1. (a) Name of treasurer of local agency.
2. (b) Title of treasurer of local agency.
3. (c) Name of local agency.
4. (d) Name of depository and address of office of depository where the local agency deposit is maintained.
5. (e) Account number, if any, assigned to the deposit by depository.
6. (f) Type of deposit (i.e., active or inactive).
7. (g) Copy of deposit contract.
8. (h) Copy of last receipt, certificate of deposit, or other evidence of the local agency deposit taken by the treasurer pursuant to Government Code Section 53641 with respect to the deposit.
9. (i) Total of the deposit.
10. (j) Amount of the deposit which is required to be secured.
11. (k) Amount demanded from the depository on account of the deposit.
12. (l) Statement of facts showing that a demand for payment was presented to the depository and the time of such presentment.
13. (m) Statement of facts showing that the depository has failed to comply with the demand for payment.
14. (n) Copy of demand for payment.
15. (o) Identification of security pool by which the deposit is secured.

A notice of default of depository shall be in writing, in duplicate, addressed to the Administrator and clearly designated “Notice of Default of Depository,” and shall contain the following information: