Property Data In-Put Form
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- Emmeline Gordon
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1 Page1 Property Data In-Put Form irealty Flat Fee Brokerage 381 N. York Road Suite 21 Elmhurst, IL T: F: Address: Owner Name(s) on Deed Owner (s) Contact info to be advertised Phone or (Max 2) Property Information Type of Housing: Single Family / Condo / Townhouse / Coop Property Address City State Zip Property ID #1 Property ID #2 County Township Unincorporated: Yes / No Directions to Property Name of Subdivision Model New Construction: Yes / No If Yes: Expected Occupancy Date Property Rental also listed on MLS: Yes / No MLS# School Information: Name and District Grade / District: Jr. High / District: High School / District:
2 Page2 Ownership: Condo / Fee Simple / Fee Simple with HO Assn. / Leasehold Approx Year Built: / Unknown Recent Rehab: Yes / No If Yes: Year: Property Currently Being Leased: Yes / No If Yes: Lease Exp Date: Waterfront: Yes / No Type: 1.5 Story / 2 Story / 3 Story / 4+ Story / Coach House / Raised Ranch / Split Level / Split Level with Sub / Other / Tear Down / Condo / Townhome / Duplex Style: American 4 Square / Bi-Level / Brownstone / Bungalow / Cape Cod / Colonial / Contemporary / Cottage /English / Farmhouse / French Provincial / Georgian / Log / Spanish-Mediterranean / Prairie / Quad Level / Queen Ann/ Ranch / Row house / Step Ranch / Traditional / Tri-Level / Tudor / Victorian / Other General Information: School Bus Service / Commuter Bus / Commuter Train / Interstate Access / Flood Zone / Flood Zone Partial / Adult Community / Assisted Living Exposure: North / South / East / West Area Amenities: (Max 6) Clubhouse / Park / Playground / Pool / Tennis Courts / Horse Community Barn / Horse Riding Area /Horse Riding Trail / Landing Strip / Pond-Lake / Dock Community / Water Rights / Curbs/Gutters / Gated Entry / Sidewalks / Street Lights / Street Paved / Other Disability Access: Yes / No Disability Equipment: 2+ Access Exits / 32 inch or more wide doors / 36 inch or more wide halls / Chairlift / Doors-Pocket / Doors-Swing-In Property Description: (No mention of names, phone or fax numbers, s, commission, or fees are permitted. Limit is 1000 characters including spaces.) Line1 Line2 Line3 Line4 Line5 Line6
3 Page3 Lot Dimensions: (Enter actual dimensions (frontage-clockwise), acreage or square footage) Acreage: (Enter total acreage to 2 decimal points) Exterior Building Type: (Max 3) Aluminum Siding / Vinyl Siding / Steel Siding / Brick / Cedar / Frame / Block / EIFS (e.g. Dryvit) / Glass / Log / Masonite / Shakes / Stucco / Stone / Marble-Granite / Concrete / Asbestos Siding / Limestone / Slate / Other / Clad Trim Lot Description: (Max 6) Beach / Chain of Lake Frontage / Channel Front / Common Grounds / Corner / Cul-de-sac / Fenced Yard / Forest Preserve Adjacent / Golf Course Lot / Natural Preserve Adjacent / Wetlands Adjacent / Horses OK / Irregular / Lake Front / Professionally Landscaped /Legal Non-Conforming / Paddock / Park Adjacent / Pond / Riverfront / Stream / Water Rights / Water View / Wooded / Rear of Lot Roof Type: Asphalt / Glass (Rolled) / Asphalt/Glass (Shingles) / Metal / Rubber / Slate / Tar & Gravel / Tile / Wood Shank-Shingles / Other Foundation: Block / Brick / Concrete / Pillars / Reinforced Caisson / Stone / Wood / Other Exterior Property Features: (Max 6) Balcony / Deck / Patio / Porch / Greenhouse / Hot Tub / Roof Deck / Porch Screened / Gazebo / Storage Shed / Dog Run &/or Invisible Fence / Horse Barn / Pole Barn / Tennis Court(s) / Screened Patio / Screened Deck / Stamped Concrete Patio / Brick Paver Patio / Boat Dock/Mooring / Above Ground Pool / In Ground Pool / Storms/Screens Grill-Outdoors / Outdoor Fireplace Parking: Garage / Exterior Space / None Garage Ownership: Owned / Transferable Lease / NA Garage Type: (Max 2) Attached / Detached / None Is Parking Included in Price? Yes / No Garage On-Site: Yes / No # Garage Spaces: Garage Details: Garage Door Opener / Transmitter /Carport / Heated / Tandem / 7 Foot or more / None Driveway: Asphalt / Brick / Concrete / Dirt / Gravel / Circular / Shared / Off Alley / Side Drive / Heated / Other Total Above Ground Approx Sq Ft: Square Feet Source: Appraiser / assessor / Builder / Estimated / Landlord / Tenant / Seller / Other / Plans / Surveyor / Taped / Not Reported
4 Page4 # Bedrooms (all levels): Include all bedrooms regardless of above or below grade. # Full Baths: # Half Baths: Master Bedroom Bath: (Max 2) Full / Half / Shared / None Basement: (Max 2) Full / Partial / Walkout / English / None Basement Description: Finished / Partially Finished / Unfinished / Crawl / Cellar / Sub-Basement / Slab / Exterior Access / Other / Bathroom rough-in Basement Bathrooms: Yes / No # Interior Fireplaces: / None Fireplace Locations: Family Room / Living Room / Basement / Other / Loft Fireplace Details: See through/multi Sided / Wood Burning / Wood Burning Stove / Attached Fireplace Door / Electric / Gas Logs / Gas Starter / Heatilator Type System / Includes Accessories / Portable/ Ventless / Decorative Only / Foundation Only Attic: Dormer / Finished / Full / Interior Stair / Pull Down Stair / Unfinished Bath Amenities: (Max 6) Whirlpool / Sep Shower / Handicap Shower / Steam Shower / Double Sink / Bidet / Garden Tub / European shower / Full Body Spray Shower / Double Shower / Soaking Tub Interior Property Features: (Max 6) Vaulted/Cathedral Ceilings / Skylight(s) / Sauna/Steam Room / Hot Tub / Bar-Dry / Bar-Wet / Elevator / Hardwood Floors / Wood Laminated Floors / Heated Floors / Solar Tubes/Lights Tubes / 1 st Floor Bedroom / In-Law Arrangement / 1 st Floor Laundry / 2 nd Floor Laundry / Pool Indoors / 1 st Floor Full Bath Dining Room: Separate / With Living Room / With Family Room / L Shaped Kitchen: Eat-In Breakfast Bar / Eat-In Table / Galley / Island / Butler Pantry / Closet Pantry / Walk-in Pantry Appliances: Double Oven / Oven-Range / Microwave / Dishwasher / Dishwasher Portable / Refrigerator / High End Refrigerator / Refrigerator in Bar Area / Freezer / Washer / Dryer / Disposal / Compactor / Grill Indoors / All Stainless Steel Kitchen / Wine Cooler/Refrigerator
5 Page5 Additional Rooms: (any additional rooms need to be listed on room information sheet with room dimensions) 2 nd Kitchen / Atrium / Attic / Balcony / Bar / Bonus / Breakfast room / Den / Dark room / Deck / Eating Area / Enclosed Balcony / Enclosed Porch / Enclosed Porch Heated / Exercise room / Foyer / Gallery / Game room / Great Room / Library / Loft / Maid s Room / Media Room / Mud Room / Nursery / Office / Pantry / Play room / Recreation room / Screened porch / Sewing room / Sitting room. Suite / Study / Storage / Sun-Florida Room / Sun-Florida Room Heated / Tandem Room / Terrace / Theatre Room / Utility Room 1 st Floor / Utility Room 2 nd Floor / Utility Room Lower Level / Walk In Closet / Workroom Air Conditioning: Central Air / Partial / Space Pac / 1 window unit / 2 window units / 3+ window units / Zoned / None / Separate Systems Water: (Max 2) Lake Michigan / Public / Private Company / Well Community / Well Private / Well Private Company / Well Shared / Other Sewer: (Max 2) Septic Mechanical / Septic Private / Septic Shared / Sewer Public / Sewer Storm / Holding Tank(s) / Overhead Sewers / Other Electricity: Circuit Breaker / Fuses / 200+ Amp Service / 150Amp Service / 100Amp Service / 60Amp Service / 30Amp Service / 400 Amp Service or Greater Heat/Fuel: Gas / Electric / Oil / Propane / Solar / Forced Air / Hot Water-Steam / Baseboard / Radiant / Gravity Air /Heat Pump / Radiators / Space Heater / 2 Separate Heating Systems / Individual Controls / Zoned / Other / None Equipment: Humidifier / Water Softener Owned / Water Softener Rented / Central Vacuum / TV Cable / TV Dish /TV Antenna / TV Rotor / Security System / Intercom / Fire Sprinkler / CO Detectors / Ceiling Fan / Fan Attic Exhaust / Fan Whole House / Sump Pump / Sprinkler Lawn / Air Cleaner / Air Exchanger / Back-up Sump Pump / Radon Mitigation System / Power Generator Tax Year: Taxes $: Tax Exemptions: None / Homeowner / Senior / Senior Freeze Assessment/Association Dues $: / None Frequency: Annual / Monthly / Quarterly Monthly Assessment Includes: Heat / Air Conditioning / Water / Electric / Gas / Parking / Tax / Common Insurance /Security / Security System / Doorman / TV Cable / Clubhouse / Exercise Facility / Pool / Exterior Maintenance / Lawn Care / Scavenger / Snow Removal / Lake Rights / Other / None
6 Page6 Special Assessments: Yes / No Special Service Area: Yes / No Master Association Fee: Yes / No Lockbox: Yes / No If Yes: Combination Possession: Closing / Immediate / Negotiable Sale Terms: Conventional / FHA / VA / Release Required / Lease-Purchase / Owner May Help / Purchase Money Mortgage / Rent with Option / Trade-Exchange / Cash Only / Other Upon Acceptance Of An Offer: Continue to show Yes / No Are any of the owners a licensed Real Estate Agent or Broker? Yes / No ************************************************************************************* REQUIRED FOR CONDO & TOWNHOME SELLERS ONLY: Unit # Unit Level Total # of Units in Bldg Total # of Stories in Bldg # of days condo board has to approve sale For investors, can owner rent units? Yes / No Pets Allowed (Yes / No) Cats OK (Yes /No) Dogs OK (Yes / No) Count Limit (Yes / No) Weight Limit (Yes / No) Max Pet Weight Max Pet Limit Common Area Amenities: Bike Room / Boat Dock / Door Person / Coin Laundry / Commissary / Elevator / Exercise Room / Storage / Golf Course / Health Club / On-Site Manager / Park / Play Ground / Party Room / Sun Deck / Indoor Pool / Outdoor Pool / Receiving Room / Restaurant / Sauna / Security Door Locks / Service Elevator / Steam Room /Tennis Court / Valet-Cleaners / Whirlpool Window Exposures: North / South / East / West / Park / Lake / Water / Pond / Other Unit Features: Handicap Access / Handicap Equipment / Private Entrance / End Unit / Elevator / Laundry in Unit /Door Monitor by TV / Storage / Balcony / Vaulted Ceilings / Skylight / Hardwood Floors / Storm Screen / Fenced Yard / Deck / Patio / Porch / Greenhouse / Sauna-Steam Room / Grill-Outdoors / Dry Bar / Wet Bar / Master Antenna/ Hot Tub
7 Page7 Management Company - On Site / Off Site Name Address Telephone Contact Attorney information: (I advise that if possible your attorney should hold earnest money, irealty does not. Please verify with attorney they do accept earnest money.) Attorney will be holding earnest money Yes / No Name Firm Address City/State/Zip Telephone: Fax Seller Address / Forwarding information: Address City/State/Zip Telephone: Fax Residence Other Owner Signature(s) X Date Owner Signature(s) X Date
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SHADED BOXES DENOTES MANDATORY FIELDS APPENDIX - C
IDENTIAL GENERAL PROPERTY INFORMATION PROPERTY STRUCTURE INFORMATION APPENDIX - A APPENDIX - B APPENDIX - C APPENDIX - D o o APPENDIX - A Style of Dwelling Detached Row Unit Semi Detached Stack APPENDIX
VACANT LAND/MULTI-FAMILY Data Input Form SWMRIC (All Required Fields in Gray)
MLS # Assigned by Computer County Name: Tax ID: (Enter Tax ID without hyphens, ex: 111868900036000) Check if New or Under Construction Mailing Address: Street # - Modifier: - Direction: Street Name: Suffix:
REPLACE WITH ADDRESS
PROPERTY PREVIEW I PROPERTY REVIEW SHEET WATER//SEWER//PLUMBING City Water: Connected: In Street: Not in Street: Private Water: No Well: Yes Well on Property: Well Status: In Use/Operable: Not Used/Inoperable:
Remember to hold down the control key when selecting multiple choice items. MLS Number. Assessors Account # Street. Number. Street Name.
Fields required for Active status in BOLD Remember to hold down the control key when selecting multiple choice items Basic Information List Status County List Price Street Direction UnitNum Tax Lot MLS
Street #*: Street Dir: Street Name*: Street Type: City*: Zip Code*: State*: Unit #: Building #:
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