System Assigned GAMLS # System Assigned

*Required

*House Number *FMLS Street Name Street Type

*GAMLS Street Name Unit #

*City *State

-*Zip Code *County

*FMLS Area *GAMLS Area *Subdivision

*FMLS Tax ID

*GAMLS Tax ID

*LandLot *District *Section/GMD *Lot

*Block Unit *Plat Book *Plat Page ES Bus

Deed Book Deed Page *ElemMS Bus HS Bus

*Middle *High

*Lake/Feature

Part 2 *Required*

*List PriceVRC

*List Date *FMLS Expiration Date * FMLS Commission*GAMLS Com Type

*GAMLS Expiration Date * GAMLS Commission $ %

Owner Name (System allows up to 25 characters) *FMLS Listing Agent ID *GAMLS Listing Agent ID

Co-Listing Agent ID Listing Agent 2 ID

Include Auto-Slideshow

rev. 02/05/2019 Pg. 1 of 8

Owner Phone

OK to Present Offers

FMLS #

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORMPart 1

Refer to GAR Listing Agreement Section 6 AAllow Internet DisplayAllow Address Display

Allow Comments/Review Allow Estimates of Value

Listing Agreement (select 1 only)Exclusive AgencyExclusive Right to Sell

*Required

* **Upper *Year Built

*Main

*Lower

System will automatically

Builder

calculate totals *Lot Dimensions (system allows up to 24 characters) Waterfront

*Home Warranty

Acreage

*Sq Ft Source (check 1 only)

AppraisalPublic RecordBuilder PlansOwner/SellerAgentOtherSquare Footage Not Entered

*Square Feet Above Grade Finished

*Sq Ft Source (check 1 only)

Below Grade Unfinished

Below Grade Finished

Part 4 *Required

Management Company (up to 26 characters)

Management Company Email

Management Phone HOA Contact Phone

*Owner Finance *Owner Second *Assumable *FHA Condo Approval

* *FMLS Assoc Fee

* None Optional Required

*GAMLS Assoc Fee

*HOA Rent Restriction *Assessment Due*Master Fee

External Reference 1 Source External Reference 1 ID

External Reference 2 Source External Reference 2 ID

rev. 02/05/2019 Pg. 2 of 8

Condition Fixer UpperNew ConstructionUpdated/Remodeled

(check 1 only)

ResaleTo Be BuiltUnder Construciton

Fireplaces

**HERS AvailableFMLS Acreage Source

GAMLS

HERS Index *

GAMLS Acreage Source (check 1 only)

AgentAppraiserAcreage Not Entered

EstimatedOtherOwnerPlans

OtherPublic RecordOwner/Seller*

FMLSCarport Spaces

Garage Spaces

Parking Spaces

*

*

AppraiserBuilderOwnerNot availableTax record

Taxes

Tax Year

Association

Swim/Ten Desc (check 1 only)

Initiation Fee

NoYes

Not AvailableAppraiserAssessorBuilder

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORMPart 3

Bdrms FBath HBathTo Be BuiltUnder Construction

Constr Status (check 1 only)

New ConstructionResale

Ownership (check 1 Only)Fee Simple Leased Land Condominium

**Frequency (check 1 only) MonthYear

(check 1 only)

Public RecordSee Remarks

**Frequency (check 1 only)

MonthYear

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORMPart 5 FMLS Public Remarks (575 character limit)

*Required

GAMLS Public Remarks (768 character limit)

Private URL

*Required

Availability to Receive Offers (Check 1 only) Conditions Exist - See Private Remarks No Conditions

rev. 02/05/2019 Pg. 3 of 8

Part 6*

FMLS Private Remarks (430 chaacter limit)

*Required

GAMLS Office Remarks (192 chaacter limit)

FMLS Directions (300 chaacter limit)

GAMLS Directions (256 chaacter limit)

*Required

*Real Estate OwnedShort Sale

* * (check up to 1)

*

rev. 02/05/2019 Pg 4 of 8

Features* (GAMLS Only)

ConversionOther

HUD OwnedIn Foreclosure

(GAMLS Only)Facilities FeeHeating/CoolingManagement FeeNoneOtherPrivate RoadsSwimmingTennis

Bedroom Features (check up to 3)

NoneIn-Law Stuite/ApartmentMaster on MainOversized MasterRoommate Floor Plan

ReceptionistReserve FundSecuritySewerSwim/TennisTermiteTrashWater

Sitting RoomSplit Bedroom PlanStudioOther

ElectricityGasInsuranceMaint. ExteriorMaint. GroundsPest Control

Special Listing Conditions (check up to 1)NoneAuction

Owner Consider Exchange Special Circumstances (check up to 4)

NoneActive Adult Comm Agent Related to Seller Cert. Prof. Home Bldr Corporate Owner Estate OwnedGovernment Owned HistoricalInvestor OwnedLease PurchaseLive/WorkNo disclosures from Seller Owner Transferred

Assoc. Fee Includes (check up to 10)Cable TVDoor Person

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORMPart 6 (cont.)

GAMLS Private Remarks (320 chaacter limit)

Property Subtype (check up to 1)CondominiumTownhouse

Ownership CondominiumFee SimpleOther

Owner/AgentSold As/IsOther

(GAMLS Only)Banked OwnedCorporate RelocationFixer UpperPre-ForeclosureRecently Renovated RentalShort Sale

Shower Only SkylightsSoaking TubTub OnlyTub/Shower Combo

Eat-In KitchenKeeping RoomKitchen IslandLaminated CountersOther Surface CounterPantryPantry Walk-in

Second KitchenSolid Surface CounterStone CountersTile CountersView to Family RoomWine RackOther

* *Open ConceptSeats 12+Separate Dng RmOther

* *Great Room-2 StoryLibraryLiving RoomLoftMedia RoomOfficeSun Room

* *

*Accessibility Features *NoneApproach with Ramp BedroomCeiling TrackDoorsElectric HVAC Elevator Installed EntranceFor Hearing-ImpairmentFull BathGrip-Accessible Features

* *Humidity ControlWhole House FanWindow Unit(s)ZonedOther

Sewer AvailalbleUnderground UtilitiesWater AvailableOther

* (check up to 3) *220 Volts in Workshop440 VoltsEnergy Storage DeviceGeneratorOther

* *Other EquipmentKey Card EntryOpen AccessSecured Gar/ParkSecurity GateSecurity GuardSecurity Lights

Security ServiceSecurity Sys LeasedSecurity Sys OwnedSmoke Detecter(s)

rev. 02/05/2019 Pg 5 of 8

Master Bath Features (check up to 4)

NoneBidetDouble VanitySeperate His/HersSeperate Tub/Shower

Kitchen Features (check up to 10)

Vaulted CeilingsWhirlpool TubOther

Dining Room Description (Check up to 2) (check up to 2)Laundry ChuteLaundry RoomLower LevelMain LevelMud RoomUpper FloorOther

Additional Rooms (check up to 9)

Bonus RoomComputer RoomDenExercise RoomFamily RoomGame RoomGreat Room-1 Story

Basement DescriptionNoneBath/StubbedBoat DoorCrawl SpaceDaylightDriveway AccessExterior Entry

(check up to 6)

Wine CellarWorkshopOther

(GAMLS Only)Stubbed Bath

(GAMLS Only)

Interior (check up to 12)Beamed CeilingsBookcasesCathedral Ceiling(s)Central VacuumDisappearing Attic StairsDouble VanityElevatorEntrance FoyerEntrance Foyer 2-Story High Ceilings 9'+ LowerHigh Ceilings 9'+ MainHigh Ceilings 9'+ UpperHigh Ceilings 10'+ LowerHigh Ceilings 10'+ MainHigh Ceilings 10'+ UpperHigh Ceilings 10'+ LowerHigh Speed Internet

Alarm - BurglarConvection OvenCooktop, SeperateAlarm - Smoke/FireIcemaker LineNoneOven, WallRange/OvenWater Softener

(check up to 10)

Garage Van AccessLow Door HandlesOtherShower Access Wheelchair

HeatingNoneBaseboardCentralElectricForced AirHeat PumpHot Water Natural GasOilPropane

(check up to 4)

Cooling (check up to 5) Utililties (check up to 7)

NoneCable AvailableElectricity AvailableNatural Gas AvailablePhone Available

(GAMLS Only)ElectricGasSolar

ElectricNone110 Volts220 Volts220 Volts in Garage220 Volts in Laundry

(check up to 6)

Gas LogGas StarterGlass DoorsGreat RoomInsertKeeping RoomLiving RoomMasonry

Wood Burning Stove(GAMLS Only)

Metal

Security Features (check up to 8)

NoneCarbon Monoxide DetClosed Circuit CamFire AlarmFire Sprinkler SysIntercom

(check up to 5)

Irrigation EquipmentSatellite DishTV Antenna

NoneAir PurifierDehumidifierGeneratorHome TheaterIntercom

NoneBreakfast BarBreakfast RoomCabinets OtherCabinets StainCabinets WhiteCountry Kitchen

NoneButlers PantryDining LGreat Room

FinishedFinished BathFullInterior EntryPartialUnfinished

Bath StubbedBlockConcreteEarthenPier

Self Cleaning OvenSolar Hot WaterTankless Water HeaterTrash CompactorWasher

Kitchen AppliancesStair LiftWasher/Dryer

(GAMLS Only)

RadiantSeparate MetersSolarSpace HeaterZonedOther

NoneAttic FanCeiling Fan(s)Central AirElectric Air FilterHeat Pump

Master BedroomOther RoomOutside

Other(GAMLS Only)

Hallway(s)Kitchen

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORM* *

Laundry FeaturesNoneCommon AreaIn BasementIn BathroomIn GarageIn HallIn Kitchen

(GAMLS Only)Dining Rm/Living Rm

(GAMLS Only)ClosetOther Laundry TypeOther Laundry Location

Appliances (check up to 12)DishwasherDisposalDouble OvenDryerElectric CooktopElectric OvenElectric RangeElectric Water HeaterENERGY STAR AppliancesGas CooktopGas OvenGas RangeGas Water HeaterIndoor GrillMicrowaveRefrigerator

His and Hers ClosetsLow-Flow FixturesSaunaSmart HomeTray CeilingsWalk-in Closet(s)Wet BarOther

(GAMLS Only)Ceiling ElectricFloor FurnaceFloor RadiantWood

Fireplace FeaturesNoneBasementBlower FanCirculatingDecorativeDouble SidedFactory BuiltFamily Room

(GAMLS Only)Attic ExpandableCable TV ConnectionHandicap AccessRecently RenovatedTile BathTile FloorsWhirlpool Bath

*Common Walls *Spa Features (check up to 1)

*Architectural Style (check up to 3) *Levels/Stories (check up to 1)CraftsmanEuropeanFrench Provincial Garden (1 Level)High Rise (6+ stories)LoftMediterraneanMid-Rise (up to 5 stories)MobileModular

OneOne and One HalfTwoThree or MoreMulti/Split

* *

* *

*Exterior (check up to 5) *Screened EnclosureSwimming Pool-Above GroundSwimming Pool-In Ground

* *

* (check only 1) *Sewer Description

rev. 02/05/2019 Pg 6 of 8

Flooring (check up to 3) Window FeaturesNoneInsulated WindowsPlantation ShuttersShutters

HardwoodPineSustainableTerrazzo

VinylOther

(check up to 3)

No Common Walls2+ Common WallsEnd Unit

No One AboveNo One Below

NoneCommunityPrivate

Patio HomeRanchRusticTownhouseTraditionalTudorVictorianOther

(GAMLS Only)Adirondack

(GAMLS Only)Split FoyerMulti-Level

Roof Type (check up to 4)

Metal SidingShingle SidingStoneStuccoSynthetic StuccoVinyl SidingOther

(GAMLS Only)Brick/FramePress Board SidingRough-Sawn SidingSteel FrameStone/FrameStucco RealTabby

ShingleSlateTar/GravelTileWoodOther

(GAMLS Only)Tin

Lot (check up to 6) (GAMLS Only)GreenbeltNoneOpen LandValley View

FencingNoneBack YardBrickChain Link

(check up to 5)

SlopedSteep SlopeWoodedZero Lot LineOther

StoneVinylWoodWrought Iron

Pool Features (check up to 3)

Gray Water SystemPermable Paving

Private Front EntryPrivate Rear EntryPrivate YardRain Barrel/Cistern(s)Rear StairsStorage

(GAMLS Only) Pool-FiberglassPool-GunitePool-Vinyl

Patio and Porch Features (check up to 7)

Front PorchGlass EnclosedPatioRear Porch

ScreenedSide PorchWrap Around

Owner's Init req'd

(GAMLS Only)Community WellCorps of Engineers ControlledLagoonLake AccessStream/Creek/RiverTidalUtility Company Controlled

Owner's Init req'd

Public SewerSeptic TankOther

Water ViewWaterfront

NoneCarpetCeramic TileConcrete

CompositionConcreteCopperGreen RoofMetalRidge Vents

FencedFront YardInvisibilePrivacy

NoneHeated PoolIndoor Pool

NoneAwning(s)BalconyCourtyardGardenGas Grill

Tennis Court(s)Other

Deck/PatioDog Run/PenHot TubVerandaWater Feature

NoneCoveredDeckEnclosed

(check up to 2)(GAMLS Only)

Private SewerSewer in Street

(check up to 3)

Skylight(s)Storm Window(s)

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORM* *

Construction Materials (check up to 3)

Aluminum Siding Brick 3 Sides Brick 4 Sides Brick FrontCedarCement Siding FrameLog

Water Source PrivatePublicWellOther

A-FrameBungalowCabinCape CodChaletCluster HomeColonialContemp/ModernCottageCountry

Parking Features (check up to 7)NoneAssignedAttachedCarport Covered DeededDetachedDrive Under Main LevelDrivewayGarageGarage Door OpenerGarage Faces FrontGarage Faces RearGarage Faces SideKitchen LevelLevel DrivewayOn Street

Parking Lot Parking PadRV Access/ParkingStorageUnassignedUndergroundValetVaries by UnitVehicle Charging Station

Back YardBorders US/State Park Corner LotCul-de-sacFlood PlainFront YardLandscapedLevelMountain Frontage On Golf CoursePasturePrivate

(GAMLS Only)1 Car2 Car3 Car or MoreGuest ParkingParking ShedRV/Boat ParkingStorage

*

* *Pool HoueRV/Boat StorageSecond ResidenceShed(s)Stable(s)WorkshopOther

** *

* *

*

* * (check up to 4)

* *

rev. 02/05/2019 Pg 7 of 8

Private RoadState RoadOther

GravelPavedOther

(check up to 7)GazeboGreen HouseGuest HouseKennel/Dog RunOutbuildingOutdoor KitchenPergola

Corral(s)Hay StoragePastureRiding Trail

Round PenStable(s)

Lake FrontMarshOcean Front

PondRiver Front

PlatformSharedSingle SlipOther

ThermostatWater HeaterWindows

Road Frontage Type (check up to 2)NoneEasementHighwayInterstate

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORM* Road Surface Type (check up to 3)

NoneAsphaltConcreteDirt

Horse Amenities (check up to 5)NoneArenaBarnBoarding Facilities

Waterfront Features (check up to 3)NoneCreekLake

PondSpringStreams Or RiverOther

Water on Land (check up to 3)NoneCreekLakeNavigable River

Guest SuiteHomeowners AssocLakeMarinaMeeting RoomNear BeltlineNear MartaNear SchoolsNear ShoppingNear Trails/GreenwayParkPlaygroundPoolPowered Boats AllowPublic Transportation

Community Features (check up to 12)NoneAirport/RunwayBoatingBusiness CenterCatering KitchenClubhouseCommunity DockConciergeCountry ClubDog ParkDry DockFishingFitness CenterGatedGolf Course

Green Energy Efficient (check up to 6)NoneAppliancesDoorsHVACInsulationLighting

(check up to 5)

Pet(s) on PremisesRestricted Hours Security SystemSee RemarksShowing Service ShowingTimeText Listing Agent Vacant

Other Structures NoneAirplane Hangar Barn(s)Boat HouseCabana Carriage HouseGarage(s)

Dock (check up to 3)NoneCourtesy CoveredCovered/1 SlipCovered/2 SlipsCovered/3+ SlipsDeepwater AccessDock PermitDouble SlipHoistLightsParty Deck

View (check up to 3)CityGolf CourseLakeMarinaMountain(s)OceanRiverRuralOther

(GAMLS Only) (GAMLS Only)Mountain View

Green Building Certifications (check up to 4)EarthCraft HomeENERGY STAR Certified HomeLEED for HomesNGBS New ConstructionNGBS Whole-Home Remodel

RacquetballRestaurantRV/Boat StorageSaunaSidewalksSki AccessibleSpa/Hot TubStable(s)Street LightsSwim TeamTennis Court(s)Wine StorageOther

Green Energy Generation NoneSolarWaterWind

(GAMLS Only)Certified Energy WiseCertified Good CentsGeothermalInsulation-CeilingInsultation-Floors

Lockbox Type (check up to 2)NoneOtherSupra

(GAMLS Only)9am EDT to 10pmEDTAppt AgentAppt OwnerAppt TenantKey in Office Lockbox GAMLS CompatibleLockbox GAMLS Non-CompatibleSee Remarks to ShowUnder Constuction

Show Instructions Anytime Access Appointment OnlyCall Listing AgentCall Listing Office Call Owner Call Tenant Day SleeperDo Not ShowKey in OfficeNo Sign

Boathouse-1 SlipBoathouse-2 SlipBoathouse-3 plusDock Approval RequiredDock RightsFloating DockNo Dock RightsSeawallStationary DockUncovered-No SlipVerbal Appr Dock Permit

(GAMLS Only)Tennis Team

*Lot Size (check 1 Only) *

* *NegotiableOther Possession Date

Owner 1stOwner 2ndOwner FinancingRelease of LiabilityVAWrap Around

rev. 02/05/2019 Pg 8 of 8

FMLS RESIDENTIAL - GAMLS SINGLE FAMILY ATTACHED DUAL ENTRY FORM(GAMLS only) Photo (GAMLS only)

Broker Will Provided PhotoNo Photo Desired By SellerUnder Construction

Under 1/3 acre1/3 to 1/2 acre1/2 to 3/4 acre3/4 Up to 1 acre1 Up to 2 acres2 Up to 3 acres

Extended Data - Virtual Tour (added after listing is submitted)

http://

(GAMLS only)FHAFNMA AppvFNMC AppvGHFA Load (GRFA)Lease PurchaseOther

Owner agrees (Owners agree) above information is true and correct to the best of his/her/their knowledge

Signature _____________________________________________________________________________________________________________________________ DATE ________________Owner understands and agrees to all information above and property characteristics in the FMLS computer system will be provided to agents who may represent other parties. Owner hereby waivesany claims against FMLS and its employees arising out of disclosure of such information to other parties and hereby covenants that owner will not sue FMLS or employees for any and all claims suitsor causes of action whenever asserted arising out of such disclosure.

INFORMATION HEREIN BELIEVED TO BE ACCURATE BUT NOT WARRANTED

3 Up to 5 acres5 Up to 10 acres10 to 20 acres20 - 50 acres50 - 100 acres100 Plus acres

Possible Financing100% Financing1031 ExchangeAssumeCashConventionalCredit Report Req.

Date of Possessio n (GAMLS only)

3-7 Days After ClosingAt Closing