Form 9A – Fill Out and Use This PDF

The Form 9A is a vital document for any individual involved with the sale or exchange of residential property within the City of Los Angeles. It ensures that all residential property records and pending special assessment liens are thoroughly reported according to the city's regulations. This form not only facilitates compliance with local laws but also safeguards both the buyer and the seller in the property transaction process. To ensure you meet all necessary regulations and smoothly progress with your property transaction, click the button below to fill out the Form 9A.

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Form 9A PDF Details

Navigating the complexities of residential property transactions in Los Angeles requires attention to various regulatory requirements, among which the Application for Report of Residential Property Records and Pending Special Assessment Liens, also known as the 9A form, is critical. This form, instituted by the City of Los Angeles Department of Building and Safety, is designed to ensure transparency and compliance regarding the property's condition and any pending financial obligations in the form of special assessment liens. Property owners are required to verify that the property in question is within the Los Angeles city limits, with a distinct procedure set for each parcel involved. Detailed instructions guide the applicant through providing essential information about the property, including assessor's number, street address, legal description, and contact details for additional inquiries. The form also necessitates the inclusion of the Declarations Attachment, confirming the installation or planned installation of compliance devices and materials as per municipal codes. With a non-refundable fee and specific mailing instructions, completion and submission of this form is a mandatory step for any residential property transaction within the city, aiming to protect both buyer and seller by ensuring all necessary information and compliance measures are addressed prior to the sale, exchange, or closure of escrow on a residential property.

Question	Answer
Form Name	Form 9A
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	9AApplication_1 708802410 9a form fill 2001

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City of Los Angeles

Department of Building and Safety

INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR

REPORT OF RESIDENTIAL PROPERTY RECORDS AND PENDING SPECIAL ASSESSMENT LIENS

Created 8/10/2001, Last Revised 1/29/2003

A.ENSURE THAT THE PROPERTY ADDRESS IS IN THE CITY OF LOS ANGELES. Make this determination before submitting the Application to us for processing. Consult a recent version of the Thomas Guide to verify that the property for which this report is being sought is in the City of Los Angeles.

Please be advised that if any work is/was performed on your report, you may not be entitled to a refund, per L.A.M.C. Sec. 22.12, 22.13. This includes but is not limited to duplicate requests and canceled requests.

B.A separate application and fee must be submitted for each parcel. It is rare that a property contains more than one parcel.

C.Complete the following fields on the Application.

1.Assessor Number From County Tax Bill, Escrow Number, and Post Office City: (Area 1 of Application)

ΥAssessor’s Number: Consists of a Map Book, Page, and Parcel number. Submit one Assessor Number per report. Each condominium unit, or parcel or legally-tied parcels being sold require a separate report and fee.

ΥEscrow Number: Provide the escrow number, if applicable.

ΥPost Office City: Provide the Post Office city of the property, if known.

2.Street Address and Description of Property Being Sold: (Area 2 of Application)

Multiple lines are provided to indicate multiple address information along with the associated property description.

ΥStreet Address: Include the street beginning number, street ending number (if applicable), and street name and type (such as Ave, Blvd, Pl, St). Provide the condominium unit number when the property being sold is a condominium.

ΥDescription of Property Being Sold: Indicate whether the property being sold is a vacant lot, or has either a one-family dwelling or specify other type of structure(s) on the property.

3.Legal Description of Property as Shown on Grant Deed: (Area 3 of Application)

ΥTract, Block, Lot: The legal description will always contain a tract, but may not have a block or lot. Attach a copy of the legal description when it is a metes and bounds (measured boundaries) or is complex in nature.

4.Mail Completed Report To and Person to Contact for Additional Information: (Area 4 of Application)

ΥMail Completed Report To: Indicate the name and address where the completed report should be mailed.

ΥPerson to Contact for Additional Information: Provide a person’s name and phone number that can be contacted for additional information. If applicable, also include an e-mail address and fax number.

5.Complete and Include the Declarations Attachment: (Area 5 of Application)

ΥNo photocopied or altered Declarations Attachments will be accepted: The Declarations Attachment cannot be reworded or altered in any manner, and must contain the original wet signature of the owner and buyer, as applicable.

D.Enclose a check or money order for $70.20. Do not send cash. Only pre-printed checks will be accepted. Make check or money order payable to: DEPARTMENT OF BUILDING AND SAFETY.

E.Mail the completed Application, the original signed Declarations Attachment, and payment to:

Department of Building and Safety

201 North Figueroa Street, 4th Floor, “Cashier” Los Angeles, CA 90012

F.If you have any questions, please contact us at (213) 482-6777.

(C:\temp\08-18-2004\FORM9AINS.wpd)

City of Los Angeles - Department of Building and Safety

APPLICATION FOR REPORT OF RESIDENTIAL PROPERTY RECORDS AND PENDING SPECIAL ASSESSMENT LIENS

INSTRUCTIONS: Please complete all areas of the application and mail or deliver a check (only pre-printed checks will be accepted) or money order for $70.20, payable to “DEPARTMENT OF BUILDING AND SAFETY”, to CASHIERS, 4TH FLOOR, 201 N. FIGUEROA ST., LOS ANGELES, CA 90012. Do not mail cash – cash is

only accepted in person. A separate application must be submitted and a fee paid for each parcel. For questions call 1-888-LA4-BUILD.

NOTE: Please be sure that the property address is in the City of Los Angeles before mailing this form. You may verify this by consulting a current Thomas Guide. Should any work be performed on your report, you may not be entitled to a refund per L.A.M.C. Sec. 22.12 and 22.13.

ASSESSOR NUMBER FROM COUNTY TAX BILL			ESCROW NO.	POST OFFICE CITY

MAP BOOK	PAGE	PARCEL

2			STREET ADDRESS
			STREET ADDRESS

	STREET	STREET	STREET NAME AND TYPE (BLVD, AVE, ST, PLACE, ETC.)	CONDO
	BEGIN NO.	END NO.	STREET NAME AND TYPE (BLVD, AVE, ST, PLACE, ETC.)	UNIT NO.
	BEGIN NO.	END NO.		UNIT NO.

DESCRIPTION OF PROPERTY BEING SOLD

(Select one for each address listed)

VACANT	1-FAMILY	OTHER (SPECIFY) AND
LOT	DWELLING	INCLUDE NUMBER OF UNITS

LEGAL DESCRIPTIONS OF PROPERTY AS SHOWN ON GRANT DEED

(Attach any long legal descriptions and include a copy of the title insurance policy map to this application.)

TRACT	BLOCK	LOT	LEGAL
TRACT	BLOCK	LOT	ATTACHED?
			ATTACHED?

			Γ YES
			Γ NO
			Γ NO

4		MAIL COMPLETED REPORT TO		PERSON TO CONTACT FOR ADDITIONAL INFORMATION

	NAME			NAME	EMAIL ADDRESS

	ADDRESS

				PHONE NO.	FAX NO.
	CITY	STATE	ZIP CODE

Please complete and include the Declarations Attachment

ATTACH CHECK HERE

L.A.M.C. Section 151.00 requires all owners whose rental units are subject to the Rent Stabilization Ordinance to register their rental units with the Rent Stabilization Division. No landlord shall demand or accept rent until such registration has been obtained. Contact the Division at (213) 847-4790.

Section 96.300 L.A.M.C. requires that the seller of Residential Property within the City of Los Angeles shall apply to the City for a Report of Residential Property Records and Pending Special Assessment Liens and deliver such report to the buyer prior to entering into an agreement of sale or exchange of the Residential Property or prior to close of escrow in connection therewith. There is a fee of $70.20 for this service.

Residential Property is defined as:

a.Any real property improved with one or more buildings or structures which in whole or in part are used for or are legally permitted to be used for dwelling unit or guest room purposes.

b.Any vacant real property located in a zone wherein dwelling units or guest rooms are legally permitted.

A report is not required in the following cases:

1.Property exempt from taxation under the Documentary Transfer Act of the State of California.

2.The first sale of a residential building located in a subdivision whose final map has been approved and recorded in accordance with the Subdivision Map Act not more than two years prior to the first sale (except for condominium conversions).

No new Report need be obtained by an owner for a period of six months after the issuance of a Report on a Residential Property. However, the seller must still deliver a copy of the previously issued Report to the buyer prior to the sale or exchange of the Residential Property or prior to close of escrow.

FOR CASHIER’S USE ONLY

LADBS 08-B-9a (4/16/2002)

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City of Los Angeles - Department of Building and Safety

REPORT OF RESIDENTIAL PROPERTY RECORDS DECLARATIONS ATTACHMENT

(Per L.A.M.C. Sec. 22.12, 22.13., refunds are not granted for a report where ANY work has been done on the report.)

PROJECT ADDRESS

ASSESSOR’S ID


Description of property being sold: 9 Vacant Lot	9 One Family Dwelling	9 Other Residential Building

The Owner must complete item B in Section I for all reports. If the owner cannot complete all declarations under item A of Section I, the Buyer must complete Section “II. Buyer’s Declaration.”

I.OWNER’S DECLARATION:

I, as owner, declare under penalty of perjury that the following statements are true and correct for the residential building for which this report is sought.

A.The following device(s) and/or material has/have been or will be installed as indicated below.

(1) Water conservation devices 9 have been installed 9 will be installed in compliance with Los Angeles Municipal Code (L.A.M.C.) Section 122.03.

***Water Conservation Certificate of Compliance, as specified in L.A.M.C. Section 122.03, must be filed prior to the close of escrow with the Department of Water and Power (LADWP). A Certificate of Compliance form may be obtained by calling LADWP at (888) 284-6130.***


(2)	Lights and locks 9		have been installed 9 will be installed in compliance with L.A.M.C. Section 91.8607. 9 The Lights and Locks Ordinance
	does not apply since no apartment building (3 or more units) is currently present on the property for which this report is being sought.
(3)	Seismic gas shutoff valves			9	have been installed 9 will be installed in compliance with L.A.M.C. Section 94.1219.			9 The Gas Shutoff Valves
	Ordinance does not apply since no gas fuel lines are provided for any building on the property for which this report is being sought.
(4)	Metal bars, grills, grates, security roll-down shutters, and similar devices installed over emergency escape windows in sleeping rooms 9 are not
	installed 9	have been installed in accordance with L.A.M.C. Section 91.310.4					9 will be installed in accordance with L.A.M.C. Section
	91.310.4 for the property for which this report is being sought.
(5)	Smoke Detectors 9		have been installed 9			will be installed in compliance with L.A.M.C. Section 91.310.9.
(6)	Impact Glazing/Approved Film for sliding glass panels of sliding-type doors 9 has been installed 9 will be installed in compliance with L.A.M.C.
	Division 24.	9 The Impact Hazard Glazing Ordinance does not apply.

Further, I (Owner) certify that smoke detector and impact glazing/approved film for sliding glass panel of sliding-type doors will be installed prior to entering into an agreement of sale or contracting for an exchange of said residential property, or, where an escrow agreement has been executed in connection therewith, prior to close of escrow, and that within 10 days after installation, I will so advise the Department of Building and Safety in writing to Residential Property Records, c/o Cashier, 201 N. Figueroa St., 4th Floor-- Counter G, Los Angeles, CA 90012-4869.

B. 9 The property for which this report is being sought is one acre or less in size. 9 The property for which this report is being sought exceeds one acre in size and I have inspected the property for the existence of oak trees. (For the purpose of this declaration the definition of “oak trees” set forth in L.A.M.C. Section 46.01 shall apply.) The number of oak trees identified as located on this property is ____________. (If none, write “0".) I authorize

the Department of Building and Safety to verify this information by entry upon the subject property. I understand that a fee, as specified in L.A.M.C. Section 98.0412(a), shall be collected by the Department of Building and Safety for any inspection required to verify this declaration.

Signature of Owner____________________________________ Print Name________________________________ Date_______________________

II.BUYER’S DECLARATION:

I, as buyer, declare under penalty of perjury that the following statements are true and correct for the residential building for which this report is sought. A. The following device(s) and/or material has/have been installed as indicated below.

(1)9 Water conservation devices have been installed in compliance with Los Angeles Municipal Code (L.A.M.C.) Section 122.03.

(2)9 Lights and locks have been installed in compliance with L.A.M.C. Section 91.8607. 9 The Lights and Locks Ordinance does not apply since no apartment building (3 or more units) is currently present on the property for which this report is being sought.

	(3)	Metal bars, grills, grates, security roll-down shutters, and similar devices installed over emergency escape windows in sleeping rooms 9 are not
		installed 9 have been installed in accordance with L.A.M.C. Section 91.310.4 for the property for which this report is being sought.
B.	Seismic gas shutoff valves		9 have been installed in compliance with L.A.M.C. Section 94.1219.	9 will be installed in compliance with L.A.M.C.
	Section 94.1219 prior to entering into an agreement of sale or prior to the close of escrow when an escrow agreement has been executed in connection
	with the sale; and that within 10 days after installation, Buyer will so advise the Department of Building and Safety in writing to Residential Property
	Records, c/o Cashier, 201 N. Figueroa St., 4th Floor--Counter G, Los Angeles, CA 90012-4869. Failure to comply with this requirement shall subject the
	buyer to the payment of a noncompliance fee in addition to the other penalties provided by law. 9			The Gas Shutoff Valves Ordinance does not apply
	since no gas fuel line is provided for any building on the property for which this report is being sought.
C.	(1)	9 Smoke Detectors	will be installed in compliance with L.A.M.C. Section 91.310.9.

(2)9 Impact Glazing/Approved Film for sliding glass panels of sliding-type doors will be installed in compliance with L.A.M.C. Division 24. 9 Impact Hazard Glazing Ordinance does not apply.

Further, smoke detectors in compliance with L.A.M.C. Section 91.310.9 and impact glazing/approved film for sliding glass panels of sliding-type doors in compliance with L.A.M.C. Division 24 will be installed by Buyer within 30 days after entering into an agreement of sale or contracting for an exchange of said residential property, or, where an escrow agreement has been executed in connection therewith, within 30 days after the close of escrow, and that within 10 days after installation, will so advise the Department of Building and Safety in writing to Residential Property Records, c/o Cashier, 201 N. Figueroa St., 4th Floor-- Counter G, Los Angeles, CA 90012-4869.

Signature of Buyer______________________________________ Print Name__________________________________ Date_____________________

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1. The Form 9A needs certain details to be entered. Be sure the subsequent fields are filled out:

2. Just after finishing this part, go on to the next part and fill out all required details in these fields - E R E H K C E H C H C A T T A, STATE, ZIP CODE, PHONE NO, FAX NO, CITY, Please complete and include the, LAMC Section requires all owners, FOR CASHIERS USE ONLY, Section LAMC requires that the, Residential Property is defined as, a Any real property improved with, for or are legally permitted to be, b Any vacant real property located, and permitted.

Form 9A writing process clarified (part 2)

Always be very mindful while filling in Section LAMC requires that the and permitted, because this is where many people make mistakes.

3. The following section will be about PROJECT ADDRESS, ASSESSORS ID, Description of property being sold, Vacant Lot, One Family Dwelling, Other Residential Building, The Owner must complete item B in, OWNERS DECLARATION, I as owner declare under penalty, A The following devices andor, Water conservation devices have, Water Conservation Certificate of, does not apply since no apartment, Lights and locks have been, and Ordinance does not apply since no - fill in all of these blank fields.

4. This next section requires some additional information. Ensure you complete all the necessary fields - B The property for which this, acre in size and I have inspected, Signature of Owner Print Name Date, II BUYERS DECLARATION, I as buyer declare under penalty, A The following devices andor, Water conservation devices have, apartment building or more units, installed have been installed in, Seismic gas shutoff valves have, Section prior to entering into an, buyer to the payment of a, since no gas fuel line is provided, and Smoke Detectors will be - to proceed further in your process!

5. The pdf should be completed with this segment. Here you'll find a comprehensive listing of blank fields that require correct information to allow your form submission to be faultless: Further smoke detectors in, and Signature of Buyer Print Name Date.

Signature of Buyer Print Name Date, Further smoke detectors in, and Signature of Buyer Print Name Date of Form 9A

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