Form 9A at a glance
What it is: The Application for Report of Residential Property Records and Pending Special Assessment Liens is a City of Los Angeles Department of Building and Safety form.
Where and when to file: Please complete all areas of the application and mail or deliver a check (ONLY PRE-PRINTED CHECKS WILL BE ACCEPTED) or money order for $70.85 (checked October 31, 2026), payable to “DEPARTMENT OF BUILDING AND SAFETY”, to CASHIERS, 4TH FLOOR, 201 N. FIGUEROA ST., LOS ANGELES, CA 90012.
What to bring and attach to Form 9A
Do not mail cash; cash is only accepted in person.
The Declarations Attachment cannot be reworded or altered in any manner, and must contain the signature of the owner and buyer, and proof of ownership as applicable. Legibly print the name of the person, not the company name, in the owner's and/or buyer's signature block. Enclose a check or money order for $70.85 (checked October 31, 2026). Do not send cash. Only pre-printed checks will be accepted. Make check or money order payable to: DEPARTMENT OF BUILDING AND SAFETY. Mail the completed Application, the signed Declarations Attachment, and payment to: DEPARTMENT OF BUILDING AND SAFETY 201 NORTH FIGUEROA STREET, 4TH FLOOR, “CASHIER” LOS ANGELES, CA 90012-2623
A filled-in Form 9A example: a seller applies for the report on a condo
How to fill out Form 9A, box by box
Assessor number, escrow number and community name
Assessor'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. Escrow Number: Provide the escrow number, if applicable.
A separate application must be submitted and a fee paid for each parcel.
Community Name: Provide the Community Name: (e.g. Hollywood) of the property, if known.
Street address and description of property being sold
Multiple lines are provided to indicate multiple address information along with the associated property description. Street 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.
Street name, type (Blvd, Ave, St, Place, etc.), and unit/apartment number.
Description 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.
Description of property being sold (Select one for each address listed): 1-Family Dwelling, 2-Family Dwelling, Apt., Condo, Vacant Lot, Other (Specify & include no. of units).
Legal description of property as shown on grant deed
Tract, 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.
Attach any long legal descriptions and include a copy of the title insurance policy map to this application.
Legal attached? Yes, No.
Mail completed report to and person to contact
Mail Completed Report To: Indicate the name, address and email where the completed report should be mailed.
Mail completed report to: Address, Email (Select one option).
Person 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.
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. *If both the mail-out options are selected, the report will only be emailed to the provided email address.
More rules for Form 9A
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.
If your situation is different
The Owner must complete item B in Section I for all reports
Check only one box under each number.
Description of property being sold: Apartment, Condo, Vacant Lot, Other, 2-Family Dwelling, 1-Family Dwelling.
The following device(s) and/or material have been or will be installed as indicated. 1) Water conservation devices: a) Have been installed. b) Will be installed in compliance with Section 122.03 Los Angeles Municipal Code (L.A.M.C.).
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).
2) Security Lighting and Locks: a) Have been installed. b) Will be installed in compliance with Section 91.8607 L.A.M.C. c) The Security 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 Shut-Off Valves (SGSOV) or Excess Flow Shut-Off Valve (EFSOV): a) Have been installed. b) Will be installed in compliance with Section 94.1217 L.A.M.C. c) The Gas Shut-off 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: a) Have been installed. b) Will be installed in accordance with Section 91.1029 L.A.M.C. c) Are not installed.
5) Smoke and Carbon Monoxide Detectors: a) Have been installed. b) Will be installed in compliance with Section 91.8603 L.A.M.C.; Section 91.420.6.2.3 L.A.M.C.
6) Impact Glazing/Approved Film for sliding glass panels of sliding-type doors: a) Have been installed. b) Will be installed in compliance with Section 91.6101; Section 96.302 L.A.M.C. c) The Impact Hazard Glazing Ordinance does not apply.
Further, I (owner) certify that smoke detectors in compliance with Section 91.8603 L.A.M.C. and carbon monoxide detectors in compliance with Section 91.420.6.2.3 L.A.M.C. and impact glazing/approved film for sliding glass panels of sliding-type doors in compliance with Section 91.6101; Section 96.302 L.A.M.C. 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, Los Angeles, CA 90012-4869.
1) The property for which this report is being sought is one acre or less in size.
2) The property for which this report is being sought exceeds one acre in size and I have inspected the property for the existence of protected trees.
The number of protected 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.
Signature of Owner, Print Name, Date.
The Buyer must complete Section II, Buyer's Declaration
If the owner cannot complete all declarations under item A of Section I, the Buyer must complete Section II, Buyer's Declaration.
Common questions about Form 9A
Is there a deadline?
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.
Are there fees?
There is a fee of $70.85 for this service (checked October 31, 2026).
Is there a penalty?
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.
What am I certifying when I sign?
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.
When is this form not the right one?
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).
Sources
[1] Form 9A (Rev. 12/11/2016), Application for Report of Residential Property Records and Pending Special Assessment Liens (AD/App.12A), City of Los Angeles Department of Building and Safety (the Official source link on this page).