Form DBO-1003 "Local Agency Deposits and Securities Called Report" - California

What Is Form DBO-1003?

This is a legal form that was released by the California Department of Financial Protection and Innovation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the California Department of Financial Protection and Innovation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DBO-1003 by clicking the link below or browse more documents and templates provided by the California Department of Financial Protection and Innovation.

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Download Form DBO-1003 "Local Agency Deposits and Securities Called Report" - California

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STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
LOCAL AGENCY DEPOSITS AND SECURITIES CALLED REPORT
DBO-1003 (Rev. 10-17)
(Financial Institution Letterhead)
1. Name of the financial institution.
2. January 24, 2013
3. Called Report of Local Agency Deposits and Securities as of: December 31, 2012
4. CID: 7200
DEPOSITORS LIST FOR POOL (1, 2, or 3, as appropriate)
ACTIVE
INACTIVE
Total
Secured
Total
Secured
Amount Amount
Amount
Amount
5. Name of Each Local Agency Deposit
City of Sacramento
$ 350,000. $ 250,000. $ 40,000.
0
County of Sacramento
$2,350,000. $2,250,000. $180,000.
$
80,000.
East Sacramento Irrigation District
0
0
$300,000.
$ 200,000.
Elk Grove Unified School District
$ 500,000. $ 500,000. $750,000.
$ 750,000.
Fair Oaks Water District
$ 100,000
0
0
0
CDAR Deposits from others
$ 300,000
0
0
0
6. Totals:
$4,100,000. $3,000,000. $1,270,000. $1,030,000.
7. Total Active And Inactive Deposits:
$5,370,000.
8a. Less deposits subject to waivers
$
540.000.
8b. Less CDAR deposits
$ 800,000.
9.
Total Secured Active And Inactive Deposits:
$4,030,000.
10. Total Secured Active And Inactive Deposits x (Pool #1- $4,433,000.
(Pool #2 - 150%)
(Pool #3 - 105%)
11. Report Prepared By:
Title:
Telephone Number:
12.
Authorized Signature
Authorized Signature
Please Print or Type Name & Title
Please Print or Type Name & Title
(Note: The example used above is for an institution that uses Pool 1 securities to
collateralize the deposit. A separate report is required for each security pool used.)
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
LOCAL AGENCY DEPOSITS AND SECURITIES CALLED REPORT
DBO-1003 (Rev. 10-17)
(Financial Institution Letterhead)
1. Name of the financial institution.
2. January 24, 2013
3. Called Report of Local Agency Deposits and Securities as of: December 31, 2012
4. CID: 7200
DEPOSITORS LIST FOR POOL (1, 2, or 3, as appropriate)
ACTIVE
INACTIVE
Total
Secured
Total
Secured
Amount Amount
Amount
Amount
5. Name of Each Local Agency Deposit
City of Sacramento
$ 350,000. $ 250,000. $ 40,000.
0
County of Sacramento
$2,350,000. $2,250,000. $180,000.
$
80,000.
East Sacramento Irrigation District
0
0
$300,000.
$ 200,000.
Elk Grove Unified School District
$ 500,000. $ 500,000. $750,000.
$ 750,000.
Fair Oaks Water District
$ 100,000
0
0
0
CDAR Deposits from others
$ 300,000
0
0
0
6. Totals:
$4,100,000. $3,000,000. $1,270,000. $1,030,000.
7. Total Active And Inactive Deposits:
$5,370,000.
8a. Less deposits subject to waivers
$
540.000.
8b. Less CDAR deposits
$ 800,000.
9.
Total Secured Active And Inactive Deposits:
$4,030,000.
10. Total Secured Active And Inactive Deposits x (Pool #1- $4,433,000.
(Pool #2 - 150%)
(Pool #3 - 105%)
11. Report Prepared By:
Title:
Telephone Number:
12.
Authorized Signature
Authorized Signature
Please Print or Type Name & Title
Please Print or Type Name & Title
(Note: The example used above is for an institution that uses Pool 1 securities to
collateralize the deposit. A separate report is required for each security pool used.)
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
LOCAL AGENCY DEPOSITS AND SECURITIES CALLED REPORT
DBO-1003 (Rev. 10-17) Page 2 of 6
Called Report Instructions
(Depositors List)
1.
Please submit called reports on your institution’s letterhead. If your institution does not have letterhead,
please include the name of your institution here.
2.
This is the date the report was prepared.
3.
The information contained in a called report is as of the close of business March 31, June 30,
September 30, or December 31.
4.
Put the CID number on this line. CID stands for Computer Identification number. If your depository has
local agency deposits, a CID has been assigned to your institution.
5.
Put the name of each local agency deposit followed by the total amount of the deposit and all accrued
interest. The secured amount is the amount that requires collateral. See the following three notes.
Note 1: The treasurer of a local agency may waive security on the portion of a deposit that is insured
pursuant to federal law. The waiver of security is not automatic. The financial institution must obtain
the waiver from the treasurer of the local agency. See Government Code Section 53653. The amount
waived will never exceed the amount of the deposit. Example 1: Suppose there is a deposit of $250,000. The
treasurer waives security for $100,000. The remaining amount of $150,000 is required to be secured.
Example 2: Suppose there is a deposit of $85,000. Since the entire deposit is insured pursuant to federal law,
the treasurer may waive security on the entire amount.
Note 2: The treasurer of a local agency may also waive security on the interest accrued on local agency
deposits. Before subtracting interest accrued from the total deposit, consult Government Code
Section 53653.
Note 3: Uncollected funds are excluded from the amount deposited when determining the security
requirements for each deposit. See Government Code Section 53652 and The California Code of
Regulations (CCR) Title 2, Division 4.5, Section 16001.5.13.
6.
This is the total of each column.
7.
Total of Active and Inactive Deposits.
8a.
Deposits subject to waivers. If the treasurer of the local agency signed a waiver, you may deduct the
amount of the Active and inactive amounts, maximum $100,000 for active and inactive accounts (see
notes under 5). Otherwise, enter 0.
8b.
CDAR Deposit of $800,000 in which $300,000 is allocated to other depositories and $500,000 is
allocated from other depositories.
9.
Total secured Active and Inactive Deposits, deduct Line 8 from Line 7.
10.
The minimum collateral required will depend upon the type of security pool the depository uses. To
secure a local agency deposit, there are three classes of securities: Pool 1, Pool 2, and Pool 3. Please
refer to Government Code 53632.5. In our example, the total secured deposit is equal to
$3,000,000.00. If pool one securities are used, the minimum collateral would be $3,300,000.00.
($3,000,000.00 x 110%). If pool two securities are used, the minimum collateral would be
$4,500,000.00 ($3,000,000.00 x 150%). If pool three securities are used, the minimum collateral would
be $3,150,000.00 ($3,000,000.00 x 105%).
11.
Put the name, title, and phone number of the person who prepared the report.
12.
Two authorized officials are required to sign the report. Print the name and title of each individual who
signed the report.
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
LOCAL AGENCY DEPOSITS AND SECURITIES CALLED REPORT
DBO-1003 (Rev. 10-17) Page 3 of 6
The Friendly Neighborhood Bank
1. Name of the financial institution.
2. January 20, 2013
3. Called Report Of Local Agency Deposits And Securities As of: December 31, 2012
4. CID: 7200
Securities Listing for Pool #1
5. Description of each Security in the Pool
Par Value
Market Value
Federal National Mortgage Association
$1,500,000.00
$1,486,410.00
Pool # 122654
Cusip: 31324JSI3
United States Treasury Note
$500,000.00
$502,500.00
6/30/97
Cusip: 9127282Y8
Federal Home Loan Mortgage Corp.
$1,000,000.00
$996,000.00
12/03/97
Cusip: 3134A1X57
6. Total
$3,000,000.00
$2,984,910.00
7.
Agent’s Certification
Please print or type Name & Title
(The securities listing will only be used when the financial institution uses Pool 1 securities
to collateralize the deposits.
All descriptions, names, and amounts are fictitious and are used for illustrative purposes
only.)
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
LOCAL AGENCY DEPOSITS AND SECURITIES CALLED REPORT
DBO-1003 (Rev. 10-17) Page 4 of 6
The Friendly Neighborhood Bank
1. Name of the financial institution.
2. Date: January 10, 2013
3. Called Report of Local Agency Deposits and Securities as of: December 31, 2012
4. CID: 7200
Mortgage Listing for Pool #2
5. Description of each Mortgage in the REN Pool
Original Principal
Unpaid Principal
Balance
Balance
Doe, John
$150,000.00
$125,000.00
Jones, Mary
$ 23,200.00
$ 15,273.00
Gray, M. C.
$ 82,450.00
$ 5,600.00
6. Total
$255,650.00
$205,873.00
7.
Agent’s Certification
Please print or type Name & Title
(The mortgage listing will only be used when the financial institution uses Pool 2
securities to collateralize the deposits.
All descriptions, names, and amounts are fictitious and are used for illustrative
purposes only.).
STATE OF CALIFORNIA – DEPARTMENT OF BUSINESS OVERSIGHT
LOCAL AGENCY DEPOSITS AND SECURITIES CALLED REPORT
DBO-1003 (Rev. 10-17) Page 5 of 6
The Friendly Neighborhood Bank
1. Name of the financial institution.
2. January 10, 2013
3. Called Report Of Local Agency Deposits And Securities As of: December 31, 2012
4. CID: 7200
Letters of Credit (Pool #3)
5. Letters of Credit Issued by the Federal Home Loan Bank of San Francisco
Amount
#96-12
$
50,000.00
#97-8
$1,500,000.00
#98-3
$ 750,000.00
6. Total
$2,500,000.00
(Note: The Letter of Credit listing will only be used when the financial institution uses
Pool 3 securities to collateralize the deposits. You do not need to send this form to
Federal Home Loan Bank of San Francisco for certification.
All descriptions, names, and amounts are fictitious and are used for illustrative
purposes only.)
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