If the beneficiary or holder of a mortgage security interest in property subject to lien foreclosure proceedings (the “Beneficiary”) or any other interested person, including the Declarant identified in Part 16 of this Application, has any question regarding the City property in foreclosure registration program, please contact Foreclosure Management Unit by sending an email to info@usancrs.com and put into the email subject line the words “Foreclosed Property Inquiry”.

This Property in Foreclosure Registration Application (the “Application”) shall be deemed to be complete by the City, when the information required below has been provided to the City, the registration fee amount set forth in Part 17 below has been paid to the City and the City has accepted this Application.

A complete Application and the accompanying fee should be delivered to: Foreclosure Management Unit.

The information set forth below in this Application needs to be provided to the City by the Beneficiary, or the agent of the Beneficiary, to initiate the foreclosed property registration process with the City.

4. Twenty-Four Hour Phone Contact Information*
If the City has any question regarding the Property of this Application, who should the City contact by telephone?

5(A) Name, Address and Phone/Email for Beneficiary/Lender recording the Notice of Default*

5(B) Name, Address and Phone/Email for Trustor/Owner (if known)

5(C) Name, Address and Phone/Email for Renter/Occupant (if known)

6. Foreclosed Property Mortgage Description:

8. Date of Default Inspection Which Confirmed Property to Be Vacant or Abandoned/Date When Beneficiary Believes Property Became Vacant or Abandoned

9. Name, Address and Phone/Email Contact for Foreclosure Trustee

10. Name, Address and Phone/Email Contact for Property Management Service for Inspections

11. Name, Address and Phone/Email for Real Estate Broker (if available)

12. At Time of Submission of Application, Has the Property Been Posted By Beneficiary as Required?

13. Photographs of Front, Side-yards, and Rear (if available) of Property and indicate Date on Each Photograph

14. Property Maintenance and Security Conditions

14(B) At the time of submission of the Application to the City, the undersigned Declarant (See Part 16, below) on behalf of the Beneficiary, hereby certifies that there is no graffiti on any structure, fence, wall or sign on the Property.

14(C) The City may, for good cause, add additional property maintenance and security conditions to the Property upon written notice to the Beneficiary at any time after the date of submission of this Application to the City.

15. Number of Dwelling Units on the Property

16. Name and Contact Information for Person (the "Declarant") Submitting this Application to the City*

The undersigned hereby represents and warrants to the City that this Application is submitted to the City on behalf of

who is the:*

The undersigned Declarant on behalf of the Beneficiary, whose name, address and contact information appears in Part 5 of this Application, hereby authorizes, requests and gives consent to the City to conduct such regulatory inspections of the Property as set forth per Municipal Code, from time-to-time as may be indicated.

The undersigned Declarant hereby declares under penalty of perjury that the facts set forth in this Application are true and correct to the best personal knowledge of the Declarant.

17. Fee Schedule

Total Fee - SouthElmonte, CA: $575

Additional costs for inspections or other specific City response costs relating to the Property in excess of the foreclosed property registration program requirements set forth in the City Fee Resolution and are the responsibility of the Beneficiary to pay the City, and shall be paid within thirty (30) days following the date of an invoice from the City.

18. Additional Data