LISTING INFORMATION Land Matrix Input Sheet Revised 12/2016 REQUIRED FIELD MLS # Status Active Contingent Lease Pend Cont Show Pending Sold Leased Withdrawn Hold Expired Listing Type ER EA ME NA Sale/Rent Both NonMLS Rent Sale Property Owner Private Non Private Occupied By Owner Tenant Vacant List Price $ List Date Expiration Date Owner Name Residence (Y/N) LOCATION INFORMATION Area Z Area Y Street # Street Name Suffix Unit Number Town Parish Directions Zip Code Zip +4 Legal Community Golf Lake Tennis Trails Clubhouse Playground Stable Subdivision Gated (Y/N) Parcel Number Lot Dimensions Zoning School District Junior High Elementary School Senior High GENERAL INFORMATION Type Farm Land Lot House Type Condo Townhouse Patio Home Modular None Single Manufactured/Mobile Acres Est. Waterfront (Y/N) Beds Full Baths Heated SF Half Baths Approx. Total SF Year Built Seller's Initial Page 1
Soil Clay Gumbo Clay Loam Gravely Sandy Sand Loam Property Description (choose up to 2) Cleared Cut Over Heavy Wood Mixed Brush Part Clear Part Wood Reservation Crop & Lot Crop & Field Hay & Barn Livestock Mineral Reserves Part Mineral Res Timber Reserve Lot Description Bayou Canal Corner Lot Cul-de-Sac Golf Lakefront Lake View Pond Riverfront Construction Aluminum Siding Asbestos Block Brick Veneer Brick Frame Cedar Concrete Curtain Wall EIFS Log Metal Other Stone Stucco Vinyl Siding Wood Frame Use Agriculture Crop Agriculture Past Planned Develop Resort/Vacation Industrial Manufacturing Mobile Homes Multi-Family Non-Conforming Professional Off Recreational Wat Residential Retail Timber Unimproved Vacant Woodland Special Excep No Zoning Topography Bottom Land Interior Irregular Level Rectangle Rolling Rough Sloped Varied FEATURES/UTILITIES Type Farm Beef Cattle Cotton Dairy Horse Breeding Other Peach Pecan Plantation Poultry Soy Bean Wheat Cooling Fuel Electric Gas Heating Fuel Electric Gas Room Computer Nook Darkroom Den Exercise Room Game Room Keeping Library Living Mud Study Sunroom Training Center Share Track Start Gate Track Owned Fence Barb Wire Brick Board Chain Link Dog Run Fully Fenced Mixed None Partial Fence Poor Condition Private Rail Fence Security Gate Smooth Wire Vinyl/PVC Wire Wrought Iron Cross Fenced Dining Breakfast Bar Breakfast Room Eat in Kitchen Kitchen/Dining Building Miscellaneous Living/Dining Separate Cow Barn Crop Field Equip Negotiable Feeders Hay Barn Horse Barn Horse Walker Livestock Outbuilding Storage Building Workshop Heating Central Central Unit Forced Air Floor Furnace None Office Area Only Panel Ray Space Heater Wall Unit Window Unit Zoned Cooling Attic Fan Central Central Unit Evaporator Exhaust Fan None Office Area Only Wall Unit Window Unit Zoned Seller's Initial Page 2
Sewer Availability Available None On Site Sewer Aerator Pump City Community Sprinkler None Oxidation Septic Tank Treatment Plant Unknown Water Availability Available None On Site Water City Community None Private Well Gas Availability Available None On Site Gas Company Electric Avail Available None On Site Electric Company Road Location Corner Cul De Sac Maintained No Access Off Road Other Road Thruway Road Frontage Road Type City Street Easement Interstate Acc No Access Parish Road Private Road State Road Road Surface Blacktop Concrete Curbed Sidewalk Dirt REMARKS Gravel Maintained No Roads Remarks (Public 1000 char) Agent Remarks Y/N Disclosures Restrictions Arch Approval Deed Development Easement No Animals No Divide No Mobile Homes No Restriction Other Restrictions Documents Aerial Map Crop Allotment Easement Ground Photo Legal Description Perc test Plat Survey Slide & VCR Subdivision Plat Topography Remarks (Private 1000 chars) SHOWING INSTRUCTIONS Access Type Combination No Lockbox Board Lockbox Showing Assist Instructions Showing Instructions FINANCIAL/POSSESSION Possession Closing Completed Immediate TBA Rural Development Eligible Yes No LREC Warranty Warranty Seller As Is New Home Construction Seller's Initial Page 3
Compensation Homestead Exemption Yes No Don't know Price Per Acre Financing Notes Sale Options Exchange No Divide Subject to Zoning Will Build Will Divide LEASING INFORMATION Terms Credit Check (Y/N) Pet Deposit (Y/N) Security Deposit Application Fee Pet Deposit Amt Pet Dep Refundable (Y/N) Section 8 (Y/N) AGENT & OFFICE INFORMATION Agent ID List Agent Name List Agent Cell Phone List Agent Email List Office Name List Office ID List Office Phone Co Listing Agent ID Co-Listing Agent Co-Listing Agent Cell Co-Listing Agent Email INTERNET DISPLAY IDX/ VOW (Y/N) Office IDX default Yes Virtual Tour Address Receipt is hereby acknowledged REALTOR Firm Owner Date Signed Listing Agent Owner Date Signed The information contained on the Data Iput Form has been supplied by the seller and other sources and is believed, but not warranted to be accurate. Seller's Initial Page 4