Residential Rental Data Input

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1 * = Required Field Residential Rental Data Input Listing Contract Information General Property Info Adult 55 Gated Horse Property Seasonal On leased Land *Property ID No: *Listing Date: *Sub Property Type Single Family Rental Condominium Rental Multi-Family Rental Rooming House Items to be excluded from Listing: *Buyers Agent Compensation Type *Service Type Full Service Limited Service Entry Only Dollar Amount % of a month s rent % of a month s rent for each year of the lease % of the gross lease value of the lease s first year % of the gross lease value of the lease s entire term *Expiration Date: *Listing Price ($): Commission/Compensation *Listing Contract Type Exc. Right to Sell/Lease Exc. Agency to Sell/Lease Exc. Right to Sell/Lease w/ Reserved Prospect Exc. Agency w/ Reserved Prospect Exc. Right to Sell/Lease w/ Variable Rate Comp Exc. Agency w/ Variable Rate Comp Compensation To Be Paid in the Event of a Lease Renewal Compensation Notes: *Compensation Amount (% or $): *List Agent ID List Agent Office Co-List Agent ID Co-List Agent Office Agent & Office Information List Agent Co-List Agent Listing Address Information Street # Pre-Direction Street Name Street Type Post Direction Unit # * *State *County *City *Zip *Neighborhood *Elementary School Middle School *Complex School Information Intermediate School *High School Lease/Rental Information *Date Available for Occupancy: *Pets Allowed Yes Ask Smoking Allowed Yes Additional Pet Information: *Security Deposit Information: If Also For Sale, That Listing s MLS # 1

2 Lease/Rental Information (continued) *Rental Duration (4 Max) Yearly Unfurnished Yearly Furnished Summer Unfurnished Summer Furnished Winter Furnished Winter Unfurnished Flexible Rent Terms Month-to-Month Short Term Academic Year One Week One Month Two Years Three Years Four Years Five Years *Landlord Requirements Credit Check References Required Security Deposit Lease Required Lease Restrictions Vacate Clause Annual Increase N/A *Tenant Responsibility (13 Max) Air Conditioning All Utilities Garage Space Cable TV Grounds Maintenance Common Area Maintenance Heat Credit Check Hot Water Electricity Insurance Exterior Maintenance Liability Insurance Mechanicals Parking Property Management Real Estate Taxes Recreation Fees Security System Sewer Snow Removal Structural Maintenance Trash Service Water t Applicable Landlord Responsibility (13 Max) Air Conditioning Garage Space All Utilities Grounds Maintenance Cable TV Heat Common Area Maintenance Hot Water Electricity Insurance Exterior Maintenance Liability Insurance Mechanicals Parking Property Management Real Estate Taxes Recreation Fees Security System Sewer Snow Removal Structural Maintenance Trash Service Water t Applicable *Year Built Year Built Source Approximate Owner Public Records *Style (2 Max) Cape Cod Colonial Contemporary Raised Ranch Ranch Split Level Townhouse Apartment Mid Rise Penthouse Studio Apt *New Construction Completed Model Structural Information A-Frame Antique Barn Bungalow Chalet To Be Built Torn Down & Rebuilt Under Construction Cottage Farm House Garden Ranch Georgian Colonial Half Duplex *Est Above Grade Heated SqFt Est Below Grade Heated SqFt Unit is on Level # Levels in This Unit *Is End Unit Yes High Rise Hi-Ranch Log Mediterranean Mobile Home Row House Saltbox Tudor Victorian *Attic Yes No (3 Max) Walk-up Access Via Hatch Pull-Down Stairs Finished Partially Finished Heated Floored Crawl Space Storage Space *Basement (6 Max) Full Full With Hatchway Full With Walk-Out Partial Partial With Hatchway Partial With Walk-Out Crawl Space Shared Basement Fully Finished Partially Finished Unfinished Heated Cooled Concrete Floor Dirt Floor Interior Access Garage Access Hatchway Access Walk-out Apartment Liveable Space Storage Sump Pump 2

3 *Garage/Parking (3 Max) Tandem Attached Garage Detached Garage *Garage (# of Cars) Under House Garage Carport Barn Structural Information Covered Garage Unpaved Paved Parking Garage Parking Lot Security RV/Boat Pad Driveway Type Private Shared (4 Max) Circular Paved Ashphalt Cement Crushed Stone Dirt Gravel Heated Exterior Features (9 Max) Awnings Deck Balcony French Doors Barn Fruit Trees Breezeway Garden Area Cabana Gas Grill Covered Deck Gazebo Guest House Gutters Hot Tub Kennel Lighting Paddock Patio Porch Porch-Enclosed Porch-Heated Porch-Screened Porch-Wrap Around Rooms Information Shed Sidewalk Stable Stone Wall Tennis Court Terrace *Total Rooms *Bedrooms *Full Baths *Half Baths Has In-Law Appartment Yes Possible Laundry Location Room Description (15 rooms Max) Room Type Length X Width Level Features (max 6 per room) 1) X 2) X 3) X 4) X 5) X 6) X 7) X 8) X 9) X 10) X 11) X 12) X 13) X 14) X 15) X Underground Sprinkler Underground Utilities Wrap Around Deck Room Type Selections- Bedroom - Den - Dining Room - Eat-in Kitchen - Family Room - Formal Dining Room - Full Bath - Great Room - Jack&Jill Bath Kitchen - Library - Living Room - Loft - Master Bath - Master Bedroom - MBR Suite - Media Room - Office - Other - Partial Bath - Rec/Play Room - Studio Apt - Study - Sun Room Room Level Selection- Lower - Main - Other - Upper Room Features Selections- 2 Story Window(s) - 9 ft+ Ceilings - Atrium - Balcony/Deck - Bay/Bow Window - Beams - Book Shelves - Breakfast Bar - Breakfast Nook - Built-In Hutch - Built-Ins - Cathedral Ceiling - Cedar Closet - Ceiling Fan - Combination Liv/Din Rm - Composite Floor - Concrete Floor Corian Counters - Country - Dining Area - Double-sink - Dressing Room - Dry Bar - Entertainment Center - Fireplace - French Doors - Full Bath - Galley Gas Log Fireplace - Granite Counters - Half Bath - Hardwood Floor - Hot Tub - Hydro-Tub - Interior Balcony - Island - LaminateFloor - Laundry Hookup Limestone Floor - L-Shaped - Marble Floor - On 3rd Floor - Palladian Window(s) - Pantry - Parquet Floor - Partial Bath - Pellet Stove - Plywood Floor - Remodeled - Skylight - Slate Floor - Sliders - Softwood Floor - Stall Shower - Steam/Sauna - Stone Floor - Studio - Sunken - Tile Floor - Travertine Floor Tub w/shower - Vaulted Ceiling - Vinyl Floor - Walk-In Closet - Wall/Wall Carpet - Wet Bar - Whirlpool Tub - Wide Board Floor - Wood Stove Additional Rooms Bonus Room Breezeway Exercise Room Foyer Greenhouse Laundry Room MudRoom Roughed-In Bathroom Sauna Sitting Room Staff Quarters Solarium Wine Cellar Workshop 3

4 *Appliances (12 Max) Allowance Electric Cooktop Gas Cooktop Cook Top Electric Range Gas Range Oven/Range Counter Grill Interior Features (continued) Wall Oven Microwave Range Hood Refrigerator Freezer Subzero Icemaker Dishwasher Disposal Compactor Instant Hot Water Tap Washer Electric Dryer Gas Dryer Dryer Wine Chiller Interior Features Audio System Humidifier *# Fireplaces Auto Garage Door opener Intercom Cable - Available Open Floor Plan Cable - Pre-wired Sauna Central Vacuum Security System Elevator Home Automation Appliances Electric Outlet(s) Entertainment System Lighting Lock(s) Security Sytem Thermostat(s) Handicap Features 32 Minimum Door Widths 60 Turning Radius Appliances are Low/Secure Bath Grab Bars Chair Lift Closet Bars Off Floor Exterior Curb Cuts Hallways 36+ Inches Wide Handicap Parking Hard/Low Nap Floors Lever Door Handles Lever Faucets Low Cabinetry Low Counters Modified Range Multiple Entries/Exits Raised Dishwasher Raised Toilet Ramps Remote Devices Roll-In Shower Roll-under Sink(s) Scald Control Faucets Special Needs Transport Lot & Location Information *Acres: Acres Source Approximate Owner Public Records *Zoning: In Flood Zone Yes *Direct Waterfront Yes Elevation Certificate Yes Restrictions & Encumbrances Renting Alterations Boats Trailer(s) Truck(s) Regulated Historic District Conservation Restrictions Flood Plain Restrictions Subject to Probate Covenant Deed Restrictions Easements Inland-Wetland Restrictions Lot Restriction(s) Right of Way Subject to Lot Release Nearby Amenities (8 Max) Basketball Court Bocci Court Commuter Bus Golf Course Health Club Lake Library Medical Facilities Paddle Tennis Park Playground/Tot Lot Putting Green Private Rec Facilities Private School(s) Public Pool Public Rec Facilities Public Transportation Shopping/Mall Stable\Riding Tennis Courts Walk to Bus Lines HOA Amenities (8 Max) Basketball Court Bocci Court Club House Elevator Exercise Room/Health Club Gardening Area Golf Course Guest Parking Health Club Medical Facilities Paddle Tennis Park Playground/Tot Lot Pool Private Rec Facilities Putting Green Security Services Shuttle Service Tennis Courts *Waterfront Features (4 Max) Direct Waterfront Frontage L. I. Sound Fronage Ocean Frontage Brook Harbor Pond Lake Access River Dock or Mooring Water Community Association Optional Association Required Beach Beach Rights View Walk to Water t Applicable 4

5 *Lot Description (6 Max) n Conforming Lot Rear Lot Interior Lot On Cul-De-Sac Historic District Water Frontage Zero Lot Line In Subdivision May be Subdividable Additional Land Avail. In Flood Zone Some Wetlands Lot & Location Information Dry Cleared Secluded City Views Water View Corner Lot Golf Course Frontage Golf Course View Level Lot Lightly Wooded Rocky Rolling Sloping Lot Treed Wooded *Pool Yes No (7 Max) Pool House Indoor Pool Above Ground Pool In Ground Pool Lap Pool *Heat Type (4 Max) Baseboard Gas on Gas Heat Pump Hot Air Hot Water Spa Infinity Edge Heated Power Lift Hydro Air Radiant Radiator Solar Ramp Entrance Slide Salt Water Safety Fence Utility Information Space Heater Steam Wall Unit Warm Air Alarm Auto Cleaner Concrete Fiberglass Wood/Coal Stove Zoned Heat Gunite Tile Vinyl Solar Cover Heat Fuel Bottle Gas Coal Electric Geothermal Kerosene Natural Gas Fuel Oil Propane Solar Wood *Water (2 Max) Public Water Connected Public Water In Street Private Water System Private Well Shared Well Well Required *Hot Water System (4 Max) Domestic 30 Gallon Tank 40 Gallon Tank 50 Gallon Tank 100 Gallon Tank Electric Natural Gas Oil Propane Solar Assisted Tankless Hotwater Hot Water Energy Features Energy Star Rated Home Energy Rating Built Green Certification Active Solar Passive Solar Extra Insulation Fireplace Insert Generator Geothermal Heat Heat Recovery Unit Humidistat Programable Thermostat Ridge Vents Storm Doors Storm Windows Thermopane Windows *Cooling (4 Max) Attic Fan Ceiling Fans Central Air Heat Pump Wall Unit Whole House Fan Window Unit Zoned *Fuel Tank Location In Ground n Applicable Above Ground In Basement In Garage Est Annual Heating cost: Annual Sewer Usage Fee *Sewage System (3 Max) Public Sewer Connected Public Sewer In Street Septic Shared Septic Sewer Assessment Info Cesspool Septic Required Radon Mitigation: Air Unknown Yes Radon Mitigation: Water Unknown Yes 5

6 HOA Information *Home Owners Association Yes Association Fee Frequency Annual Monthly Quarterly Special Assessments Yes Special Assessment Details: Property Management type Professional On Site Professional Off site Unit Owners Association Property Management Company Property Manager s Name Property Management s Phone Property Management s Association Fee Includes (9 Max) Club House Tennis Lake/Beach Access Security Service Grounds Maintenance Trash Pickup Snow Removal Heat Air Conditioning Hot Water Water Property Management Pest Control Pool Service Road Maintenance Insurance Flood Insurance Taxes Acceptable Financing Assumable Owner CHFA FHA VA Additional Information/ShowingTime *Where My Listings Go Homes.com IDX Realtor.com Zillow Group Homesnap *Display Property Address on Internet? Yes *Showing Instructions (Limit: 125 Characters) ShowingTime Instructions (Limit: 300 Characters) *Directions (Limit: 255 Characters) *Lockbox Description SmartMLS Elec. n-compatible Elec ECAR-SentriLock Combo Call List Office None Lockbox Location: *Owner: Owner Phone: *Sign Yes Occupied By: Owner Tenant Vacant Related MLS # *Bank Owned (REO) Yes 6

7 *Public Remarks (Limit: 1500 Characters) Remarks Public Remarks (Addendum) (Limit: 2400 Characters) Agent Remarks (Limit: 500 Characters) 7

8 Agreement/Disclosure VALID LISTING AGREEMENT STATEMENT I, the undersigned Broker or Authorized Agent, represent to the SmartMLS Inc, its members and cooperationg agents, that I have a valid and legally enforceable: (1.) Exclusive Right to Sell listing agreement; or (2.) Exclusive Agency listing agreement; or (3.) Exclusive Right to Lease agreement, with the owners of the above entitled property. The information contained in the data information sheet is, to the best of my knowledge and belief, true and accurate. Listing Broker or Authorized Agent Signature: Date: AUTHORIZATION TO USE THE MULTIPLE LISTING SERVICE AND DISCLAIMER The Undersigned Owner(s) authorize and instruct(s) the Broker to submit the information contained herein to the SmartMLS Inc, for the purpose of offering the property for sale or lease through its participants during the period specified. This information has been furnished by the Seller and/or other sources and is not guaranteed by the Broker. Owner(s) agree that the information herein is true and correct to his/her/their knowledge. It is understood that there is no contractual relationship between the Owner(s) and the SmartMLS Inc. Receipt of a copy of this Property Data Form is Acknowledged by Owner(s). Listing Broker or Authorized Agent Signature: Seller s Signature: Seller s Signature: Date: Date: Date: 8

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