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Attached Single Family Form Status* * = Required field Active Incoming Agent Listing Agent Information Listing Agent ID*: Showing Info Showing Phone: Showing Email: Co-Listing Agent ID: Showing Notes: Max 1000 Characters Coop Compensation Buyers Agency Transaction Broker Compensation ($ or %)*: Compensation ($ or %)*: Listing Contract Type*: Exclusive Right Exclusive Agency Listing Contract Type: Variable Commission*: Yes No Submitted Prospect*: Yes No General Address County*: Tax ID* (formerly PIN): Street #*: Street Dir: Street Name*: Street Type: City*: Zip Code*: State*: Unit #: Building #: Property Info Legal Description*: Zoning: Incorporated: Yes No Locale*: Status & Listing Information Complex Name: Expiration Date*: Investor Blackout Ends: No Showings Until: Price Type*: Auction Base List Price*: Auction Price: Lowest Bid N/A Reserve Price Seller Type*: Bank/GSE Builder Corporation/Trust Estate Gov t Individual Relo Company Status Conditions*: Court Equitable Interest Known Short Sale REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 1

Loan & Tax Information Taxes*: Tax Year*: Senior Tax Exemption: Financial Terms*: Cash Conventional Exchange FHA Jumbo Lease Purchase Owner Will Carry Private Financing Qualified Assumption USDA VA Property Information: 1031 Exchange Accessible/Handicap Features Agent Owner Buyers Warranty Fix-Up HUD Owned Income History Available Income Potential Quick Move-In Rent-to-Own Quick Possession Reservations/Pre-Sale Subdividable Tenant Occupied Rentals Allowed: Long Term Short Term Financial Terms: Partial Ownership Partial Ownership Type: Fractional Not Applicable Shared Interest Time Share Vacation Club Partial Ownership Amount: 1/2 1/4 1/7 1/8 1/10 1/12 1/52 Ownership: Club Membership Fee Simple Right to Use Weeks Available: Region Info Week Remarks: Steamboat Springs Region Info Applies only to listings entered by Steamboat Springs Board of REALTORS members. Buyer Tour Region*: Building Steamboat Springs Development*: Building Information - Attached Single Family Style*: Condominium Multi-unit Townhouse # of Stories in this Unit*: Architecture: 5+ Plex (1 unit) Cluster Cottage Loft Mid-century Modern Paired/Duplex (1 unit) Quadplex (1 unit) Studio Triplex (1 unit) Urban Contemporary Style Characteristics: Low Rise (1-3) Mid Rise (4-7) High Rise (8+) Side-by-Side # of Units in Building: Year Built*: End Unit: Yes No Unit Level: Garden Ground Penthouse Or (Floor #): Building Information Builder Name: Construction & Exterior Construction*: Block Brick Concrete Earth Berm Frame Log Insulated Concrete Manufactured Metal Frame Mobile Modular Straw Bale Structural Steel REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 2

Exterior Materials*: Adobe Asbestos Brick Cedar Siding Roofing Materials*: Architectural Shingles Built-Up(Tar & Gravel) Cement Shake Composition Shingles Cement Board Log Metal Siding Concrete Tile Fiberglass Metal Green Features & Certifications Year Certified Rock Stone Stucco Vinyl Siding Rolled Roofing Slate Solar Shingles Simulated Shake Year Installed Wood Siding Spanish Tile Unknown Wood Stone-Coated Steel HERS Rating : HERS Score: Solar PV: Kilowatts: Energy Star Qualified Home: Home Energy Score: LEED for Homes: Solar Thermal: Solar Thermal Type: Energy Features Addendum Uploaded: LEED Level: Certified Silver Gold Platinum NAHB/ICC-700: NAHB/ICC-700 Level: Bronze Silver Gold Emerald Certifications: New Home Building Information Model Name/Elevation Name: Time of completion from groundbreaking: Construction Details: New Home Under Construction Community Details Community Name: Community Website: MLS # of New Home Community Listing: MLS # of Associated Land Listings: Lot #: Available Options: Max 1000 Characters Current Promotions: Max 1000 Characters REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 3

Interior Square Feet & Basement Measurement Source: Appraiser Builder County Records Floor Plans Listor SqFt Upper: Date Measured: Basement Size*: Full Partial SqFt Main: Sqft Finished : Basement Type: Cellar Garden Level SqFt Lower: Finished Standard Walk-out Sqft Above*: Carriage House Basement Finished: Yes No Guest House Sqft Basement: Basement % Finished: Mother-In-Law SqFt Total*: (refer to remarks) Basement Ceiling Height: SqFt Finished*: HVAC Subfloor/Foundation Type: Block Wall Slab Concrete Wall Structural Crawl Space Fuel Type*: Coal Electric Gas Heat Pump/Thermal Hot Water Oil Pellet Propane Solar Wood Heating Type*: Baseboard Floor Furnace Forced Air Gravity Hot Water Radiant Solar Active Solar Passive Space Heater Steam Stove Wall Heater Cooling*: Air Conditioning-Central Air Conditioning-Room Attic Fan Ceiling Fan Evap. Cooler (Swamp) HVAC: Central Hot Water Electric Water Heater Electronic Air Filter Gas Water Heater Humidifier Propane Water Heater Solar Water Heater HVAC Detail: Fireplace Features # of Fireplaces: Fireplace Locations: Basement Bedroom Dining Room Family Room Great Room Kitchen Living Room Master Bedroom Outdoor Rec/Bonus Room Fireplace Types: Coal Electric Firepit Free-standing Insert Gas/Gas Logs KIVA Pellet Recirculator Wood REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 4

Features Interior Features: Breakfast Nook Built-Ins Cable Available Double Pane Windows Eating Space / Kitchen Elevator Exercise Room Exterior Basement Entrance Five Piece Bath Foyer/Entry Fully Furnished Game Room Handicap Accessible Heated Basement Home Theater Hot Tub/Spa Jack & Jill Bath Jet Action Tub Kitchen Island Master Bath Master Suite No Stairs Open Floor Plan Interior Basement Entrance Internet Access (Wired) Pantry Sauna Pet Free Pool, Indoor Radon Mitigation System Remodeled Security Entrance Security System Skylights Smoke Free Speakers, Built-in Steam Room Storm Windows Sump Pump Updated Utility Sink Wet Bar T&G Ceilings Triple Pane Windows Vaulted Ceiling Walk-in Closets Window Coverings Work Shop (Interior) Appliances: Central Vacuum Compactor Convection Oven Cook Top Dishwasher Disposal Double Oven Downdraft Dryer Freezer Range Hood Microwave Oven Refrigerator (Kitchen) Refrigerator () Self-Cleaning Oven Smoke Alarm Stove/Range/Oven Sump Pump Warming Oven/Drawer Washer Water Purifier Water Softener Wine Cooler Flooring: Carpet Concrete Laminate Parquet Stone Tile Floor Vinyl/Linoleum Wood Floors Smart Home Features: Air Quality Monitor Alarm/Security System Audio/Video Controls Carbon Monoxide Detector Ceiling Fans Dishwasher Door Locks Dryer Freezer Garage Door HVAC/Fans/Vents Lighting Microwave Pool Alarm Radon Detector Refrigerator Smoke Detector Sprinklers Stove/Oven Thermostat Security Cameras Video Doorbell Washer Water Leak/Flood Alarm Window Coverings Countertop Type: Block Butcher Concrete Corian Granite Marble Laminate Limestone Quartz Solid Surface Stainless Steel Tile Stone Synthetic Laundry: Washer/Dryer Included W/D Hookups in Unit Shared Laundry in Building Coin-operated REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 5

Rooms Note: Bedroom and bathroom level required per REcolorado Rules & Regulations Detailed Room Information 1 Room Type: Level*: Room Dimensions: x 2 Room Type: Level*: Room Dimensions: x 3 Room Type: Level*: Room Dimensions: x 4 Room Type: Level*: Room Dimensions: x 5 Room Type: Level*: Room Dimensions: x 6 Room Type: Level*: Room Dimensions: x Summary Bed and Bath Information Total Bedrooms*: Full Baths*: 3/4 Baths*: 1/2 Baths*: 1/4 Baths*: Rough In Bath: Site Property Size Lot Size SqFt: Lot Size Acres: Front Faces: E N NE NW S SE SW W Site, Property Features, and Utilities Site Adjacent to Greenbelt Adjacent to Open Space Adjacent to Park Borders National Forest Borders Public Land Corner Lot Cul-de-Sac Ditch Irrigated Gated Community Golf Community Historical District Near Public Transit Near Ski Area On Golf Course Recreation Secluded Protected Watershed Ski In /Ski Out Waterfront Suitable for Grazing Views: City View Golf Course View Mountain View River/Lake View Ski Area Valley Water Sources: Cistern Community Public Spring Well Exterior Features: Balcony Covered Deck Covered Patio Deck Dog Run Elevator Access Exterior Basement Entrance Fence Fenced Pasture Front Porch Garden Area Gas Grill Greenhouse Grill Gutters Heated Gutters Hot Tub/Spa Lighting Patio Solar Maintenance Free Exterior Playground Area Pond/Lake Pool, Private Professional Landscaping Satellite Dish Sprinkler System Utility Shed Water Feature Yard Tennis Court, Private Wraparound Porch REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 6

Site Type: Agricultural Caretaker / Multiple Homes Allowed Live/Work (Mixed Use) Mining Claim Mobile Homes Allowed Modulars Allowed Ranch Mountain Property Vineyard Primary Road: Alley Dirt Road Easement Gravel Road Lease Paved Road Type & Distance to Public Transit Light Rail: Bus: : Public Transit Distance Type: Blocks Feet Miles Minutes Steps Access Maintained By: City County Forest Service Private State Tenant Utilities Sewer: Electricity: Electricity Service: Gas: Gas Type: Community Holding Public Septic Available No Yes To Lot Line 110v 220v 440v Phase 3 Single Phase Available No Yes Natural Propane Parking Parking & Vehicle Storage Features Parking Features: 220 Volts Driveway-Asphalt Driveway-Brick Driveway-Circular Driveway-Concrete Driveway-Dirt Driveway-Gravel Dry Walled Finished Floor Coating Heated Exterior Access Door Indoor RV Storage Insulated Lift Natural Light Oversized Deep Oversized Door Oversized Wide Pit Tandem Available Amps: 1 Parking Type*: Carport (Attached) Carport (Detached) Community Parking Garage Covered Parking Garage (Attached) Garage (Detached) Off-street Parking Lot Recreational Vehicle Reserved # of Spaces*: Length: Width: Features: 2 Parking Type*: Carport (Attached) Carport (Detached) Community Parking Garage Covered Parking Garage (Attached) Garage (Detached) Off-street Parking Lot Recreational Vehicle Reserved # of Spaces*: Length: Width: Features: 3 Parking Type*: Carport (Attached) Carport (Detached) Community Parking Garage Covered Parking Garage (Attached) Garage (Detached) Off-street Parking Lot Recreational Vehicle Reserved # of Spaces*: Length: Width: Features: REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 7

Community School Information School District*: Elementary*: Jr High/Middle*: Sr High*: School of Choice / Open Enrollment: Yes No HOA/Management Company Information Are there HOAs or Management Companies?*: Yes No Multiple HOAs or Management Companies? Yes No Master HOA/Management Company: 2nd HOA/Management Company: 3rd HOA/Management Company: Master HOA: Master HOA Phone #: Master Website: Master HOA Type: Professionally Managed Self Managed Voluntary Master HOA Fee: Master Fee Quoted: Annual Monthly Quarterly Semi-Annually Included in Property Tax Additional HOA Information 2nd HOA: 2nd HOA Phone #: 2nd Website: 2nd HOA Type: Professionally Managed Self Managed Voluntary 2nd HOA Fee: 2nd Fee Quoted: Annual Monthly Quarterly Semi-Annually Included in Property Tax 3rd HOA: 3rd HOA Phone #: 3rd Website: 3rd HOA Type: Professionally Managed Self Managed Voluntary 3rd HOA Fee: 3rd Fee Quoted: Annual Monthly Quarterly Semi-Annually Included in Property Tax HOA Includes: Cable TV Capital Reserves Clubhouse Common Area Grounds Maintenance Community Pool Concierge Covered Parking Electricity Exterior Maintenance w/ Roof Exterior Maintenance w/ out Roof Fitness Facility Gas Heat Indoor Hot Tub Insurance Internet Sauna Sewer Irrigation Water On-Site Check In Outdoor Hot Tub Recycling Road Maintenance Shuttle Available Restrictions & Covenants: Age Restricted Covenants Dogs OK No Covenants Appreciation Restrictions First Right Ownership Retention Cats OK Income Restriction Pet Restrictions Deed Restrictions No Animals Pets Only Allowed for Restrictions: HOA Transfer Amount ($ or %): Snow Removal Storage Tennis Courts Trails Trash Removal Valet Water Owner Special Assessment Private Transfer Amount ($ or %): Status Letter Amount ($ or %): REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 8

Internet Display Based on your listing agreement, select if this listing and the listing s address will be displayed on the Internet. Internet display includes REcolorado.com and IDX websites. * Internet display of listing: Yes No Internet display of address: Yes No Listing Syndication Settings Indicate the syndication channel(s) for your listing: Note: Contact your Managing Broker to confirm available syndication channel(s) You can make this listing available on REcolorado.com and IDX websites before it displays on syndication channels. Please select the date you would like your listing made available to selected syndication channel(s). Listing Syndication Date: Remarks Public Remarks: Broker Remarks: Max 1000 Characters Directions: Max 1000 Characters Exclusions*: Title Company: Earnest Check To*: Possession : Minimum Earnest Amount ($): REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 9

Under Contract Status Conditions*: Court Equitable Interest Known Short Sale Contingent Approval Conditions*: Kick Out - Contingent on home sale Known Offer accepted awaiting REO approval Offer accepted contingent on court approval Offer waiting on RELO company approval Short Sale - Have signed offer(s) waiting on lender approval Short Sale - Have unsigned offer(s) waiting on lender approval Under Contract Date*: Accepting Backup Offers: Yes No Sold Sold Price*: Buyer Broker Paid By: Buyer Listor/Seller Owner Sold Date*: Property Manager Sold Terms*: Cash Conventional Exchange FHA Lease Purchase Owner Will Carry USDA Qualified Assumption VA Wrap Around Selling Agent ID*: Co-Selling Agent ID: Sales Concessions Concessions*: Buyer Closing Costs/Seller Points Paid Cash Personal Property Seller Dn Pmt Assistance Total Concession Amount*: Broker Closing Comments: Max 250 Characters REcolorado 6455 S. Yosemite St., Suite 500 Greenwood Village, CO 80111 P 303.850.9576 F 303.850.9637 rev 6/17 Page 10