIES?
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14. INDIVIDUAL ON-SITE WASTEWATER TREATMENT SYSTEMS
DESCRIBE THE TYPE OF INDIVIDUAL ON-SITE WASTEWATER TREATMENT SYSTEM LOT PURCHASERS WIL BE REQUIRED TO
INSTALL.
DESCRIBE ALL THE REQUIREMENTS AND COSTS INVOLVED TO INSTALL AN OPERATIONAL INDIVIDUAL ON-SITE WASTE
TREATMENT SYSTEM. (Include all governmental licensing/permitting requirements and their costs; equipment and all other
necessary costs)
IF AN OPERATIONAL INDIVIDUAL SEWAGE DISPOSAL SYSTEM CANNOT BE INSTALLED, WILL THE LOT PURCHASER BE
OFFERED A REFUND OF THE PURCHASE PRICE? Yes No
IF “YES” EXPLAIN ANY CONDITION OR RESTRICTIONS INVOLVING THE REFUND.
15. ACCESS STREETS AND ROADS
IS LEGAL AND PERMANENT ACCESS PROVIDED TO THE SUBDIVISION, LOTS WITHIN THE SUBDIVISION, OVER TERRAIN,
WHICH MAY BE TRAVERSED BY CONVENTIONAL TWO-WHEEL DRIVE AUTOMOBILES AND EMERGENCY VEHICLES?
Yes No
EXTERIOR STREET(S)
ARE THE EXTERIOR STREET(S) PROVIDING ACCESS TO THE SUBDIVISION A DEDICATED
FEDERAL, STATE OR MUNICIPAL ROADWAY?
IS THE EXTERIOR STREET(S) PRIVATE? Yes No
IF “YES” DESCRIBE WHAT PROVISIONS HAVE BEEN MADE TO ASSURE PURCHASERS OF A LEGAL RIGHT TO USE THE PRIVATE
ACCESS STREET(S).
IS EXTERIOR STREET(S) COMPLETE? Yes No
Note: If any improvements to existing exterior streets are to be completed by subdivider or others, the streets are not considered complete.
WHO IS RESPONSIBLE FOR THE COMPLETION?
ESTIMATED COMPLETION DATE (MM/DD/YYYY)
WHAT TYPE OF SURFACING?
WHAT ARE THE COSTS THE LOT PURCHASER WILL BE REQUIRED TO PAY TOWORDS THE STREET COMPLETION?
WHO IS RESPONSIBLE FOR THE STREET MAINTENANCE?
IF THE MUNICIPALITY OF THE STATE IS TO MAINTAIN THE STREET(S), WHEN WILL IT BE ACCEPTED FOR MAINTENANCE?
WHAT IS THE COST THE LOT PURCHASER WILL BE REQUIRED TO PAY TOWARDS THE STREET MAINTENANCE?
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INTERIOR STREET(S)
ARE THE INTERIOR STREETS PIVATE? Yes No
WHO IS RESPONSIBLE FOR THE COMPLETION?
ESTIMATED COMPLETION DATE (MM/DD/YYYY)
WHAT TYPE OF SURFACING?
WHAT ARE THE COSTS THE LOT PURCHASER WILL BE REQUIRED TO PAY TOWORDS THE STREET COMPLETION?
WHO IS RESPONSIBLE FOR THE STREET MAINTENANCE?
IF THE MUNICIPALITY OF THE STATE IS TO MAINTAIN THE STEET(S), WHEN WILL IT BE ACCEPTED FOR MAINTENANCE?
WHAT IS THE COST THE LOT PURCHASER WILL BE REQUIRED TO PAY TOWARDS THE STREET MAINTENANCE?
NOTE: Support letters from a title insurance company or professional engineer may be required to demonstrate
permanent and legal access to the subdivision. See Rule R4-28-A1207 for assistance.
16. FLOOD AND DRAINAGE
WILL THERE BE FLOOD DRAINAGE FACILITIES INSTALLED? Yes No
WHO WILL BE RESPONSIBLE FOR THE COMPLETION?
ESTIMATED COMPLETION DATE (MM/DD/YYYY)
WHAT TYPE OF SURFACING?
WHAT ARE THE COSTS THE LOT PURCHASER WILL BE REQUIRED TO PAY TOWORDS THE STREET COMPLETION?
WHO IS RESPONSIBLE FOR THE STREET MAINTENANCE?
IF THE MUNICIPALITY OF THE STATE IS TO MAINTAIN THE STREET(S), WHEN WILL IT BE ACCEPTED FOR MAINTENANCE?
WHAT IS THE COST THE LOT PURCHASER WILL BE REQUIRED TO PAY TOWARDS THE STREET MAINTENANCE?
17. ADDITIONAL SUBDIVISION FACILITIES
LIST ALL OTHER SUBDIVISION FACILITIES TO BE INCLUDED IN THE SUBDIVISION OFFERING INCLUDING BUT NOT LIMITED TO
ALL COMMON, COMMUNITY AND/OR RECREATIONAL FACILITIES.
WHO WILL BE RESPONSIBLE FOR THE COMPLETION OF THE ABOVE FACILITIES?
ESTIMATED COMPLETION DATE (MM/DD/YYYY)
WHO IS RESPONSIBLE FOR THE MAINTENANCE OF THE ABOVE FACILITIES?
WHAT IS THE COST THE LOT PURCHASER WILL BE REQUIRED TO PAY TOWARD THE MAINTENANCE OF THE ABOVE
FACILITIES?
NOTE: If the facilities listed in Questions 8 through 17 above are to be completed for specific lots in phases, describe your
phased schedule of completion giving the lots in each phase and the estimated completion dates on a separate sheet.
Inspections will be made to verify completion in accordance with your schedule of completion.
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18. ASSURANCE FOR COMPLETION AND MAINTENANCE OF SUBDIVISION FACILITIES
WHAT ARRANGEMENTS HAVE BEEN MADE TO ASSURE THE COMPLETION AND DELIVERY OF THE FACILITES LISTED IN
SECTIONS 8 THORUGH 16?
WHAT ARRANGEMENTS HAVE BEEN MADE TO ASSURE THE MAINTENANCE OF THE FACILITES LISTED IN SECTIONS 8
THORUGH 16?
19. REFUSE COLLECTION
HAVE PROVISION BEEN MADE FOR REFUSE COLLECTION? Yes No
IF YES, PROVIDE THE SERVICE PROVIDER NAME AND COST TO THE PURCHASER
IF NO, WHAT MUST THE LOT PURCHASER DO TO DISPOSE OF REFUSE? (Include location of nearest authorized transfer station,
landfill, dump, etc., and all costs involved.)
20. FIRE PROTECTION
IS FIRE PROTECTION AVAILABLE TO THE SUBDIVISION? Yes No
IF YES, PROVIDE THE SERVICE PROVIDER NAME AND COST TO THE PURCHASER
21. SUBDIVISION USE AND RESTRICTIONS:
DO YOU PLAN TO SELL OR LEASE:
LOTS WITH DWELLINGS VACANT LOTS CONDOMINIUMS
PROVIDE A FULL DISCLOSURE OF THE CONDITIONS/PROVISIONS WHICH MAY LIMIT THE USE OR OCCUPANCY OF THE
PROPERTY OFFERED IN THIS APPLICATION. PLEASE STATE IF NONE OTHER THAN NORMAL RESTRICTIONS (CC&Rs).
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22. SALES
DESCRIBE HOW THE SALES WILL BE MADE AND THE MANNER BY WHICH TITLE RIGHT OR INTEREST CONTRACTED FOR IS TO
BE CONVEYED TO THE PURCHASER?
WHERE WILL THE PURCHASER’S DEPOSIT AND EARNEST MONIES BE DEPOSITED AND HELD?
CAN SUCH MONIES BE USED PRIOR TO CLOSE OF ESCROW? Yes No
WHEN AND UNDER WHAT CONDITIONS WILL SUCH MONIES BE RELEASED?
WHEN WILL THE LOT PURCHASER BE PERMITTED TO USE AND OCCUPY HIS/HER DWELLING?
WILL THE PURCHASER’S INTEREST BE RECORDED IN THE PUBLIC REGISTRY? Yes No
IF YES WHEN?
WILL THE PURCHASER RECEIVE TITLE FREE AND CLEAR OF ALL LIENS? Yes No
IF NO EXPLAIN:
NOTE: YOUR ANSWERS ABOVE MUST BE IN CONFORMANCE WITH THE DOCUMENTS SUBMITTED UNDER REQUIRED
DOCUMENT NO. 5, SECTION II.
ARIZONA REAL ESTATE BROKER INFORMATION RESPONSIBLE FOR THE SALES (IF ANY)
NAME
LICENSE #
ADDRESS
EMAIL
TELEPHONE
FAX
IF NONE EXPLAIN WHY:
If subdivider is a broker or a salesperson, Commissioner’s Rule R4-28-1101 (E) provides, “Licensee shall not act
as a principal, directly or indirectly, in a real estate transaction without informing the other parties to the
transaction, in writing and prior to or concurrent with any binding agreement, that he or she has a real estate
license and is acting as a principal.”
LOCATION OF THE SUBDIVISION SALES RECORDS
NAME OF CUSTODIAN
PHYSICAL ADDRESS
EMAIL
TELEPHONE
FAX
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23. PROPERTY TAXES AND ASSESSMENTS
ARE THERE ANY PROPERTY TAXES, SPECIAL ASSESSMENTS OR FEES TO BY PAID BY THE PURCHASER? Yes No
IF YES EXPLAIN
24. PROPERTY OWNER’S ASSOCIATIONS
IS THERE AN ASSOCIATION? Yes No
IF YES, PROVIDE THE NAME OF THE ASSOCIATION
PROPERTY OWNERS WILL BE REQUIRED TO PAY ASSESSMENTS IN THE AMOUNT OF $ PER
IS THE ABOVE ASSOCIATION(S) LEGALLY FORMED AND OPERATIONAL? Yes No
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AFFIDAVIT OF APPLICANT
STATE OF _______________________
COUNTY OF _____________________ RE: _______________________________
Subdivision Name
I hereby certify under penalty that the statements contained in this application constitute notice of intention to sell or
lease subdivided lands, and that the statements together with any documents submitted herewith are full, true,
complete and correct.
I further affirm and swear that I will not, over any period of time or by any means, resubdivide any of the herein
described lots or dispose of or offer to dispose of subdivided lands not contained in the public report, without first
complying with the provisions of A.R.S. §32-2181 et seq., and that I will notify the Department of Real Estate of any
change to the information in this application.
I hereby represent that as the owner of the above mentioned subdivision, I will not place or allow to be placed any
mortgages or liens on the property other than those already in existence as of this date, copies of which have been
furnished to the Arizona Department of Real Estate as a part of the application for the subdivision, unless the
Department is notified of the placement of any new mortgage or lien.
I further certify that, if this application has not been submitted on the standard form prepared by the Arizona
Department of Real Estate, applicant agrees that the Department may take any action deemed necessary to ensure
compliance with the subdivision laws if, after issuing a public report, the Department discovers errors, omissions or
deficiencies in the application or public report based on the application. The applicant further agrees to completely
indemnify the Department, the State of Arizona, its agents and employees from any and all liability caused, in whole
or in part, by use of a nonstandard form.
I am duly authorized to prepare and am the person responsible for the content of this application and accompanying
public report.
Date Printed Name
Name Title or Office
Signature
This instrument subscribed to and sworn before me
this _________ day of _____________, 20 ____ by
_______________________________, in witness
whereof I set my hand and official seal.
Notary Public
My Commission Expires: _____________________
APPLICATION MUST BE SIGNED AND SWORN TO, BEFORE A NOTARY PUBLIC, BY ALL SUBDIVIDERS PRIOR TO
ISSUANCE OF THE PUBLIC REPORT.
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EXHIBIT “A”
CONTRACT DISCLOSURES
A. Any agreement or contract for purchase or lease shall contain substantially the following language in large or
bold print above the signature portion of such document.
“THE DEVELOPER SHALL GIVE A PROSPECTIVE PURCHASER A COPY OF THE PUBLIC REPORT AND AN
OPPORTUNITY TO READ AND REVIEW IT BEFORE THE PROSPECTIVE PURCHASER SIGNS THIS DOCUMENT".
B. Any agreement or contract for the purchase or lease of an unimproved (vacant) lot or parcel shall contain
substantially the following language in large or bold print above the signature portion of such document:
THE PURCHASER OR LESSEE HAS THE LEGAL RIGHT TO RESCIND (CANCEL) THIS AGREEMENT WITHOUT CAUSE
OR REASON OF ANY KIND AND TO THE RETURN OF ANY MONEY OR OTHER CONSIDERATION BY SENDING OR
DELIVERING A WRITTEN NOTICE OF RESCISSION TO THE SELLER OR LESSOR BY MIDNIGHT OF THE SEVENTH
CALENDAR DAY FOLLOWING THE DAY THE PURCHASER OR LESSEE EXECUTED THE AGREEMENT. IF THE
PURCHASER OR LESSEE DOES NOT INSPECT THE LOT OR PARCEL BEFORE THE EXECUTION OF THE AGREEMENT,
THE PURCHASER OR LESSEE SHALL HAVE SIX MONTHS TO INSPECT THE LOT OR PARCEL AND AT THE TIME OF
INSPECTION SHALL HAVE THE RIGHT TO UNILATERALLY RESCIND THE AGREEMENT.
An adequate opportunity to exercise the seven (7) day right of rescission shall be provided by disclosing
conspicuously the complete current name and address of seller on the face of all agreements and contracts.
C. Any agreement or contract for sale or lease shall conspicuously disclose the nature of the document at or near
the top of the document.
D. Any agreement or contract for the sale or lease of a lot in a subdivision where down payment, earnest money
deposit or other advanced money, if any, is paid directly to the seller and not placed in a neutral escrow
depository shall conspicuously disclose this fact within the document, and the purchaser shall sign or initial this
provision indicating approval in the space adjacent to or directly below the disclosure in the purchase contract or
agreement of sale. The following disclosure shall be written in large or bold print and shall be included in the
public report, purchase contract, and agreement of sale:
PROSPECTIVE PURCHASERS ARE ADVISED THAT EARNEST MONEY DEPOSITS, DOWN PAYMENTS AND OTHER
ADVANCED MONEY WILL NOT BE PLACED IN A NEUTRAL ESCROW. THIS MONEY WILL BE PAID DIRECTLY TO THE
SELLER AND MAY BE USED BY THE SELLER. THIS MEANS THE PURCHASER ASSUMES A RISK OF LOSING THE
MONEY IF THE SELLER IS UNABLE OR UNWILLING TO PERFORM UNDER THE TERMS OF THE PURCHASE
CONTRACT.”
E. See A.R.S. §32-2185.01 and 32-2185.06 for additional information relating to sales and contract disclosures.
06/2011
15
EXHIBIT “B”
The applicant for the Arizona Public Report shall submit, as part of the application package, a typed Public Report on
CD-RW. The following requirements and stipulations apply.
1. The report must be prepared from the Public Report template provided by the ADRE. (Microsoft Word 2000 or
earlier).
2. The report must be prepared as a Word document in Word 2000 or earlier along with a printout in hard copy.
3. All exhibits required for the report must be on the CD-RW.
4. All references to leases should be deleted if no leasing is proposed.
5. Statements on the report must be provided in concise, plain English language and must disclose all pertinent
facts.
After review of the application, the ADRE will correct or amend the report as required and provide a copy of the
issued report either by mail or email. The issued report will be posted on the ADRE’s website at
www.azre.gov. Any
future amendments to the report will be issued by the ADRE based on application from the Developer and an
updated CD-RW containing the amended public report draft.