ADDENDUM 4-A, VACANT/SUBDIVISION LAND QUESTIONNAIRE
Required by § 39-1-103(14)(d) and (e), C.R.S.
This questionnaire provides you with an easy method to submit information to the county assessor concerning VACANT LOTS within your development. The questionnaire is in two parts, Part I requests information on lots sold; Part II requests a breakdown of lots by stage of development. Information listed should be by approved plat (filing). DUPLICATE THIS QUESTIONNAIRE FOR EACH APPROVED PLAT (FILING). Information requested may be submitted in a format adapted to your inventory system in lieu of this questionnaire. Please refer to the instructions on the back of the form. All information provided by the developer shall be kept confidential by the assessor.
QUESTIONNAIRES MUST BE RETURNED TO ASSESSOR BY MARCH 20, 2009 APPROVED PLAT: TOTAL NUMBER OF LOTS IN THIS APPROVED PLAT: PART I VACANT LOT SALES WITHIN THE APPROVED PLAT:
* * *
Total number of lots sold from July 1, 2006 thru December 31, 2006: Total number of lots sold from January 1, 2007 thru June 30, 2007: Total number of lots sold from July 1, 2007 thru December 31, 2007: Total number of lots sold from January 1, 2008 thru June 30, 2008:
Please indicate the number of lots acquired from or sold to another developer, builder or governmental entity.
Price range of vacant lots on June 30, 2008 with 100% of infrastructure completed: $______________ to $_______________. Range is for ( ) multiple ( ) single lot purchase. Indicate influences which strongly affect value: (+) = positive factor (-) = negative factor ( ) = unknown ( ) Site size ( ) Schools ( ) Shopping ( ) Covenants ( ) Medical ( ) Price Range ( ) Common area ( ) Other PART II
( ) Recreation ( ) Employment ( ) Environment
LOT STATUS WITHIN THE APPROVED PLAT: ( ( ) )
Total number of lots with structures on June 30, 2008: Total number of lots remaining vacant on June 30, 2008: Vacant lot breakdown of infrastructure as of January 1, 2009: (Use worksheet on reverse side for determining numbers) 100% ( ) 75% ( ) 50% ( )
Person completing questionnaire: Signature: Date Completed:
(please print name) Phone:
15-AS-DPT ARL VOL 3 1-89 Rev 1-09
GUIDELINES FOR COMPLETING PART II Use the worksheet below for determining percentage of infrastructure completed on vacant lots as of January 1, 2009. Transfer the total number of lots within each percentage group to PART II, on the reverse page of this questionnaire. The term "lot" as used in this questionnaire and worksheet also means site, tract, or parcel. Information is requested for all vacant land. INFRASTRUCTURE WORKSHEET FOR VACANT LOTS WITHIN AN APPROVED PLAT STAGE OF COMPLETION No infrastructure Professional Services* Clearing/Grading PERCENTAGES SPECIFIC CUMULATIVE 0% 10% 15% 25% Domestic Water/Sewer & Storm Sewer Paving/Curbs/Gutters Utilities Landscaping/Amenities Warranties* 25% 50% ( ( ) ) 0% NUMBER OF LOTS ( )
25% 15% 5% 5%
Total number of vacant lots in approved plat: NOTE:
If the percentages for infrastructure vary significantly from the list, please indicate the correct percentage in the space to the right of each specific percentage. Cumulative percentages advance after completion of all items within a stage.
* Indirect costs of development, not deductible under any circumstances.
15-AS-DPT ARL VOL 3 1-89 Rev 1-09