My Florida Regional Multiple Listing Service MATRIX INCOME DATA ENTRY FORMS
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- Irma Lindsey
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1 My Florida Regional Multiple Listing Service MATRIX INCOME DATA ENTRY FORMS ** Indicates a Required Field o Indicates a Single Choice Field Indicates a Multiple Choice Field [G] = Green Fields LISTING TAB-STATUS AND LISTING INFORMATION **Listing Date Entered Where BOM Date **Expiration Date **List Price Range Price Office Association Representation Original List Price Vrange List Low Price **Listing Type Previous List Price Lease Rate **Deposit **Security Deposit Seller t Represented Exclusive Right to Sell Exclusive Agency Exclusive Right to Lease Limited Service (L.S.) L.S. / Exclusive Agency L.S. / Exclusive Right To Sell **Special Listing Type Office Primary Board ID LP/Sq Ft Special Sales Provision Seller Represented Sold Data / Entry Only Auction Bartow Central Pasco DeSoto Exclusion East Pasco East Polk Englewood Exclusion / Variable Commission Lakeland Lake and Sumter Lake Wales t Applicable Orlando Regional Osceola Variable Commission REO/Bank Owned Pinellas Suncoast Port Charlotte Sarasota and Manatee Short Sale Tampa Venice West Volusia ne of the Above Auction Type West Pasco Absolute Buyer's Premium Auction Reserve Auction / REO Auction Property Access Y/N Auction / Short Sale ADDRESS **Street Number Auction Firm / Auction Website Street Dir Pre Street Type **Street Name **City **State Zip + 4 **Zip Unit Number Street Dir Post Building Name/ Number Total # Buildings ** County Country SCHOOLS FINANCIAL INFORMATION Annual Gross Income Total Monthly Rent **Annual Net Income Est Annual Market Income Annual Expenses Elementary School Efficiency Avg Rent Middle or Junior School Total Monthly Expenses High School Lease Terms (5) 1 to 2 Years Gross Lease 3 to 5 Years Net Lease 6 + Years Seasonal Annual Rate Increase Improvement Allowance Renewal Option Limited Pets Purchase Option Month to Month Broker Pass Throughs Monthly Pet Fee Pets Owner Pet Deposit Tenant Pays Electric Tenant Pays Parking Fee Tenant Pays Association Fee Tenant Pays Sewer Tenant Pays Trash Tenant Pays Water Financial Source CPA Tax Return Page 1
2 EXTERIOR/POOL TAB **POOL Community Pool Type (8) ne Private **Location (10) Above Ground Auto Cleaner Child Safety Fence Diving Board Fiberglass Gunite/Concrete Close to Bus Line Close to Commuter Rail Coastal Constr Ctrl Lnn Heated Pool Heated Spa In Ground Conservation Area Corner Lot/ Unit Cul-de-Sac Infinity Edge Inside Water Feature Flood Plain Golf Course Frontage Folf Course View Outside Bath Access Pool Sweep Greenbelt Hilly Historic District Salt Water [G] Screen Enclosure Solar Cover for Pool [G] In City Limits Level Lot - Flag Solar Heated Pool [G] Solar Powered Pool Pump [G] Spa Lot - Irregular Lot - Oversized Lot - Tip Tile Vinyl Porches Pasture/Agriculture Pool View Room for Pool Sidewalk Street Dead-End Street One Way Street Paved Street Unpaved Zoning Permits Horses Asbestos Block Corner Lot Gated Community Highway Frontage Brick ICF Insulated Concrete Forms [G] In County Lot - Key Park View Log Metal Frame Street Brick Street Private On Piling Siding SIP Structurally Insulated Panel [G] **Exterior Construction (5) **Roof (3) Built up Membrane Metal Stem Wall Stone Shake Shingle Slate Stucco Tilt Up Walls [G] Roof Over Tile Wood Frame Wood Frame (Forestry Stewardship Certified) [G] **Exterior Features (12) **Garage / Carport (3) Balcony/Sun Deck Barn Detached In-Law Apt 1 Car Carport 1 Car Garage 2 Car Carport 2 Car Garage Detached Workshop Fenced French Doors 3 Car Carport 3 Car Garage 4 Car Carport 4 Car Garage Fruit Trees Greenhouse Gutters/Downspouts 5+ Car Carport 5+ Car Garage RV Carport Golf Cart Garage Handicap Modified Hot Tub/Spa Hurricane Shutters RV Garage ne Under Building parking Irrigation System Mature Landscaping Oak Trees Open Patio Outdoor Grill Outdoor Shower Parking - RV/Boat Patio/Porch/Deck Covered Patio/Porch/Deck Open Patio/Porch/Deck Screened Rental Apartment Satellite Dish Sauna Sidewalk Sliding Doors Sprinkler Metered Stables Storage Trees/Landscaped Utility Shed Wheelchair Accessible Xeriscape Front Exposure **Sidewalk rth South East West rtheast rthwest Southeast Southwest **Garage Features (10) Assigned Parking Attached Bath In Garage Covered Parking Detached Door Opener Golf Cart Parking Guest Parking Street Parking Open Parking Oversized Portico Secured Parking Side Rear Entry Tandem Parking Under Building Parking Washer/Dryer Hookup Circular Drive Drive Space Parking Pad Street Parking Workshop ne Garage Dimensions Model Name Page 2
3 LAND AND TAX TAB - LEGAL **Tax ID Alt Key/Folio **Taxes **Section **Year Built **Tax Year **Zoning **Range **Township **Legal Description Subdivision Number **Block/Parcel Subdivision Section Number SW Subdiv Sub Condo Number **Total Acreage Zero Lot Line **Plat Book/Page **Legal Subdivision Name Complex/Community Name/NCCB SW Subdv Community Name LAND AND TAX TAB - LOT INFORMATION Lot Dimensions Lot Size (Square Feet)* **Flood Zone Code **Lot # Millage Rate LAND AND TAX TAB - PARCEL Future Land Use Total Units Lot Size (Acres)* Annual CDD Fee Flood Zone Date Flood Zone Panel **CDD **Additional Parcel Up to 10,889 Sq. Ft. One+ to Two acres Two + to Five acres 20 to less than to less than acres n-applicable 1/2 acre to 1 acre 1/4 Acre to 21,779 Sq. Ft. 5 to less than to less than to less than to less than 500 **New Construction **Homestead Exemptions Special Tax District Square Feet Heated Projected Completion Date Property Description (4) Construction Status INTERIOR TAB - INTERIOR INFORMATION Property Style Duplex Four Units Triplex Additional Rooms (9) 1 Level 4 + Level Completed Bonus Room Breezeway 2 Levels Attached Pre-Construction Den / Library / Office Family Room 3 Levels Detached Under Construction Florida Room Foyer Game Room Inlaw / Rental Apt Five or more units Architectural Styles (6) Bungalow Cape Cod Colonial Contemporary Courtyard Custom Dutch Provincial Florida French Provincial Historical Key West Ranch Spanish / Mediterranean Townhouse Traditional Tudor Victorian Villa Inside Utility **Sq Ft Source **Air Conditioning (2) Appraisal Central Humidistat Builder Air Wall/Window Units Measured Zoned/Multiple **Utilities Data (10) Aerobic Septic BB/HS Internet Avail Cable Available Cable Connected Electric County Water Electric - Multiple Meters City Water Fiber Optics Fire Hydrant ne Gas PrivateMunicipal Water Public Sewer Private or Subdivision Sewer Sprinkler Meter Public Utilities Septic Sprinkler Recycled Sprinkler Well Water - Multiple Meters Street Lights Owner Provided Public Records **Heating and Fuel (6) Central Fuel - Electric Fuel - Gas Bottled Fuel - Gas Natural Fuel Oil Heat Pump Heat Recovery Unit Heat Partial Raiant / Baseboards Radiant / Ceiling Solar Space Heater Wall Furnace Wall / Window Units Zoned / Multiple Underground Well Appliances Included (13) Compactor Dishwasher Disposal Dryer Exhaust Fan Freezer Gas Appliances Hot Water Electric Hot Water Gas Microwave ne Range Range Hood Refrigerator Solar Hot Water Owned Solar Hot Water Rented Washer Water Softner Owned Water Softner Rented Page 3
4 Master Bath Features (4) Interior Layout (8) Breakfast Room Separate Eating Space In Kitchen Formal Dining Room Separate Bath w Spa/Hydro Massage Tub Bath with Whirlpool Formal Living Room Separate Kitchen/Family Room Combo L Dining Bidet Dual Sinks Living/Dining Room Combo Living Room/Great Room Master Bedroom Downstairs Garden Bath Handicapped Accessible Split Bedroom Volume Ceilings Shower - Tub Tub w Separate Shower Stall Tub w Shower - Specify in Remarks *Interior Features (14) Attic Attic Fan Blinds/Shades Cathedral/Vaulted Ceiling Ceiling Fan(s) Central Vacuum Corridor Access Furnished Handicapped Modified Hot Tub/Spa Intercom System Medical Alarm Pest Guard System Radiant Barrier Rods Sauna Skylights Smoke Alarm(s) Solid Stone Counters TV Antenna Volume Ceilings Walk In Closet Washer/Dryer Hookup Wet Bar Wheelchair Accessible Window Treatment Floor Covering (6) Security System Bamboo [G] Brick/Stone Concrete Carpet Ceramic Tile [G] Laminate Cork [G] Forestry Stewardship Certified [G] Parquet Reclaimed Marble Marmoleum [G] Wood [G] Quarry Tile Porcelain Tile Recycled/Composite Flooring [G] Salvaged Flooring [G] Concrete Slate Terrazzo Vinyl Wood Owned Leased Kitchen Features (5) Fireplace Description (2) Breakfast/Snack Bar Closet Pantry **Fireplace Electric Fireplace Family Room Cooking Island Desk Built In Gas Fireplace Living Room Pantry Walk In Pantry Master Bedroom Room Wood Burning FP Space **Efficiencies-Number of 1 Bed/1 Bath # 1 Bed/1 Bath Avg Rent Num of Add Parcels 2 Bed/1 Bath # 2 Bed/1 Bath Avg Rent 2 Bed/2 Bath # 2 Bed/2 Bath Avg Rent 3 Bed/1Bath # 3 Bed/1 Bath Avg Rent 3 Bed/2 Bath # 3 Bed/2 Bath Avg Rent 4PlusBed1BathAvg Rent 4PlusBed 2PlusBath # 4PlusBed2PlusBath Avg Rent 4Plus Bed1Bath # Page 4
5 WATER/GREEN TAB - GREEN INFORMATION Green Certifications (G) (4) EarthCraft HouseTM Energy Star Home TM EPA Indoor Air Quality Plus FGBC Green Certified Home FGBC Remodel Florida Certified Yard Florida Friendly Yard Florida Water Star FORTIFIED for Safer Living Geothermal HVAC LEED Certified Building LEED Neighborhood Development NAHB Certification -Specify in Remarks Drip Irrigation Dual Flush Grey Water Use (Whole House Irrigation - ne LEED for Homes EPA Water Sense Green Water Features (G) (11) Cistern High Effieciency Faucet/Fixtures High Effieciecy (Low Flow) Toilet Irrigation-LowVolume Irrigation-Reclaimed Water Rain Barrels w Spigot/Overflow Whole House Water Purification Green Landscaping (G) (4) Green Energy Features (G) (9) Energy Star Dishwasher Energy Star Refrigerator Energy Star Qualified Roof Product Florida Friendly/Native Landscape n Toxic Fertilizer/Pesticides Energy Star Washer Energy Star Windows Gas Tankless Appliances Rain Water Harvesting Vegetable (Productive) Garden Geothermal Heat Pump Heat Pump Water Heater Heat Recovery Unit Hydro Power Hydronic Radiant Heating Humidistat Above Flood Plain Fire Resistant Exterior Outdoor Lighting ne Outdoor Lighting Solar Programmable Thermostat Fire/Smoke Detection Integration Hurricane Insurance Deduction Qual. Radiant Barrier Reflective Roofing Material HVAC SEER 15+ Hurricane Shutters/Windows Lightning Protection System HVAC SEER 20+ Solar Hydronic Radiant Heating Solar Power Safe Room Solar Water Heater Sprayfoam Insulation Attic Sprayfoam Insulation Walls Disaster Mitigation (G) (7) OWNER TAB - OWNER Owner Name Wind Indoor Air Quality (G) (15) Bath Fans Vented to Outside Fireplace - Direct Vent Fresh Air Ventilation System HVAC Filter MERV 8+ /Low VOC Paint/Stain/Finish /Low VOC Flooring n Toxic Pest Control HVAC Cartridge/Media Filter HVAC UV/Electronic Filtration Range Hood Vented to Outside Sealed Combustion Whole House Vacuum System Owner Phone Tenant Name COMMUNITY TAB - ASSOCIATION INFORMATION **HOA/COMM ASSN ne Optional Required HOA Payment Schedule HOA Fee Monthly HOA Amount Annual Monthly Quarterly Semi Annual Tenant Phone Management Condo Maintenance Fee Condo Maintenance Fee Schedule Annual Monthly Quarterly Semi Annual Management Contact Information Monthly Condo Fee Amount COMMUNITY TAB - HOUSING FOR OLDER PERSONS **HOUSING FOR OLDER PERSONS (2) N/A Expire Renewal Date FCHR Website Affidavit Fannie Mae Secured **Ownership Co-Op Fee Simple Condominium Land-Lease Page 5
6 WATER/GREEN TAB - WATER INFORMATION Water Access (10) **Water Access Bay/Harbor Bayou Beach - Access Deeded Beach Private Beach Public Brackish Water Canal-Brackish Water Canal Freshwater Canal-Saltwater Creek Freshwater Canal w/lift over to Saltwater Canal Gulf/Ocean Gulf/Ocean to Bay Intracoastal Waterway Lagoon Lake Lake - Chain of Lakes Limited Access Marina Pond River Bay/Harbor Full Bay/HarborPartial Bayou Beach Canal Gulf/Ocean to Bay Gulf/Ocean - Full Gulf/Ocean - Partial Intracoastal Waterway Lagoon Lake Lake - Chain of Lakes Pond River Water View (10) **Water View Creek Water Frontage(10) **Water Frontage Marina -Water Frontage Feet -Water Frontage Feet - Water Frontage Feet Bay/Harbor Bayou Beach-Private Beach Public Brackish Water Canal - Brackishwater Canal - Freshwater Canal-Saltwater Creek Freshwater Canal w/ Lift over to Saltwater Canal Gulf/Ocean Gulf/Ocean to Bay Intercostal Waterway Lagoon Lake Lake - Chain of Lakes Marina Pond River Water Extras (10) **Water Extras Boathouse Boat Ramp - Private Boats - ne Allowed Bridges-Fixed Dock-Slip 1st Come Dock-Slip Deeded Off-Site Dock-Slip Deeded On-Site Dock w/electric Dock-Concrete Dock-Covered Dock-Open Dock-Wood Fishing Pier Lift Lift-Covered Private Lake Dues Required Sailboat Water BridgesFixed Bridges Dock w/o Electric Davits Dock-Composite Powerboatsne allowed Dock w/water Supply Dock w/o Water Supply Lock Wake Zone Minimum Wake Zone Seawall - Concrete Seawall - Skiing Allowed Water Name Riprap Additional Water Information 6 Page 6
7 Community Features (25) Airport/Runway Association Recreation - Lease Association Recreation - Boat Slip Buyer Approval Required Community Hot Tub/Spa Deed Restrictions Owned Dock Elevators Fees Required Fitness Gated Community Golf Community Handicap Modified Horse Stables Irrigation By Reclaimed Water [G] Laundry Facility Maintenance Free Truck/RV/Motorcycle Parking ne t all amenities included in HOA Fees Optional Additional Fees Playground Park Private Boat Ramp Public Boat Ramp Racquet Ball Recreation Building Security Shuffleboard Storage Special Community Restrictions PUD Tennis Courts Water Access Waterfront Complex Amenities w/addnl Fees PETS Pets Allowed Pet Restrictions Number of Pets Pet Size Very Small (Under 15 Lbs.) Large ( Lbs.) Max Pet Weight Small (16-35 Lbs.) Medium (36-60 Lbs.) Extra Large (101+ Lbs.) Pet Restrictions REALTOR INFORMATION TAB REALTOR INFORMATION Realtor Information (25) 3rd Party Approval Req Assumable Mortgage Brochure Available CDD Addendum required Condominium Disclosure Avail Contract for Deed Corporate Owned Relo Deed Restrictions Docs Available Environmental Report Available Fannie Mae Approved Pilot Fixer-Upper Floor Plan Available Foreign Seller Home Warranty In Foreclosure In-Law Quarters Lead Paint Disclosure Lease Restrictions Sign Disclosures-Contact Agent Owner/Agent Owner Occupied Owner Will Assist w/ Closing Costs Owner Will Consider Financing Pre-Foreclosure Seller May Build Seller Must Build Seller Property Disclosure Seller Related To Agent Cash Septic Sewer Addendum Req. Short-Term Rental Allowed Sold As-Is Energy Efficient Mortgage [G] Exchange/Trade FHA Flood Insurance Required Green Financing Available [G] Lease Option Lease Purchase Seller Financing Special Funding USDA VA Realtor Info Confidential (7) Bonus to Lease office Bonus to Selling office Contract for Deed Go To Site In Foreclosure Lease Available Owner Occupied Pet on Premises Pre-Foreclosure Tenant Approval Tenant Occupied Vacant Variable Rate Commission Special Assessments Survey Available Termite Bond / Warranty Will Sell 1 Lot COMPENSATION Single Agent Comp n Rep Comp Tenant Occupied Zoning - Grandfathered In Financing Available (10) Assumable - Must Qualify Assumable - n Qualify Conventional Trans Broker Comp AGENT/OFFICE **Agent ID Agent Name Agent Office Name and Information List Agent 2 ID List Agent 2 name List Agent 2 Office Name and Information Team Name SHOWING INFORMATION Call Center Phone Number Showing Time Set Appointment View Instructions Showing Time Secure Remarks Page 7
8 IDX/VOW **Showing Instructions (16) 24 Hour tice Appointment Only Call Before Showing Call Listing Agent Call Agent 2 Call Listing Office Call Owner Call Property Manager Call Tenant Contact Call Center Gate Code Required Key-Listing Broker Office **Realtor.com **VOW AVM Listing Agent Must Accompany Lock Box - Combination Lock Box - Electronic Lock Box Coded Lock Box Call Pet on Premises See Realtor Remarks Under Construction (Go to site) Use Request Showing Button **Internet **Show Prop Address on Internet **IDX/VOW Display Comments **IDX Third Party MARKETING LINKS and INFORMATION **Create Automatic Virtual Tour Virtual Tour Link Virtual Tour Link 2 Web Link 1 Web Link 2 **Public Remarks Realtor Only Remarks **Driving Directions The Owner has reviewed the foregoing information contained in this Data Entry Form and acknowledges the information to be true and correct to the best knowledge of the owner. The Owner agrees to indemnify and hold harmless the My Florida Regional Multiple Listing Service (MFRMLS), the Originating Board, and their employees, the Listing Broker and licensees, the Selling Broker and licensees, and all other cooperating Brokers and licensees against any and all claims or liability (including attorney fees) arising from any breach of warranty by Owner or from any incorrect information supplied by Owner or from any facts concerning the Property which was known or reasonably should have been known to Owner but not disclosed by Owner. At the request of the Listing Broker, unless otherwise properly indicated on this Data Entry form, MFRMLS will electronically transmit information about the Owner's property to Internet web sites to aid in the marketing of the Property for sale. MFRMLS shall retain and make available all such data and photographs to all its participants for an indefinite period. MFRMLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the MFRMLS computer system. The Owner hereby authorizes Listing Broker to file this Data Entry form with the MFRMLS and the Owner will provide timely notice of all status changes. DATE OWNER SIGNATURE DATE OWNER SIGNATURE DATE BROKER Page 8
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