California Code of Regulations
Title 2 - Administration
Division 4.5 - Local Agency Deposit Security
Chapter 2 - Administrator of Local Agency Security
Subchapter 10 - Forms
Article 1 - Forms
Section 16010.1.3 - Form 3. (Report of Deposits.)

Universal Citation: 2 CA Code of Regs 16010.1.3

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The following is an illustration of Page 1 of Form 3:

TO: Administrator of Local Agency Security

111 Pine Street, Suite 1100

San Francisco, CA 94111-5613

FROM: ______________________________(Name of Treasurer)

______________________________(Title of Treasurer)

______________________________(Name of Local Agency)

SUBJECT: Report of Inactive Deposits

The following Report of Inactive Deposits is submitted in accordance with Article 5, Subchapter 4 of the Local Agency Deposit Security Regulations.

Dated: ______________________________

______________________________(Signature)

______________________________(Name and Title)

REPORT OF INACTIVE DEPOSITS OF __________(Name of Local Agency) AS OF ___(Date)

(1)(2)(3)(4)
Name of Depository and Location of OfficeAccount No.Treasurer's BalanceSecured Balance
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(1) List depositories alphabetically. Use a separate line for each deposit.

(2) Give the account number, if any, assigned to the inactive deposit by the depository.

(3) Give the balance as it appears on the treasurer's records.

(4) Give the balance that must be secured in accordance with law.

(b) The following is an illustration of the continuation page of Form 3:

Continuation Form ______________________________

(1)(2)(3)(4)
Name of Depository and Location of OfficeAccount No.Treasurer's BalanceSecured Balance
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(1) List depositories alphabetically. Use a separate line for each deposit.

(2) Give the account number, if any, assigned to the inactive deposit by the depository.

(3) Give the balance as it appears on the treasurer's records.

(4) Give the balance that must be secured in accordance with law.

1. Amendment of subsection (a) filed 11-10-71 as procedural and organizational; designated effective 11-22-71 (Register 71, No. 46).
2. Amendment of subsection (a) filed 7-22-75 as procedural and organizational; designated effective 7-23-75 (Register 75, No. 30).
3. Amendment filed 10-8-76 as an emergency; effective upon filing (Register 76, No. 41).
4. Certificate of Compliance filed 2-4-77 (Register 77, No. 6).
5. Repealer and new section filed 7-16-80; effective thirtieth day thereafter (Register 80, No. 29).
6. Amendment of subsection (a) address filed 4-7-97; operative 4-7-97 pursuant to Government Code section 11343.4(d) (Register 97, No. 15).

Note: Authority cited: Section 53661, Government Code. Reference: Section 53661, Government Code.

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