Agt ID:

NEOHREX RESIDENTIAL LISTING INPUT SHEETRequired Fields are in Red, Bold, and Italicized Text

Name: Co ID: Co Name:

Showing InstructionCall Agent Key in Office Use ShowingCall Office Other Lockbox Time Link

Call Seller Show ServiceE-Box Use CSS Link

Showing Service Phone:

Showing Information:

Listing TypeComp Only Exclusive RightExclusive Agcy Resvd Prospect

Limited ServiceYesNo

Buyers Broker Compensation:

Other CompensationBonus NoneDual OtherGraduated Variable

Compensation Explanation

When selecting Graduated, Variable and/or Other as a choice in the “Other Compensation” field, please enter a complete explanation of the choice(s) in the “Compensation Explanation” field.

Primary Parcel ID: MLS Cross Reference:

Street Number: Modifier: Pre Dir: Street Name:

Street Type Post Dir: Unit #: City: Zip: +4

Subdiv/Complex:

Township: Area:

Map Coord: (Ex. CUY22B3)

Show Addr. to ClientYes No

Show Addr. to PublicYes No

Seller Opt Out PhotoYes No

Short Sale Y/NYes No

Listing Date:Expiration Date:List Price:

Auction Y/NYes No Auction Date: Auction Start Time: Auction End Time:

Possession30 Days or Less OtherNegotiable Time of Trans

Occupant TypeOwnerTenantVacant

OwnershipAgent Builder HUD RE BrokerageBank Estate Principal/NR Resident

Ann. Taxes:Assessments

Yes NoHomestead Exemp.

Yes No

Available FinancingAssum. Mort Convention. FHA Lease Option USDACash Exch/Trade Land Cont. Mort. by Sell VA

Parcel ID #2:Parcel ID #4:

Parcel ID #3:Parcel ID #5:

Address: MLS #:

State:

School Dist:Internet ListingYes No

Loan & Tax Information

AddressGeneral Info

Status & Listing Information

Coop Compensation

Residential Listing Input Sheet - Page 1 01/18

(100 characters max)

(60 characters max)

County:Showing Info

Agent Info County

Online Bidding Y/NYes No

Online Bidding Website

Property SubtypeCondo.Single Fam.

Dwelling TypeAttachedDetached

Year Built Detail Actual YBT Not Verifiable Under Const.New Const. To Be Built Unknown

BasementYesNo

Year Built:

Disability FeatureYesNo

WarrantyYesNo

Fixer UpYesNo

ElevatorYesNo

Unit Floor:

Style (3 choices max)Bi-Level ModularBungalow Multi-UnitCape Cod OtherCluster Home RanchColonial Split LevelContemp/Mdrn TownhouseConventional TudorHalf Duplex VictorianHigh Rise VillaMobile/Manf.

ExteriorAlumin.BrickCedarLogOtherStoneStuccoVinylWood

RoofAsph/FiberMetalOtherRubberShakeSlateTileWood Shingle

Exterior FeaturesAbv Grd PoolBarn/StableBoat HouseDeckEnc Patio/pchIn Grd PoolOtherPatioPorchSprinkler/irr.Shed/Out Bldg

BasementCommon SlabCrawl UnfinishedFinished Walk-outFull NonePartial OtherPartially Finished

FencesChain Link PrivacyFull Vinyl/PlasticInvs Pet WoodMasonryOtherPartial

Appliances/EquipmentAudio System Elec Air Clnr Range Water SoftCent. Vacuum Freezer Refrigerat. HotTubCO Detector Garbage Disp Security SysCounter Rnge Humidifier Smoke DetDishwasher Microwave Sump PumpDryer Oven Washer

Heating TypeBaseboard Gravity RadiatorsFireplace - Gas Heat Pump Space HeaterFireplace -Other HotWater/Steam Wood/PelletFireplace -Wood None ZonedForced Air OtherGeothermal Radiant

Water/SewerCistern No SewerWell Pvt. SewerPub Water Pub SewerPvt. Water Septic

No Water

Cooling TypeAttic Fan Win. UnitCentral AirHeat PumpNoneOtherWall Unit

Heating FuelCoal OtherDual PelletsElectric PropaneGas SolarNone WoodOil

Community AmenitiesAdult Com 55+ Medical ServCommon Fac OtherExercise room ParkGolf Avail PlaygroundHealth Club PoolLake ShoppingMallLaundromat Tennis Courts

Lot DescriptionAddt'l Land Forestry Credit Lake Priv/Access Outdoor ArenaBeach Front Golf Course Frnt Lake-Stocked PondCorner Lot Hillside Leased Land River FrontCul de Sac Horse Property Livestock Perm Spring/CreekDead End Lake Erie Front Other Water FrontDock/Moor Lake Front Oil/Gas Wells Wood/Treed

GarageAccess fm Unit HeatedAssigned/Rsrvd NoneAttached OtherCarport(s) Parking GarageDetached Parking LotDoor Opener RV/Boat PadDrain Unit GarageElectric Water Available

Stories:

Fireplace Total: Public Trans.YesNo

Lot Size in Acres: Lot Size SourceAppraiser OwnerAuditor Realist

Lot Dimensions: IrregularYesNo

Garage Total: Unit LocationCenter OtherEnd Poolside

Property InformationFeatures

Features

01/18Residential Listing Input Sheet - Page 2

Above Grade Finished SqFt (approx):

Below Grade Finished SqFt (approx):

Appraiser Auditor Owner RealistSource:

Appraiser Auditor Owner RealistSource:

House FacesEast SouthNorth SouthEastNorthEast SouthWestNorthWest West

Natural Resource Rights All W/O rights MineralCoal NoneGas OilLeased Timber

DrivewayNonePavedUnpaved

View DescrCanyon/Valley ParkCity View Water ViewGolf Course WoodedLake Erie

Room Information

Total Rooms Full Baths # Full Baths Lower # Full Baths Main # Full Baths Upper

Total Bedrooms 1/2 Baths # 1/2 Baths Upper# 1/2 Baths Lower # 1/2 Baths Main

Detailed Room InformationFlooring

Room Name Dimensions (no decimals) *Level

Fire

plac

eW

indo

w

Trea

t

Car

pet

Cer

amic

Lam

inat

e

Lino

leum

Mar

ble

Parq

uet

Slat

e

Viny

l

Woo

d

Great RoomLiving RoomFamily RoomEat In KitchenKitchenDining RoomMaster BedroomBedroomBedroomBedroomAddtnl Living SuiteBathroomMaster BathroomBonus RoomFamily/Media RoomFoyerLaundry/UtilityLibrary/StudyLoftOfficeOtherPantryRecreation Room Sun RoomUtility RoomWorkshop

Rooms

Residential Listing Input Sheet - Page 3 01/18

*Levels: Lower=L, First=1, Second=2, Third=3, Basement=B

If Maint Fee is YES then all other fields are required

Fee FrequencyAnnually QuarterlyMonthly Semi-Annually

Fee Amount

Maintenance Provider

Maint FeeYes No

Restrictions (Req. if HOA or Maint Fee is Yes) Age Restr. No Leasing No Signs Other Parking Restr. Pets Allowed Prior App SaleLeasing Allowed No Pets None Outdoor Prking Pet Restrict. Prior App Lease Sublease allow

Directions (250 Characters MAX)

Broker Remarks (500 Characters MAX)

Public Remarks (1500 Characters MAX)

Information Deemed Reliable But Not Guaranteed

Date:Agent's Signature:

Date:Seller's Signature:

Date:Seller's Signature:

If HOA is YES then all other fields are required

HOAYes No

Fee Includes Air Condition Landscaping Security SysAssoc Insur. None SewerElectric Other Snow Rem.Exterior Build Prop Mgmt Trash Rem.Garage/Park Recreation WaterGas Reserve FundHeat Security Staff

Fee Amount Fee FrequencyAnnually QuarterlyMonthly Semi-Annually

HOA Name

Remarks

Residential Listing Input Sheet - Page 4 01/18

HOA InfoHOA/Remarks

Fee Includes Air Condition Landscaping Security SysAssoc Insur. None SewerElectric Other Snow Rem.Exterior Build Prop Mgmt Trash Rem.Garage/Park Recreation WaterGas Reserve FundHeat Security Staff

Lockbox Yes No Lockbox Serial # (8 digits)