property data form - residen al
TRANSCRIPT
Property Informa�on
Agent and Office Informa�on
Loca�on Informa�on
*Year Built SourceAppraisalBuilding PermitCourthouseOwner
*County *City *State *Year Built
*Zip Zip + 4 *School District
*Grade School Middle/Jr High School *High School
*Legal Descrip�on
Property Data Form - Residen�al
Ver. 20210909
*Subdivision *Tax Parcel # *Township *Sec�on*Range
*House # *Street Name *Street Type Unit #Post DirStreet Dir
System auto-calculates Acres based on Lot Size - Sq Ft entered. To calculate, mul�ply Acres x 43,560
*List Price *List Date
*# of Stories *# Fireplaces Census Tract*Garage Cap
Owner Name
Owner Phone
*Lot Size-SqFt Acres
*Tax Amount *Tax Year
*HomesteadYes
No
*Expira�on Date
House Size
750 - 1000
1000 - 1250
1250 - 1500
1500 - 1750
1750 - 2000
2000 - 2250
2250 - 2500
2500 - 2750
2750 - 3000
3000 - 3250
0 - 500
500 - 750 3500 - 3750
3750 - 4000
4000 - 4250
4250 - 4500
4500 - 4750
4750 - 5000
5000 - 5250
5250 - 5500
5500 - 5750
5750 - 6000
6000 +
3250 - 3500
*Home SF #1
*SF Source #1Appraisal
Building PermitCourt House
Not Reporting SF
Home SF #2
SF Source #2Appraisal
Building PermitCourt House
Not Reporting SF
Home SF #3
SF Source #3Appraisal
Building PermitCourt House
Not Reporting SF
*Property SubTypeHouse
Condo
Townhouse
Factory Built
Patio Home
Half Duplex
Duplex
Triplex
Quadplex
*Mul�ple ParcelsYes No
*Showing Start Date
*Lis�ng Agent Lis�ng Team Name*Office Name*Coming SoonYes No
1
Room Informa�on/Descrip�on
*# Living Areas
Dining Room
Breakfast
Combo w/ Family
Combo w/ Living
Formal
Other
**Level:
U�lity Room
Garage
Inside
Separate
Sink
**Level:
**4th Bedroom
No Bath
Private Bath
Pullman Bath
Walk-in Closet
**Level:
BasementNone
Finished
Full
Partial
Unfinished
Walk-out
*# Bedrooms
Living Room
Combo
Fireplace
Formal
Great Room
Sunken
**Level:
Den/Family Room
Bookcase
Combo
Fireplace
Separate
**Level:
Master Bath
BathtubDouble SinkFireplace
Full Bath
Shower OnlyWhirlpool
Half BathSeparate Shower
**Level:
*Storm ShelterSafe Room (indoor)
Safe Room (outdoor)
Storm Cellar
None
*# Full Baths
Game/Rec Room
Closet
Fireplace
Home Theater
Over Garage
Wetbar
**Level:
**Master / 1st BR
No Bath
Private Bath
Dress
Separate Closet
Walk-in Closet
**Level:
Hall Bath
BathtubDouble SinkFireplace
Full Bath
Shower OnlyWhirlpool
Half BathSeparate Shower
**Level:
Kitchen**Level:
Breakfast Nook
Country
Eat-in
Island
Mini-Kitchen
Pantry
# Rooms
Hobby Room
Greenhouse
Sewing
Workshop
Additional Room
**Level:
**3rd Bedroom
No Bath
Private Bath
Pullman Bath
Walk-in Closet
**Level:
Addi�onal Room
AtticExerciseFlorida
In-Law Plan
Mud RoomMusic
Library
Maid
QuartersSplit BedroomWorkroom
Loft
**Level:
*# Half Baths
Office
Bookcase
Closet
Fireplace
Outside Entry
Paneled
**Level:
**2nd Bedroom
No Bath
Private Bath
Pullman Bath
Walk-in Closet
**Level:
Addi�onal Room
AtticExercise
Florida
In-Law Plan
Mud RoomMusic
Library
Maid
Quarters
Split BedroomWorkroom
Loft
**Level:
**Level Required
Enter 1, 2, 3, or if Room Exists
“B” for Basement
Ver. 20210909 2
Broker and Disclosure Informa�on
Finance / Warranty Informa�on
*Internet ListYes
No
*Address PublicYes
No
*Allow Comments/RevYes
No
*Allow AVMYes
No
*Flood No�ce RequiredYes
No
*Limited ServiceYesNo
*Will Accept DeliveryYesNo
*OccupiedYesNo
*Lis�ng Agreement TypeExclusive Right to Sell (ERS)
ERS with Reserved Prospect
ERS Subject to Auction/Bid
ERS with Variable Rate
Exclusive Agency
Sales Fee Agreement
*OREC Disclosure TypeDisclosure
Disclaimer
Exempt
*HOA MandatoryYes
No
**ConversionYes
No
**RefusalYes
No
**Pets AllowedYes
No
**HOA Fee ScheduleMonthly
Quarterly
Semi-AnnualAnnual
**HOA Ameni�esNone
Business Center
Clubroom
Courtesy Patrol
Gated Access
Golf Course
Covered Parking
Fitness Center
HOA Voluntary
Laundry Facilities
Park
Pet Amenities
Pool Available
Stables
Tennis Court
Spa
Trails
Valet Parking
Other
**Condo Fee IncludesNone
Cable TV
Electric
Ext. Maintenance
Water / Sewer
Gas
Trash
Other
*Coopera�ng Broker Compensa�on
*Showing ContactCall AgentCall OwnerCall TenantSentrikeySee (R) Remarks
*Keybox TypeComboSentriLockSupraNone
HOA Informa�on
*WarrantyNone
1 Year - By Builder
1 Year - RSA By Seller
Special Builder Warranty
Other
*PossessionAt Closing
Negotiable
Subject to Lease
*Finance Op�onsNone
Conventional
FHA
Lease Purchase
Special
State Bond
Owner Carry 1st
Owner Carry 2nd
Trade
VA
Other
USDA Rural Dev
203k
Non-QualifyingYes
No
*Short SaleYes
No
*Assumable LoanYes
No
Adj Rate MortgageYes
No
*CorporateYes
No
*Lender OwnedYes
No
Loan Type
Lender Name
Loan Balance
PITI Years Remaining Loan Interest Rate
**Percent Interest
**HOA Fee
Ver. 20210909 3
*Style **Accessibility Ameni�es Under Construc�on *Founda�on
*Construc�on
*Direc�on House Faces
Manufactured Descrip�on
*Roof Material
*Handicap Accessible
Construc�on Features
Bungalow
Cabin
Colonial
Country French
French
Log
Craftsman
English
Ranch
Spanish/Mediterranean
Split Level
Victorian
Other
NESW
SESW
NENW
32" or 36" Doors
38" or 46" Halls
Bath Modified
Elevator/Chair Lift
Level Entry
Ramped Main Level
Handicap Parking
Kitchen Modified
Roll-in Shower
Other
Under Construction
New Construction - Finished
Block
Concrete
Manufactured
Mobile Home (pre 1976)
Pre-cut LogSteel
Modular
Panelized
Wood FrameOther
Asphalt / FiberglassMetalShakeSlate
Wood ShinglesOther
Tar / GravelTile
Slab
Tie Down (Mfg/Mobile)
*Exterior FeaturesNoneBuilt-in GrillCabanaDecorative Lighting
GazeboGutters
Dog RunExt Fireplace/Pit
Horse PermittedHot Tub / SpaOutdoor KitchenProf. LandscapedSidewalkSprinkler SystemTennis CourtOther
*Pa�o / DeckNoneArborBalconyCovered Patio
Enclosed PatioEnclosed Porch
Covered PorchDeck
PatioPergolaPorchOther
*Interior FeaturesNone9' Ceiling HeightCable TV WiredCentral VacuumDry BarFloored AtticHot TubIntercomInternal Expansion AreaInternet WiredPullman BathSatellite Dish WiredSauna / SteamSecurity System LeasedSecurity System OwnedSmoke DetectorVaulted CeilingWet BarOther
Contemporary Perm Affixed (Mfg/Mobile)
Partial Basement
Full Basement
Crawl Space
DrivewayAsphaltBrickCircularConcreteDirt
SharedGravel
Stamped ConcreteTar and GravelUncovered Space/PadOther
Other
Singlewide
Doublewide
Triplewide
Other
Yes No
**Interior Fireplace DescBlower / Heat-a-later
Decorative / Non-functional
Gas Logs
Gas Starter
Wood Burning
Wood Stove
Glass Doors
Insert Unit
Other
*Counter Top MaterialNone
Brick
Butcher-Block
Ceramic
Concrete
Copper
Corian
Laminate
Marble
Granite
Soap Stone
Stainless Steel
Wood
Other
*Exterior SidingAluminum
Masonite
Hardie PlankLog
Shake
Stone
StuccoVinylWood
Partial Brick
Steel
Asbestos
Full BrickBrick Veneer
Stone Veneer
Other
*FlooringNone
Carpet
Concrete
Laminate
Plywood/Composition
Some Hardwood
Tile
Vinyl
Wood Veneer
Wood
Other
**Garage Descrip�onPorte-Cochere
Shelves
Storage
Tandem
Work Area
RV / Boat Parking
Workshop
Other
Attached
Car Entry - Rear
Car Entry - Side
Carport
Living Quarters
Detached
Electric Overhead Door
None
Ver. 20210909 4
Area / Land Features
**Dist to Lake/RiverFrontage
Less Than 1 Mile
Less Than 5 Miles
Less Than 10 Miles
*Senior LivingYes
No
*Pool On PremisesNone
Above Ground
Inground
Indoor
**Lake/Water Ameni�esAdjoins Corp Property
Bluff
Boat Dock
Lake/Riverfront Access
Lake/Riverfront No Access
Boat House
Dock Approved Cove
Marina Available
Ramp Available
Water Access
Winter View
Other
Sand Beach
Summer View
**Pool Descrip�on Fiberglass
Gunite
Liner
Other
*Addi�onal BuildingsNone
2nd Garage
Barn
Shed
StorageOther
ShopStable
Greenhouse
*Lot Descrip�on
Additional Residence
None
Additional Land Available
Farm and Ranch
Corner Lot
Cul-De-Sac
Mature Trees
GreenbeltGolf Course Frontage
Fruit Trees
Pond
Spring / Creek
Wooded
Zero Lot Line
Other
Mountain View
RollingSloping
SteepTerraced
*FenceNone
Barbed
Chain Link
Cross Fenced
Full
Hog Wire
Decorative
Electric Gate
Partial
Pipe Fencing
Smooth Wire
Vinyl
Privacy
Split Rail
Other
**Boat Dock Descrip�on
1 Stall Dock
2 Stall Dock
3 Stall Dock
Covered
Enclosed
Group
Lift
Platform
Boat Slip Available
Other
None
Mineral RightsNone
Available
Included
Not Included
Partial
Other
Ground Water
Energy
*Range Descrip�onNoneBuilt-InCooktopDrop-In
SingleStoveOther
*Hea�ng SourceNone
Electric
Gas
Gas / Electric
Propane - Leased
Solar
Wood
Propane - Own
Other
*Hea�ng SystemNone
2 Units
3+ Units
Baseboard
Geothermal
Heat Pump
Central
Floor Furnace
Radiant
Space Heater
Steam
Zoned
Hot Air Gravity
Other
*Water SourceCity
Private
Rural
Spring
Well
Other
*SewerNone
Aerobic
City
Lagoon
Septic Tank
Other
Private
Rural
*CoolingNone
2 Units
3+ Units
Central AC
Electronic Air Filter(s)
Evaporative Solar Cooling
Heat Pump - Geothermal
Humidifier(s)
Window AC
Zoned
Other
Lakes & Rivers (Name)
Ver. 202109095
*Hot Water *Windows *Oven Descrip�on
*U�lity Connec Avail
*Energy Features
*Appliance Connec�ons *Appliances Included
Green
Solar FeaturesSolar TubesStorm DoorsStorm WindowsVent RidgeOther
Programmable ThermostatNone2+ ZonedElectricGasSolar w/ Electric BackupTanklessOther
AluminumBay / BowedCasementSkylight
Vinyl
NoneAttic Exhaust FanAttic Vent - ElectricAttic Vent - TurboCeiling FansExtra InsulationInsulated DoorsInsulated Windows
NoneBuilt-inConvectionDoubleSingleOther
None
Cable TVElectricGasGenerator - FixedGenerator Ready
WaterOther
PhoneUnknown
Oven - Gas
Range - Electric
Range - Gas
Telephone
Washer Connection
Other
Oven - ElectricNone
Dryer - Electric (220)Dryer - GasElectricGasHot Water - ElectricHot Water - GasIce Maker Connection
Microwave
Range / Oven
Refrigerator
Washer
Water Softener
Indoor Grill
Compactor
Dishwasher
Disposal
Dryer
Freezer
Icemaker
None
*Green Cer�fiedYes
No
**HERS Rated0 - 85
86 - 100
100 +
**LEED RatedCertified: 45-59
Silver: 60-74
Gold: 75-89
Platinum: 90-136
**Energy Star RatedAppliances
HVAC
Lighting
Skylights
Water Heater
Windows**NAHB RatedBronze
Silver
Gold
Emerald
Wood
Other
Wine Refrigerator
Other
Energy (Con�nued)
**Ra�ng Organiza�onEnergy Star
HERS
LEED
NAHB
NGBS
EnerPHit
Living Building
PHIUS
Other
Storm
**Other Ra�ng Organiza�on
Ver. 20210909 6
Public Remarks
REALTOR Remarks
*Direc�ons
Seller Printed Name Seller Printed Name
Seller Sign / Date Seller Sign / Date
Lis�ng Agent Printed Name Lis�ng Company Printed Name
Lis�ng Agent Sign / Date Lis�ng Company Authorized Signature / Date
Firm Only Remarks
Lis�ng Comments
Ver. 20210909
Seller(s) understands the information in this Property Data Form will be used in the marketing of the Property and the listing of the Property with the Multiple Listing Service. Seller(s) understands the REALTOR® has no duty to conduct an independent inspection of the Property and has no duty to independently verify the accuracy or completeness of any information provided by the Seller(s). Seller(s)
represents and acknowledges that he/she has reviewed all of the information in this Property Data Form and that the information is true and correct to the best of Seller’s knowledge and belief.
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