RLD DATA INPUT FORM Residential Land/Boat Docks

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1 SOUTHEAST FLOIDA LD DATA INPUT FOM esidential Land/Boat Docks INSTUCTIONS: Indicates a required field. All required fields must be completed to add a listing. PID will automatically fill (if available from Broward, Miami Dade and Palm Beach, Counties): Street Number, Compass Point, Street Name, Street Type, Unit, County, Legal, Year Built, Living SF, Total SF, Taxes and Tax Year. Fields with Asterisk * represents numerical fields. Style Codes B96 Zoned Boat Dock V90 Zoned esidential V91 Zoned Duplex V92 Zoned Multifamily Area: * Street Number: * CP : Compass Point Street Name: County: Select One Broward Hendry Martin Monroe Other St Lucie Glades Indian iver Miami-Dade Okeechobee Palm Beach Folio # : Folio # for 2nd Parcel : City: See Table State: FL Zip Code * Zip4 * Legal Zoning Lot : Municip Code : * Township/ange: * Section: * Subdivision Code Parcel Number: * Map Coordinates: Development Name: Subdivision Name : Geo Area: See Table General Information Short Sale: Yes No EO: Yes No ange Price: ange Price Lower List Price: $ * equired if ange Price Listing List Price: $ * Short Sale Addendum : Yes No Lender Approval : Approved req d if Short Sale = Yes Unapproved $ Per Acre : $ * For Lease : Yes No Style: B96 Zoned Boat Dock Select One V90 Zoned esidential V91 Zone Duplex V92 Multifamily Type: Dockominium Other esidential Auction : Select One Yes No Auction Type : Select One Faces : Select One ABS Absolute East South MIN Minimum Bid North South East ND Non Disclose eserve North East South West North West West For Lease MLS# : County Land Use : * SEF LD Page: 1 evised 10/2017

2 General Information Types of Usage : Select Up To 2 Agriculture ecreation Groves Unused Check Land Use Plan Wooded Other Use Approx Lot Size : * Total Acreage : * Lot SF : * Building Includes : Select Up To 2 Barns Other Building Incl Horstall un Down Livable Utility Building None Well Kept # of Parcels : * Min SqFt Liv Area estr. : * Development Info: Select Up To 2 Other Development Included ecorded Plat Undeveloped Unrecorded Plat ail Type : Select Up To 2 Mainline No ail Service Siding Spur Land Fill : Select Up To 2 Must De-Muck Must Fill Grade Fill Not equired Fill Unknown Location : Select Up To 4 City Location Lake Worth Corner Location Near Airport County Location Near Business Park Cul-De-Sac Location Near Industrial Park Dead-End Location Near School Lot Located n a Flood Zn Near Seaport Golf Course Location Other Location Inside Location oad Surface : Select Up To 3 Dirt oad Gravel Lime ock oad Paved oad oad : Select Up To 3 Legal Access oad City/County Maintained No oad Access Other oad Paved oad Private oad Public oad Trees : Select Up To 3 Avocado Mostly Cypress Brazilian Pepper Mostly Oaks Citrus Mostly Pines Clusters No Trees Heavily Wooded Other Trees Mango Partial Tree Coverage Mangroves Sable Palm Ground Cover : Select Up To 3 Brush Other Ground Cover Exotics Palmetto Grass/Pasture Weeds Marsh Elevation :Select One Lot Description : Select Up To 3 0 to 1/4 Acr 4 to 5 Acr Golf Course Lot 1/4 to 1/2 Acr 5 to 10 Acr Interior Lot 1/2 to 3/4 Acr 10+ Acr Irregular Lot 3/4 to 1 Acr Corner Other Lot Descript. 1 to 2 Acr Cul-De-Sac Lot Oversized Lot 2 to 3 East of US 1 egular Lot 3 to 4 Flood Zone Lot West of US 1 Zero Lot Line Lot SEF LD Page: 2 evised 10/2017

3 Waterfront : Yes No Waterfront Description: req d if Waterfront = Yes Select up to 4 Bay Intracoastal Front Ocean Front Canal Front Lagoon Front One Fixed Bridge Creek Front Lake Front Other Waterfront Canal Wdth1-80 Lake Access Point Lot Canal Width 121 Mangrove Front Pond Front Canal Wdth Navigable ip ap Fixed Bridge(s) No Fixed Bridges iver Front Intersecting Canal Ocean Access Seawall Water Access : req d if Waterfront = Yes Select up to 4 Deeded Beach Access Boat Hoists/Davits Boatift None Boatlock Other Community Boat Dock Private Dock Community Boat amp estricted Salt Water Access Deeded Dock Unrestricted Salt Water Access Dock Available Water View Select Up To 2 Bay View None Canal View Ocean View Direct Ocean View Other Water View Lagoon View Pond View Lake View iver View Waterfront Frontage : Boat Services : 0 to 20 Ft Boat Full Service Subject to Lease Attended Hoist/Davit Up to 100 Ft Boat Beach Lift Up to 30 Ft Boat Beach Access Live Aboard Up to 40 Ft Boat Boat Lock Marina Up to 50 Ft Boat Boathouse No Wake Zone Up to 60 Ft Boat Common Dock Other Water Access Up to 70 Ft Boat Community Marina Over 101 Ft Boat Up to 80 Ft Boat Community amp Overnight Up to 90 Ft Boat Dock Available Parking Wake Zone Dock Owned Included Private Dock Water Available Electric Available amp Wi-Fi Available Exclusive Use estroom Yacht Club Fishing Pier Sew Pump Available Fuel SEF LD Page: 3 evised 10/2017

4 emarks emarks : 800 Characters _ Directions : 255 Characters _ SEF LD Page: 4 evised 10/2017

5 emarks Con t Broker emarks : 150 Characters _ Internet emarks : 150 Characters Office emarks : 200 Characters SEF LD Page: 5 evised 10/2017

6 Supplemental Listings 10,000 Characters: SEF LD Page: 6 evised 10/2017

7 Additional Information Terms Available : Subdivision Information : Select Up To 7 Buyer Approval equired Mandatory HOA Covenant estrictions Community Pool Golf Course Committee Subdivision estrictions Gate Guarded Community Tennis Courts Horses Permitted Voluntary HOA Boat Dock Information : Select Up To 5 Electric Available Phone Available Living Aboard Permitted Pump Available None estroom Facilities Other Dock Information Subject To Lease Parking Water Available Length Dock Will Accommodate : Select One 0-20 Foot Boat Foot Boat Foot Boat Foot Boat Foot Boat Foot Boat Foot Boat Foot Boat Foot Boat More Than 100+ Foot Boat Misc/Improvements : Select Up To 7 Above Ground Irrigation Gutter Alley No Misc/Improvements Build To Suit Other Cleared Partially Filled Compact Soil Septic Curb Sidewalk De-Mucked Sprinklers Drainage Canal Street Lights Drip System Well Fenced Waterfront Bulkhead Filled Documents Available : Select Up To 7 Abstract Other Documents Available Aerial Photo Perc Test Appraisal Plans Available Building Permit Plat Map Bore Test Previous Title Policy Deed estrictions Subdivision equirements Engineering Studies Survey Available Environmental Impact Studies Topography Map Copies of Lease(S) Deed estrictions : Select Up To 4 Call Listing Office County No Deed estrictions Deed estrictions on ecord Other Deed estrictions Subdivision Deed estrictions SEF LD Page: 7 evised 10/2017

8 Additional Information Con t Soil Type : Select Up To 2 Clay Other Soil Type Dirt ock Land Mari Sand Marsh/Mangrove Sandy/Loam Muck Utilities Available : Select Up To 7 Cable TV Phone Line Electric Sewer Gas Trash emoval Irrigation Water Underground Utilities No Utilities Water Other Utilities Avail Utilities On Site : Select Up To 7 Cable Tv Phone Line Electric Sewer Gas Underground Utilities Irrigation Water Water No Utilities Well-Pump Other Utilities Avail. Water Description : Select Up To 2 Laked Dain Municipal Water None Other Well Water Sewer Description : Select Up To 2 At Site Outside Easement Lift Station eq d Private Treatment Plant Municipal Sewer Septic None With-In 500 Other Sewer With-In Easement Equestrian Features : Boarding Allowed Grass Field egulation Dressage Bridle Path Trails Grooms Quarters ing Center Aisle Lounge Shed ow Community Stalls Mirror Stable Covered ing Office Tack oom Feed oom Owners Apartment Washer Dryer Hookup Fly System Paddocks Wash acks Water Electric Storm Protection : Clear Impact Glass Curr Owner Wind Mit Partial Impact Glass Complete Accordian Shutters Curr Owner Wind Mitin Cert Avail Partial Other Protection Complete. Eclectic Power Shutters Elec Panel for Portable Power Partial Panel Shutters/Awnings Complete Impact Glass Generator Hookup Partial Permanent Generator Complete Other Protection High Impact Door Partial oll Down Shutters Complete Panel Shutters/Awnings Partial Accordian Shutters Safe oom Complete oll Down Shutters Partial Electric Power Shutters Whole House Permanent Generator SEF LD Page: 8 evised 10/2017

9 Financial/Office Information Terms Considered : Select Up To 4 Assumption FHA 403K Owner Financing Less 20K Down Cash Only Lease Option Owner Hold 2nd Mortgage Conventional Lease Purchase Owtb Wrap Exchange No Terms Seller Will Pay Closing Cost FHA Other Terms VA FHA-VA Approved Owner Financing Will ent Property Accessed Clean Energy (PACE) : Yes No Tax Amount : $ * Special Assessment : Yes No Assumable : Yes No Dade Assess/Save Our Home Val : $ * Dade MKT $ / Assessed Value : $ * Total Mortgage : $ * Monthly Maintenance Fee : $ * Fee Description : Select One Monthly None Quarterly Semi-Annually Yearly Hardship Package : Complete Incomplete Submitted Tax Year : * Special Information : Select Up To 3 Agricultural Exemption Flood Zone Subject To Impact Fees Bonus Foreign Seller Wetland Jurisdiction Sell Complete Parcel Homestead Exemption Wheelchair Designed Corp. Owned Property Institution Owned Property Will Subdivide Meets Concurrency eq d No Exemptions Will Subordinate Disclosure No Surveys Sell Subject to Zoning Change Disability Exemption Other Exemptions Easement Plan Approval equired Environment estrictions eleases Or Subordination Possession Information : Select Up To 2 Before Closing Funding Long Closing Preferred Negotiable Other Subject To Lease Flood Zone : Owner Agent : Yes No SEF LD Page: 9 evised 10/2017

10 Financial/Office Information con t Agent & Office Information List Agent MLS ID : Agent Name : Preferred Contact Phone : * Agent Co List Agent MLS ID : Co-List Agent List Agent Alt Phone : * Co Agent Name : Co Agent Phone : * Office Name : Office Phone / Ext. : * Co Office Name : Co Office Phone : * Office ID : Office Fax : * Co Office ID : Co Office Fax : * Compensation and Misc. Information Multiple Offers Accepted : Yes No IDX : Yes No Internet : Yes No AVM : Yes No Blogging : Yes No Address on Internet : Yes No Listing Type : Select up to 1 Exclusive Agency Exclusive With Exceptions List Date : Exclusive ight To Sell Exclusive Variable Limited Service Owners Name : / / * MM DD YYYY Expiration Date : / / * MM DD YYYY Owners Phone : * Compensation Trans Broker : $ or % Only one Compensation is required Compensation Non ep : $ or % Only one Compensation is required Compensation Buyers Agent : $ or % Only one Compensation is required Variable/Dual ate : Yes No Joint Agency : Yes No MLS Offers : Disabled Enabled Occupancy Information : Select up to 1 Call Listing Agent Owner Occupied Tenant Occupied Vacant Showing Instructions : Select up to 3 Call Listing Agent Other Showing Instructions Call Listing Office Showing Assist Call Tenant Sign On Property Go Directly See Broker emarks No Sign Bonus : Yes No Virtual Tour / Web Link / Photo Information UL : Virtual Tour : Photo Instructions : ealtor to Upload Images 1 35 Listing Agent Signature: Owners Name : Date : SEF LD Page: 10 evised 10/2017

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