Part 1. Part 2. *FMLS Street Name. *MLS Street Name. Unit /Lot. *City. *State - *Zip Code. *County. *Subdivision. *FMLS Tax ID. *MLS Tax ID.

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1 FMLS # System Assigned GaMLS # System Assigned FMLS RESIDENTIAL LAND/FARM - ATTACHED MLS ACREAGE - MLS & SINGLE FARMS FAMILY DUAL ENTRY (CND/SF) FORM DUAL ENTRY INPUT SHEET Part 1 *House Number *FMLS Street Name Street Type *MLS Street Name Unit /Lot *City *State - *Zip Code *County *FMLS Area *MLS AR *Subdivision *FMLS Tax ID *MLS Tax ID Militia District *Landlot *District *Section/GMD *Lot *Block SD Unit *Plat Book *Plat Page Deed Book Deed Page *Elementary School ES Bus *Middle School MS Bus *High School HS Bus *Lake Part 2 *List Price *Listing Agreement (select 1 only) Exclusive Right to Sell Exclusive Agency VRC *List Date *Expiration Date *FMLS Commission *MLS XD *MLS Com % *MLS Com $ Owner Name (System allows up to 25 characters) *Listing Agent ID *MLS Listing Agent ID Owner Phone Co-Listing Agent ID MLS Co-Listing Agent ID OK to Present Offers Include InstaView Tour Refer to GAR Listing Agreement Section 5 A Allow Internet Display Allow Comments/Review Allow Address Display Pg. 1 of 6

2 FMLS RESIDENTIAL LAND/FARM - MLS ATTACHED ACREAGE - MLS & FARMS SINGLE DUAL FAMILY ENTRY (CND/SF) FORMDUAL ENTRY INPUT SHEET Part 3 *House **Age Description (check 1 only) Bdrms FBath HBath Floors T Rooms Garage Carport New/Under Constructions **Rooms **Year Built Resale 60+ Resale Basement House Rented House Seperate House/Plot Seperate Loan House Liveable Main House Value Acreage w/house Farm w/house Waterfront *Acres Acreage Source (check 1 only) Appraiser Agent Public Record Owner/Seller Acreage Not Entered Price Per Acres *Current Zoning *Lot Dimensions (system allows up to 24 characters) *Taxes *Tax Year Part 4 Beef Farm Capacity Acres *Assumable -1st Cross-Fenced Water Feed Shed Barn Stalls Dairy Farm Poultry Farm Cross-Fenced Water Milk Parlor Capacity Acres Houses Size (Width x Length) Capacity Income Barn Stalls Expenses Horse Farm Capacity Acres Water Stables Seperate Barn Stalls Riding Area Stable Stalls Swine Farm Capacity Farrowing House Hog Shed Pasture Auto Feed and Water Tree Farm Pulpwood Hardwood Pine Year Last Cut X-Mas Tree Orchards Truck Farm Cultivated Irrigation System Process House Tractor Stalls Yearly Farm Income Tax Year Return Cultivated Acres Lake Acres Open Acres Pasture Acres Wooded Acres Road Frontage External Reference 1 Source External Reference 1 ID External Reference 2 Source External Reference 2 ID Pg. 2 of 6

3 FMLS RESIDENTIAL LAND/FARM - ATTACHED MLS ACREAGE - MLS & SINGLE FARMS FAMILY DUAL ENTRY (CND/SF) FORM DUAL ENTRY INPUT SHEET Part 5 FMLS Public Remarks (575 character limit) FMLS Syndication-Zillow/Trulia, etc. (575 character limit) MLS Public Remarks (768 character limit) Private URL Pg. 3 of 6

4 FMLS RESIDENTIAL LAND/FARM - MLS ATTACHED ACREAGE - MLS & FARMS SINGLE DUAL FAMILY ENTRY (CND/SF) FORMDUAL ENTRY INPUT SHEET Part 6 *Availability to Receive Offers (Check 1 only) No Conditions Conditions Exist - See Private Remarks FMLS Private Remarks (430 chaacter limit) MLS Private Remarks (320 chaacter limit) MLS Office Remarks (192 chaacter limit) FMLS Directions (300 chaacter limit) MLS Directions (256 chaacter limit) Pg. 4 of 6

5 FMLS RESIDENTIAL LAND/FARM - ATTACHED MLS ACREAGE - MLS & SINGLE FARMS DUAL FAMILY ENTRY (CND/SF) FORM DUAL ENTRY INPUT SHEET Features **Main Dwelling Style (check up to 2) A-Frame Contemporary High Rise Rustic Bungalow Cottage Loft Townhouse Cabin Country Mediterranean Traditional Cape Cod Craftsman Mobile Tudor Chalet European Modular Victorian Cluster Home French Provincial Patio Home Colonial Garden (1 Level) Ranch **Bedroom Description (check up to 3) Bedroom on Main Oversized Master Split Bdrm Plan In-Law Ste/Apt Roommate Fl Plan Studio Mstr On Main Lev Sitting Room **Dwelling Rooms (check up to 5) Breakfast Area Country Kitchen Library/Office Liv/Dine Rm Comb Sep Dining Room Sep Living Room Family Room Recreation Room Sunroom/Solarium Great Room Screened Porch Disability Access (check up to 10) 32 inch or + doors Low Kit Counters Bath Acc Whlchair Low Switches Elev Acc Whlchair Lwrd Door Handles Garage Van Access Ramps to Doorways Levered Door Handle Shwrs Acc Whlchair Boathouse (check up to 1) 1 Slip 2 Slips 3+ Slips Stepless Entry Wide Hallways **Main Dwelling Stories 1 Story 2 Stories 1 & 1/2 Stories Over 2 Stories (check 1 only) **Bathroom Description (check up to 3) Mstr Sep Tub/Shw Whirlpool Tub On Mult Levels Split Foyer Split Level *Special Circumstances (check up to 4) Owner/Agent Agent Related to Seller Owner Transferred Corporate Owner Owner Will Consider Exchange Estate Owned Potential Short Sale Fixer Upper Recently Renovated Foreclosure Short Sale Pre-Approved Government Owned Sold As/Is Historical HUD Listing (see remarks) Investor Owned Bank Owned Lease Purchase Corporate Relocation Lender Owned Pre-foreclosure No disclosures from Seller Rental Short Sale Dock (check up to 2) No Dock Community Courtesy Covered Covered/1 Slip Covered/2 Slip Covered/3+ Slip Dock Permit Double Slip Hoist Lights Party Deck *Current Classification (check 1 only) Commercial Industrial Dev/Zoned Ag Multifamily Dev/Zoned Res Office & Industrial Platform Shared Single Slip Undev/Zoned Ag Undev/Zoned Res *Present Use (check up to 4) Cattle Hunt/Hunt Presrv Commercial Industrial Crops Marina Dairy Mobile Home Fishing Multifamily Horses Office/Industrial Poultry Recreational Residential Timber Vacant *Possible Use (check up to 8) Cattle Commercial Hunt/Hunt Presrv Industrial Crops Marina Dairy Mobile Home Fishing Multifamily Horses Office/Industr Poultry Recreational Residential Timber Setting (check up to 3) City View Golf Front Golf View Lake Front Lake View Mountain Front Mountain View Ocean Front Ocean View River Front River View Ski Resort Exceptional View Valley View *Water on Land (check up to 3) Pond Lake Spring Lake Site Streams Navigable River Lake/Pond Stream Creek *Transportation (check up to 3) Navigable River Expressway Public Transportation Rail Siding *Road Type (check up to 2) Public Maintain Easement State Highway Interstate US Highway Paved Private Maintain City Street County Interstate 1 mile or less Interstate Service *Road Surface (check up to 2) Concrete Black Top Dirt Gravel *Topography (check up to 2) Flood Plain Rm for Pool/Tennis Level Sloping Need Fill Steep Rocky Rolling Wetlands Gentle Rolling Rough Rolling Some Area Flood Plain Waterfall *Timber (check up to 3) Hardwoods Cruise Mixed Pine Planted Pines *Vegetation (check up to 3) Brush Heavily Wooded Cleared Open Grassed Partially Wooded Pasture Wood *Onsite Utilities (check up to 6) Sewer Cable TV Telephone Electric Water Natural Gas Well Public Water Septic 220 Volt Power 3 Phase Electricity 440 Volt Power High Speed Internet Propane Underground Improvements (check up to 4) Street Lights Barn Crossfenced Undergrnd Utils Curbs & Gutters Fenced Boathouse Irrigation System Caretaker Cottage Out-Buildings Sidewalk Chicken House Garage Stable Garage Apartment Guest House House Mobile Home Modular Home Multipurpose Shed Parking Shed Pool House Smoke House Tractor Shed 2 or more Houses Pg. 5 of 6

6 FMLS RESIDENTIAL LAND/FARM - ATTACHED MLS ACREAGE - MLS & SINGLE FARMS FAMILY DUAL ENTRY (CND/SF) FORM DUAL ENTRY INPUT SHEET Features (cont.) *Storage Facility (check up to 2) Feed Shed Diesel Tank Gasonline Tank Equipment Shed Grain Bins Hay Shed Propane Tank *Documents at Office (check up to 10) Impact Study Sewer Map Aer Photo Legal Desc Soil Analysis Appraisal Perc Test Soil Maps Bound Survey Plat Topo Map Envi Study Equip List Restrictions Septic Permit Traf Count Aerial Survey Cash Flow Analysis Copy of Lease Feasibility Study Profit & Loss State Site Plan Miscellaneous (check up to 6) Allotments Mangement Available Dog Kennel Misc Farm Equipment In ARC Corridor Misc Livestock Irrigation Equipment Partly Leased Landing Strip Riding Ring Proposed Financing (check up to 3) Assumable Cash Conventional Land Bank Owner Owner Second Satellite Dish Swimming Pool Workshop *Show Instructions (check up to 5) Anytime Access No Sign Appointment Only Security Call Listing Office/ Vacant Agent before Showing Caution Pets 9am EDT to 10pm EDT Courtesy Call-Agent Courtesy Call-Owner Appt Agent Appt Owner Courtesy Call-Tenant Appt Tenant Key in Office Lockbox - Supra Day Sleeper Lockbox GAMLS Compatable Lockbox - No Disturb No Lockbox No Showings in the AM Lockbox GAMLS Non-Compatable See Remarks to Show Under Construction *Sales Options (check up to 2) Exchange Consider Joint Venture Will Develop Will Sub-divide Possible Financing 100% Financing Assume Cash Conventional Zoning (MLS only) Agricultural/Residential Commercial Industrial Mobile/Modular (MLS only) Credit Report Req. Federal Land Bank Owner Financing Multifamily Office/Industrial, See Remarks Planned Unit Dev Won t Sub-divide Production Credit SBA Wrap Around Recreational/Resort Single Family Special Use Miscellaneous (MLS Only) Under 3 Acres Over 100 Acres 3-10 Acres Boat Dock Acres Border US/State Park Acres Dock Approval Required Acres Mobile Homes Allowed Photo (MLS only) Broker Provided Photo No Photo Desired Swim Dock Tract Pond Under Construction Date of Possession (MLS only) 3-7 Days After Closing Negotable At Closing Possession Date Extended Data - Virtual Tour (added after listing is submitted) Signature DATE Owner understands and agrees to all information above and property characteristics in the FMLS computer system will be provided to agents who may represent other parties. Owner hereby waives any claims against FMLS and its employees arising out of disclosure of such information to other parties and hereby covenants that owner will not sue FMLS or employees for any and all claims suits or causes of action whenever asserted arising out of such disclosure. Pg. 6 of 6

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