Residential Data Input Form Page 1 of 8 North Texas Real Estate Information Systems, Inc. Residential Data Input Form Also includes input fields for Condominium and Townhouse Categories on last few pages INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED Fields REQUIRED for Active status denoted in BOLD BLUE WITH ( ). Italicized fields will be autofilled from public records, if available. MLS Information MLS # System Assigned Property Type (Assigned when Saved As Active) Status Active Pending Sold Range Pricing Yes No Low Price Condo Farm/Ranch Half/Duplex Single Family Townhome List Price (Above Required if answered Y to Range Pricing) Area Sub Area County Parcel ID Map Book Dallas Ft. Worth Other Denton Cooke Kaufman Hunt Rockwall Parker Hood Collin Grayson Ellis Johnson Hill Navarro Map Page Map Coord Street/Box # Street Name Unit # Street Direction East North South Northeast Northwest Southwest West Southeast City Street Type Zip Code Will Subdivide Yes No Subdivision (Defaults to No) Lot Block Multi Parcel ID N/A Yes No Additional Legal MUD District Yes No Office Information Listing Office Code Listing Office Name Autofilled List Office Phone Autofilled Listing Office Fax Autofilled List Office Address Autofilled List Office Address2 Autofilled Listing Office City Autofilled Listing Office State Autofilled List Office Zip Code Autofilled List Office Zip + 4 Autofilled Listing Agent ID List Agent Full Name Autofilled Agent Other Phone Autofilled Listing Agent Fax Autofilled
Residential Data Input Form Page 2 of 8 Office Information (cont.) Call for Appt Agent CSS Office Other Appt Phone Appt Phone Ext Builder EHS Owner List Agent Email Autofilled List Agent Website Autofilled Sub Agency Commission Buyers Agency Commission Variable Fee Yes No Listing Type Exclusive Right Sell/Lease (Select One) Exclusive Agency Limited Service ER EA w/reservations Listings will NTREIS Translator Realtor.com Limited Service EA Appear on Other Member Websites ER w/reservations Listing Date Expire Date Preferred Title Company Preferred Title Co. Title Co. Phone Title Co. Location Owner Permission to Video N/A Yes No For Intra Office Information Owner Name Owner Home Phone Seller Type (Select One) Builder Owner Foreclosure Call Agent Relo Occupancy Owner Tenant Vacant Owner Alt. Phone Occupant Occupant Alt. Phone Occupant Home Phone Showing Instructions 1 Showing Instructions 2 Secured Showing Instructions (50 character limit) Keybox # Shackle Code Combo CBS Code
Residential Data Input Form Page 3 of 8 # Bedrooms # Full Baths Property Information # Half Baths # Full Baths/1 st Level # Full Baths/2 nd Level # Full Baths/3 rd Level # Full Baths Bsmt Level # Half Baths/1 st Level # Half Baths/2 nd Level # Half Baths/3 rd Level # Half Baths Bsmt Level # Stories # Living Areas # Fireplaces # Dining Areas SqFt SqFt Source Appraiser Building Plan Tax Other (Select One - Defaults to Tax) Handicap Amenities Yes No List$/SqFt System Calculated (Defaults to No) Year Built Living 1 Length Living 1 Level (1 9, or B) (If Yes, Handicap Amenities Features Required) Year Built Desc. (Select One) Living 1 Width New Home - Complete New Home - Incomplete Unknown Preowned Proposed Living 2 Length Living 2 Width Living 2 Level (1 9, or B) Living 3 Length Living 3 Width Living 3 Level (1 9, or B) Formal Dining Length Formal Dining Width Formal Dining Level (1 9, or B) Breakfast Length Breakfast Width Breakfast Level (1 9, or B) Kitchen Length Kitchen Width Kitchen Level (1 9, or B) Master BR Length Master BR Width Master BR Level (1 9, or B) Bedroom 2 Length Bedroom 2 Width Bedroom 2 Level (1 9, or B) Bedroom 3 Length Bedroom 3 Width Bedroom 3 Level (1 9, or B) Bedroom 4 Length Bedroom 4 Width Bedroom 4 Level (1 9, or B) Bedroom 5 Length Bedroom 5 Width Bedroom 5 Level (1 9, or B) Study Length Study Width Study Level (1 9, or B)
Residential Data Input Form Page 4 of 8 Utility Length Property Information (cont.) Utility Width Utility Level (1 9, or B) Other Room 1 Length Other Room 1 Width Other Room 1 Level (1 9, or B) Other Room 2 Length Other Room 2 Width Other Room 2 Level (1 9, or B) Total Covered Parking # Garage Spaces # Carport Spaces Garage Length Garage Width (Above Required if answered # Garage Spaces) (Above Required if answered # Garage Spaces) Security System Yes No Pool on Property Yes No Lot Dimensions Acres HOA Mandatory None Voluntary HOA Dues HOA Billing Freq Annually Monthly Semi-Annual Quarterly Other (Above Required if answered HOA Mandatory) School District School 1 Type Bus 1 N/A Yes No School 2 Type Bus 2 N/A Yes No School 3 Type Bus 3 N/A Yes No School 4 Type Bus 4 N/A Yes No School Information School 1 Name School 2 Name School 3 Name School 4 Name Financial Information (All fields required if Assumable Non-Qualifying and Assumable Qualifying are entered as the Loan Type) Property Also for Lease Yes No Unexempt Taxes Loan Type Assumable Non-Qualifying Treat as Clear Balance Assumable Qualifying Equity System Calculated Mortgage Interest Rate Payment Payment Type Principal & Interest Principal, Interest & Lender Original Mtg. Date Taxes 2 nd Mortgage Yes No Principal, Int., & Ins. Principal, Int., Tax, Ins. Other (Select One)
Residential Data Input Form Page 5 of 8 Directions to Property 1 Directions to Property 2 Property Description 1 Property Description 2 Property Description 3 Property Description 4 Private Remarks 1 Private Remarks 2 Intra Office Remarks 1 Intra Office Remarks 2 Intra Office Remarks 3 Remarks Features Housing Type Style of House Apartment Garden/Zero Lot Line Resort Property A-Frame Geo/Dome Spanish Attached / ½ Duplex High Rise Single Detached Colonial Loft/Appt. Split Level Condo/Townhome Historical Conservation Dist. Singlewide w/land Contemporary/Modern Mediterranean Studio Designated Historical Lake House Underground Early American Oriental Traditional Doublewide w/land Log Cabin Vacation Home English Prairie Tudor Farm/Ranch House Manufactured (certificate exchanged) Flat Ranch Victorian French Southwestern Other Less than.5 Acre (not Zero) Lot Size/Acreage (Select One) Lot Description 3 Acres to 9.99 Acre Over 100 Acres Acreage Heavily Treed River Front.5 Acre to.99 Acre 5 Acres to 9.99 Acre Condo/Townhome Lot Adjacent to Greenbelt Horses Permitted Some Trees 1 Acre to 2.99 Acres 10 Acres to 100 Acres Zero Lot Line Canal (Man Made) Interior Lot Subdivision Corner Irregular Tank/Pond Creek Landscaped Undivided Cul de Sac Large Backyard Grass Water/Lake Front
Residential Data Input Form Page 6 of 8 Exterior Features Lot Description (cont.) Cultivated No Backyard Grass Water/Lake View Golf Course Lot Partially Cultivated Other Green Belt Pasture Other Arena Gutters Sport Court Black Limestone Unknown Balcony Lighting System Sprinkler System Clay Rocky/Shale Other Boat Dock/Slip Patio Covered Stable/Barn Fill Sandy Loam Covered Porch(es) Patio Open Storage Building Equestrial Center Private Hangar Tennis Court(s) Gazebo Private Landing Slip Wood Deck Greenhouse RV/Boat Parking Workshop Grill Satellite Dish Other Guest Quarters Sport Court Mineral Rights (Select One) Soil Construction Mineral Rights Partial Mineral Rights Other Brick Log Stucco No Mineral Rights Unknown Common Wall Rock/Stone Wood Fiber Cement Siding Other Foundation Roof Basement Piered Beam Slab Slab Built-Up Metal Tile/Slate Bois D Arc Post Pilings Other Composition Overlay Wood Shake Pier & Beam Concrete Shake Metal Wood Shingle Fiber Cement Tar/Gravel Other Backyard Pool Features Type of Fence Above Ground Heated Lap Pool Automatic Gate Iron Rock/Stone Attached Spa In Ground Fiber Glass Play Pool Barbed Wire None Slick/Smooth Wire Cabana In Ground Gunite Pool Perimeter Fence Brick Partially Fenced Vinyl Cleaning System In Ground Vinyl Separate Spa/Hot Tub Chain Link Pipe Wood Custom Cover Indoor Other Cross Fenced Rail Other Diving Dog Run Parking/Garage Street/Utilities Assigned Has Sink in Garage Side Aerobic Septic Co-op Water Private Sewer Co. Attached None Swing Drive All Weather Road Curbs Private Water Co. Circle Drive Opener Tandem Style Alley Dirt Septic Covered Outside Entry Unassigned Asphalt Gravel/Rock Sidewalk Detached Oversized Uncovered City Sewer MUD Sewer Underground Utilities Front Porte-Cochere Workbench City Water MUD Water Well Garage Conversion Rear Other Community Mailbox Overhead Utilities Other Golf Cart Garage Concrete Private Road Common Features HOA Includes (Required if answered HOA Mandatory) Boat Ramp Guarded Entrance Private Lake/Pond All Utilities Full Use of Facilities Security Campground Horse Facilities Public Hangar Back Yard Maintenance Gas Sprinkler System Club House Jogging /Bike Path Racquet Ball Blanket Insurance Management Fees Trash Comm. Sprinkler System Landing Strip RV Parking Electric None Water/Sewer Common Elevator Laundry Sauna Exterior Maintenance Partial Use of Facilities Other Community Pool Marina Spa Front Yard Maintenance Reserves Gated Entrance Park Tennis
Residential Data Input Form Page 7 of 8 Common Features (cont.) Golf Perimeter Fence Other Greenbelt Playground Interior Features Bed/Bath Features Bay Windows Multiple Staircases Wainscoting Bidet Jack/Jill Bath Separate Vanities Cable TV Available Paneling Water Filter Built-ins Jetted Tub Sitting Area in Master Central Vac Plantation Shutters Water Purifier Double Shower Linen Closet Split Bedrooms Decorative Lighting Skylights Water Softener Fireplace in Master Medicine Cabinet Steam Shower Dry Bar Smart Home Features Wet Bar Garden Tub Murphy Bed Walk-in Closets Elevator Sound System Wiring Window Coverings Hollywood Bath Separate Shower Other Intercom Vaulted Ceilings Other Loft Specialty Rooms Fireplace Type Dark Room Media Room Solarium/Sunroom Blower Fan Freestanding Metal Box Exercise Room Mud Room Spa/Hot Tub Room Brick Gas Logs See Through Fireplace Extra Storage Room Music Room Unfinished Bonus Room Decorative Gas Starter Stone Game Room Sauna/Steam Room Wine Cellar Direct Vent Insert Wood Burning Library/Study Second Master Other Electric Masonry Other Kitchen Equipment Kitchen Other Built-in Compactor Disposal Oven-Electric Breakfast Bar Eat-in Kitchen Tile Countertop Built-in Icemaker Double Oven Oven-Gas Butlers Pantry Galley Kitchen Walk-in Pantry Built-in Microwave Built-In Refrigerator/Freezer Drop in Range/Oven- Electric Plumbed for Gas in Kitchen Corian/Corian Type Countertop Drop in Range/Oven-Gas Self Clean Dumb Waiter Island Built-in Wine Cooler Dual Fuel Range Vent Mechanism Convection Oven Cooktop-Electric Freestanding Range- Electric Freestanding Range- Gas Cooktop-Gas Indoor Grill Other Dishwasher Indoor Grill Other Utility Room Warmer Oven Drawer Water Line to Refrigerator Granite/Granite Type Countertop Alarm/Security Type Other Drip/Dry Area None Utility Closet Burglar Firewall(s) Pre-Wired Dryer Hookup-Elec Room for Freezer Utility in Garage Carbon Monoxide Detector Leased Smoke Detector Dryer Hookup-Gas Second Pantry Utility in Kitchen Exterior Security Light(s) Monitored Unknown Floor Drain Separate Utility Room Washer Hookup Fire/Smoke Owned Other Full Size W/D Area Sink in Utility Other Fire Sprinkler System Laundry Chute Stacked W/D Area Flooring Heating/Cooling (2 Required) Brick/Adobe Marble Vinyl Addtl Water Heater(s) Gas Jets Propane Carpet Parquet Wood Central Air-Electric Geotherm Solar Ceramic Tile Slate Wood Under Carpet Central Air-Gas Heat Pump Space Heater Concrete Stone Other Central Heat-Electric Humidifier Two(+) Pipe (Condo) Laminate Terrazzo Central Heat-Gas No Air Window Unit Direct Vent No Heat Zoned Electrostatic Air Filter Panel/Floor/Wall Other
Residential Data Input Form Page 8 of 8 Energy Features Handicap Amenities (Required if answered Y to Handicap Amenities) Attic Fan Solar Panels Tinted Windows Elevator Meets ADA Requirements Wide Doorways Ceiling Fans Solar Screens Turbines Hand Rails Ramp Other Gas Water Heater Storm Door(s) Ventilator Lower Fixtures Wheelchair Access Insulated Doors Storm Window(s) Other None Thermo Windows Special Notes Assumption Info 1 st Right of Refusal Owner/Agent Verify Rollback Tax Balloon Escrow to be Prorated Private Assumable Affordable Housing Res. Service Contract Verify Tax Exemptions Bond FHA Assumable Release Liability Req. Deed Restrictions Special Contracts/Provisions Virtual Tour Buydown Fixed Texas Vet Assumable Flowage Easement Verify Flood Insurance Other Conventional Assumable Graduated/Adjusted VA Assumable HUD/VA Credit Report Req. Not Assumable VA Reinstatement Req. Escalating Proposed Financing Possession Assumption of Equity FHA Texas Vet Closing/Funding Negotiable Other Bond Money FMHA Trade/Exchange Lease Outstanding Specific Date Cash Lease Purchase VA Conventional Owner Carry First Other Federal Land Bank Owner Carry Second Showing Agent or Owner Present Combo Lockbox Key in Office Appointment (Appt Svc only) Courtesy Call (Appt Svc only) No Lock Box Appointment Service Go (Appt Svc only) Sign on Lot Call-Key Box Go-Key Box Special Owner(s) have examined the information contained in this profile sheet and warrant that the information contained herein is true and correct to the best of their knowledge. Owner s Signature Owner s Signature Signed the day of 20 NOTE: Any information changes and/or status changes should be made on a separate listing modification form and entered into the Multiple Listing Service within the time specified in the Multiple Listing Service Rules & Regulations. I certify that a written listing agreement has been executed on the above property and that it complies with the Rules & Regulations of the Multiple Listing Service. Participant/Subscriber for Participant