* = Required Field *List Agent ID List Agent Office Co-List Agent ID Co-List Agent Office Condo/Coop for Sale Data Input Listing Contract Information General Property Info Adult 55 Gated Horse Property Seasonal On leased Land *Sub Property Type *Listing Contract Type *Property ID No: Condo Exc. Right to Sell/Lease *Listing Cooperative Exc. Agency to Sell/Lease *Expiration *Service Type Exc. Right to Sell/Lease w/ Reserved Prospect *Listing Price ($): Full Service Exc. Agency w/ Reserved Prospect Limited Service Exc. Right to Sell/Lease w/ Variable Rate Comp Home Warranty Offered: Yes Entry Only Exc. Agency w/ Variable Rate Comp Items not incuded in sale: *Buyer Agent Compensation Percentage % Dollar Amount $ Commission/Compensation *Potential Short Sale Yes No Short Sale Comments Agent & Office Information List Agent Compensation Notes Co-List Agent Listing Address Information Street # Pre-Direction Street Name Street Type Post Direction Unit # * *State *County *City *Zip *Neighborhood Complex Name School Information *Elementary School Middle School Intermediate School *High School *Property Tax $ *Assessment $ Tax Information *Mil Rate *Tax Year District Tax $ *Year Built Year Built Source Approximate Owner Public Records *New Construction Completed Model Structural Information To Be Built Torn Down & Rebuilt Under Construction *Total # of Units in Complex *Est Above Grade Heated SqFt Est Below Grade Heated SqFt 1
Structural Information (continued) Unit is on Level # Levels in This Unit *Is End Unit Yes *Pets Allowed: Yes No Ask Pet Information *Style (2 Max) Ranch Townhouse Apartment Mid Rise Penthouse Studio Apt Half Duplex High Rise Row House Single Family Detached *Construction Information (3 Max) Frame Brick Stone Block Concrete Masonry Steel Stucco *Exterior Siding (3 Max) Color Shingle Shake Clapboard Vinyl Siding Aluminum Vertical Siding Brick Cedar Logs Redwood Stone Wood Asbestos Block Cement Block Metal Poured Concrete Steel Siding Stucco Exterior Features (9 Max) Awnings Balcony Barn Breezeway Cabana Covered Deck Deck French Doors Fruit Trees Garden Area Gas Grill Gazebo Guest House Gutters Hot Tub Kennel Lighting Paddock Patio Porch Porch-Enclosed Porch-Heated Porch-Screened Porch-Wrap Around Shed Sidewalk Stable Stone Wall Tennis Court Terrace Underground Sprinkler Underground Utilities Wrap Around Deck *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 *Garage/Parking (3 Max) Tandem Attached Garage Detached Garage *# of Garage Cars Under House Garage Carport Barn Covered Garage Unpaved Paved On Street Parking Off Street Parking Security RV/Boat Pad *Attic Yes No (3 Max) Walk-up Access Via Hatch Pull-Down Stairs Finished Partially Finished Heated Floored Crawl Space Storage Space Rooms Information Laundry Information *Rooms *Bedrooms *Full Baths *Half Baths Has In-Law Appartment Yes Possible In-Law Appartment Access Detatched First Floor Lower Level Over Garage Possible Second Floor Separate Entry 2
Rooms Information 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 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 Mud Room Roughed-In Bathroom Sauna Sitting Room Staff Quarters Solarium Wine Cellar Workshop Interior Features *Appliances Included (12 Max) Allowance Electric Cooktop Gas Cooktop Cook Top Electric Range Gas Range Oven/Range Counter Grill 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 (6 Max) *# Fireplaces Audio System Humidifier 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) 3
Interior Features (continued) Handicap Features (7 Max) 32 Minimum Door Widths 60 Turning Radius Appliances are Low/Secure Bath Grab Bars Chair Lift Closet Bars 15-48 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 *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 Nearby Amenities Basketball Court Bocci Court Commuter Bus Golf Course Health Club Lake (8 Max) 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 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 *Lot Description On Cul-De-Sac Historic District Water Frontage Horse Property Some Wetlands (6 Max) Secluded City Views Water View Corner Lot Golf Course Frontage Golf Course View Level Lot Lightly Wooded Rolling Sloping Lot Treed Wooded *Swimming Pool Yes No (7 Max) Pool House Indoor Pool Above Ground Pool In Ground Pool Lap Pool Spa Infinity Edge Heated Power Lift Ramp Entrance Slide Salt Water Safety Fence Alarm Auto Cleaner Concrete Fiberglass Gunite Tile Vinyl Solar Cover 4
Utility Information *Heat Type Baseboard Gas on Gas Heat Pump Hot Air Hot Water Hydro Air Radiant Radiator Solar Space Heater Steam Wall Unit Warm Air Wood/Coal Stove Zoned Heat Heat Fuel Bottle Gas Coal Electric Geothermal Kerosene Natural Gas Fuel Oil Propane Solar Wood *Fuel Tank Location In Ground n Applicable Above Ground In Basement In Garage Est Annual Heating cost: *Water (2 Max) Public Water Connected Public Water In Street Private Water System Private Well Shared Well Well Required *Hot Water System 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 Attic Fan Ceiling Fans Central Air Heat Pump Wall Unit Whole House Fan Window Unit Zoned Annual Sewer Usage Fee *Sewage System (3 Max) Public Sewer Connected Public Sewer In Street *Home Owners Association Yes Association Fee HOA Information Special Assessments Yes Special Assessment Details: Frequency Annual Monthly Quarterly Property Management type Professional On Site Professional Off site Unit Owners Association Property Management Company Property Manager s Name Property Management s Phone Septic Shared Septic Sewer Assessment Info Cesspool Septic Required Property Management s Email Water Property Management Pest Control Pool Service Radon Mitigation: Air Unknown Yes Radon Mitigation: Water Unknown Yes Association Fee Provides (9 Max) Club House Trash Pickup Tennis Snow Removal Lake/Beach Access Heat Security Service Air Conditioning Grounds Maintenance Hot Water Road Maintenance Insurance Flood Insurance Taxes 5
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 *Public Remarks Lockbox Location: *Possession/Occupancy: *Owner: Owner Phone: (Limit: 1500 Characters) Remarks *Sign Yes Occupied By: Owner Tenant Vacant *Bank Owned (REO) Yes Related MLS # 6
Remarks/Directions Public Remarks (Addendum) (Limit: 2400 Characters) Agent Remarks (Limit: 500 Characters) 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: 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: 7