residential listing data entry form indicates multiple

REV. Aug 2021 of 13Copyright © 2021 Stellar MLS, all rights reserved.

RESIDENTIAL LISTING DATA ENTRY FORMLISTING INFORMATION

ADDRESS

Exclusive Agency

Listing Contract Date

Indicates Multiple Choice Indicates Single Choice * Indicates Required Field

List Price* Expiration Date* Special Sale Provision*

None

Short Sale

Bank-Owned/REO

Auction

Listing Type*

Exclusive Right with Exception

Exclusive Right to Sell

Exclusion/Variable Commission

Listing Service Type* RepresentationFull Service

Limited Service

Seller Represented

Seller Not Represented

Street Number* Street Dir Pre Street Name* Street Type Street Dir Post

Unit Number No Unit # City*

County* Country*

Zip* Zip + 4State*

Building ElevatorYes No

Building Name/NumberTotal # of FloorsFloor NumberFloors in Unit/Home*Multi/Split

Two

One

Three or More

SOUTHWESTSW Subdv Condo Number SW Subdv Community Name

SCHOOLSElementary School

Middle School

High School

AUCTIONAuction Type

Absolute ReserveAuction Property Access Buyer’s Premium

Auction Firm/Auction Website

POOLPrivate Pool*

Yes NoPool Dimensions

Yes NoSpa

Pool Features Spa Features

Above Ground

Heated

In Ground

Other

Swim Spa

Above Ground

Deck

Gunite/Concrete

Infinity

Outside Bath Access

Screen enclosure

Auto Cleaner

Diving Board

Heated

Lap Pool

Pool Alarm

Self Cleaning

Child Safety Fence

Fiber Optic Lighting

In Ground

Lighting

Pool Sweep

Solar Cover

Chlorine Free

Fiberglass

Indoor

Other

Salt Water

Solar Heat

Yes No

Solar Power Pump Tile Vinyl

STELLAR MLS RESIDENTIAL LISTING DATA ENTRY FORMEXTERIOR INFORMATION

Indicates Mulitple Choice Indicates Single Choice * Indicates Required Field

Studio/Efficiency

Property Style*1/2 Duplex

Manufactured Home

Condo - Hotel

Mobile Home

Condominium

Single Family Residence

Dock-Rackominium

Townhouse

Farm

Villa

Front Exposure*East

Northeast

South

Southwest

North

Northwest

Southeast

West

Property Description

Corner Unit

In MH Community

Stilt Home

Mid Rise

Elevated

Modular

End Unit

Out of MH Community

High Rise

Penthouse

Property AttachedYes No

New Construction*Yes No

Property ConditionCompleted Fixer Pre-Construction Under-Construction

Permit Number

Builder Name

Builder Model

MH Make MH Model MH WidthDouble Wide Single Wide Triple Wide

View

Builder License #

Proj. Completion Date

CityPark

GardenPool

Golf CourseTennis Court

GreenbeltTrees/Woods

Mountain(s)Water

Cattle

Farm Type

Aquaculture

Hogs

Sod

Horse

Chicken

Livestock

Citrus

Nursery

Crops

Other

Timber

Lot Features

Other Structures

ClearedDrainage CanalHighwayIrregular LotNear MarinaSidewalksStreet Private

Coastal Construction Control LineFlag LotHillyKey LotNear Public TransitStreet BrickStreet Unpaved

Conservation AreaFlood Insurance RequiredHistoric DistrictLevel/FlatOn Golf CourseStreet Dead-EndTip Lot

Corner LotFlood ZoneIn City LimitsMountainousOversized LotStreet One Way

Cul-De-SacGreenbeltIn CountyNear Golf CoursePasture/AgricultureStreet Paved

Additional Single Family Home

Finished RV PortOther

Tennis Court(s)

Barn(s)

GazeboOutdoor Kitchen

Boathouse

GreenhouseOuthouse

Cabana

Guest HouseShed(s)

Corral(s)

Kennel/Dog RunStorage

Unincorporated

Barn Features

Barn ApartmentEquipmentHorse BarnShed-Row

Barn OfficeFeed RoomHot WaterTack Room

BathroomFly Spray SystemNoneWashrack

BlockFrameOther

Center AisleHayPole Barn

Horse Amenities

3/8 to 1/2 Mile TrackGallop TrackRiding RingTrack Irrigation System

5/8+ Mile TrackHorse TrackRound Pen

ArenaNoneStables

Equine PoolOtherStarting Gate

EurocizerRace TrackTrack Access

Other Equipment

CompressorGenerator

Feeding StationsIntercom

Fuel Tank(s)Irrigation Equipment

Livestock Equipment Satellite DishLoading Pens

Copyright © 2021 Stellar MLS, all rights reserved.

# of Paddocks/Pastures # of Stalls

of 13 REV. Aug 2021

Walk-Up

Zoned For Horses

Garage Condo

Turf Track

Workshop

STELLAR MLS RESIDENTIAL LISTING DATA ENTRY FORMEXTERIOR INFORMATION


Mid-Century Modern

Indicates Mulitple Choice Indicates Single Choice * Indicates Required Field

Architectural Style

Vegetation

Patio and Porch Features

Bungalow

CustomKey West

Traditional

Cape Cod

Dutch Provincial

Tudor

Colonial Contemporary CraftsmanCourtyard

ElevatedOther

Victorian

FloridaPatio

French ProvincialRanch

HistoricalSpanish/Mediterranean

Bamboo WoodedFruit Trees Mature Landscaping Oak Trees Trees/Landscaped

CoveredOtherSide Porch

DeckPatioWrap Around

EnclosedPorch

Front PorchRear Porch

NoneScreened

Foundation*Basement Crawlspace Slab Stem Wall Stilt/On Piling

Roof*

Built UpRoof Over

ConcreteShake

MembraneShingle

MetalSlate

OtherTile

Exterior Features*

Awning(s)

Gray Water System

Outdoor Grill

Sauna

Storage

Balcony

Hurricane Shutters

Outdoor Kitchen

Shade Shutter(s)

Dog Run

Irrigation System

Outdoor Shower

Sidewalk

Fenced

Lighting

Rain Barrel/Cistern(s)

Sliding Doors

French Doors

Other

Rain Gutters

Sprinkler Metered

Tennis Court(s)

FencingBarbedMasonry/BrickWood

BoardOther

Chain LinkStone

Cross FencedVinyl

ElectricWire

Road Surface Type*AsphaltGravel

BrickLimerock

Chip And SealOther

ConcretePaved

Dirt

Garage* Carport*Yes No Yes No

Attached GarageYes No

Garage Spaces Carport Spaces Garage Dimensions

Garage/Parking Features

Alley AccessCommon

Electric Vehicle Charging Station(s)

Golf Cart ParkingOn Street ParkingPorticoTandem Parking

Assigned ParkingConverted Garage

Garage Door Opener

Ground LevelOpen ParkingReservedUnder Building

Bath in GarageCovered Parking

Garage Faces Rear

Guest ParkingOtherRV CarportUnderground

Boat ParkingCurb Parking

Garage Faces Side

NoneOversizedRV GarageValet

Circular DriveDriveway

Golf Cart Garage

Off Street ParkingParking PadSplit Garage

Workshop in Garage

Exterior Construction*

Asbestos

ICFs (Insulated Concrete Forms)

SIP (Structurally Insulated Panel)

Wood Frame

Block

Log

Stone

Wood Frame (FSC)

Brick

Metal Frame

Stucco

Wood Siding

Cement Siding

Metal Siding

Tilt Up Walls

Concrete

Other

Vinyl Siding

Unimproved

Road Responsibility

Deeded Easement Private Maintained Road Public Maintained Road Road Maintenance Agreement

STELLAR MLS RESIDENTIAL LISTING DATA ENTRY FORM



LEGAL

Tax ID (Parcel Number)* Tax Year* Taxes (Annual Amount)*

Additional Parcels*Yes No

Total Number of Parcels Additional Tax IDs (Seperate additional Tax IDs with a comma)

Year Built* Zoning* Zoning CompatibleYes No

Legal Description (1000 character limit)*

Section* Township* Range*

Plat Book/Page* Block/Parcel* Lot #* Alt Key/Folio

Subdivision # Subdivision Section #

Census Tract Census BlockComplex/Community Name/NCCB

Legal Subdivision Name*

LOT INFORMATION

PARCEL

Condo Land Included Flood Zone Code*Yes No

Flood Zone Date Flood Zone Panel

Total Acreage*

Lot Dimensions Lot Size Square Footage* Lot Size Acres*

Homestead* Other Exemptions CDD* Annual CDD FeeYes No Yes No Yes No

Future Land Use Planned Unit DevelopmentYes No

Land Lease* Land Lease FeeYes No

0 to less than 1/4

5 to less than 10

1/4 to less than 1/2

10 to less than 20

500+ Acres

1/2 to less than 1

20 to less than 50

Non-Applicable

1 to less than 2

50 to less than 100

2 to less than 5

100 to less than 200

200 to less than 500

AG ExemptionYes No

STELLAR MLS RESIDENTIAL LISTING DATA ENTRY FORMINTERIOR INFORMATION



Beds* Full Baths* Half Baths* SqFt Heated* SqFt Total Fireplace*Yes No

Fireplace Description

Decorative

Family Room

Gas

Master BedroomOther Room

Electric

Free Standing

Living Room

Non-Wood BurningWood Burning

SqFt Heated Source* SqFt Total SourceAppraisal

Measured

Public Records

Builder

Owner Provided

Appraisal

Measured

Public Records

Builder

Owner provided

Additional Rooms

Attic Bonus Room Breakfast Room Separate Den/Library/Office Family roomFlorida Room

Interior In-Law Suite

Formal Dining Room Separate

Loft

Formal Living Room Separate

Media room

Great Room

Storage Rooms

Inside Utility

Appliances Included*

Interior Features*

Bar Fridge

Disposal

Gas Water Heater

None

Solar Hot Water

Washer

Wine Refrigerator

Built-In Oven

Dryer

Ice Maker

Other

Solar Hot Water Owned

Water Filtration System

Convection Oven

Electric Water Heater

Indoor Grill

Range

Solar Hot Water Rented

Water Purifier

Cooktop

Exhaust Fan

Kitchen Reverse Osmosis System

Range Hood

Tankless Water Heater

Water Softener Whole House R.O. System

Dishwasher

Freezer

Microwave

Refrigerator

Trash Compactor

Attic Fan

Central Vacuum

Eating Space in Kitchen

L DiningOpen Floorplan

Solid Surface Counters

Thermostat Attic Fan

Living Room/Dining Room Combo

Attic Ventilator

Coffered Ceiling(s)

Elevator

Other

Solid Wood Cabinets

Tray Ceiling(s)

Master Bedroom Main Floor

Built-In Features

Crown Molding

High Ceiling(s)

Pest Guard System

Split Bedroom

Vaulted Ceiling(s)

Cathedral Ceiling(s)

Dry Bar

In Wall Pest System

Master Bedroom UpstairsSauna

Stone Counters

Walk-In Closet(s)

Kitchen/Family Room Combo

Ceiling Fan(s)

Dumbwaiter

NoneSkylight(s)

Thermostat

Furnishings

Furnished Optional Partial Turnkey Unfurnished

Accessibility Features

Accessible Approach

Accessible Doors

Accessible Full BathAccessible Stairway

Exterior Wheelchair Lift

Accessible Bedroom

Accessible Elec. and Envir. Controls

Accessible Guest BathroomAccessible Washer/Dryer

Grip-Accessible Features

Accessible Living Area

Accessible Elevator Installed

Accessible Hallway(s)Ceiling Track for Chair Lift

Handicap Modified

Accessible Closets

Accessible Entrance

Accessible KitchenCentral Living Area

Accessible Common Room

Accessible for Hearing-Impairment

Accessible Kitchen AppliancesCustomized Wheelchair Accessible

Laundry Features

Corridor Access

Laundry Closet

Upper Floor

Inside

Laundry Room

In Garage

None

In Kitchen

Other

Laundry Chute

Outside

Window Features

Blinds

Rods

Window Treatments

Drapes

Shades

ENERGY STAR Qualified Windows

Shutters

Insulated Windows

Solar Screens

Low Emissivity Windows

Thermal Windows

Stair Lift

Window Treatments

Wet Bar


STELLAR MLS RESIDENTIAL LISTING DATA ENTRY FORM Indicates Multiple Choice Indicates Single Choice * Indicates Required Field

Interior InformationFloor Covering*

Bamboo

Cork

Laminate

Porcelain TileTerrazzo

Recycled/Composite Flooring

Brick/Stone

Engineered Hardwood

Linoleum

Quarry TileTile

Carpet

Epoxy

Marble

Reclaimed WoodTravertine Vinyl

Other

Forestry Stewardship Certified

Ceramic Tile Concrete

Granite

Parquet

SlateWood

Security Features

Closed Circuit Camera(s)

Medical Alarm

Security System

Fire Alarm

Security Fencing/Lighting/Alarms

Security System Leased

Fire Sprinkler System

Secured Garage/Parking

Security System Owned

Gated Community

Security Gate

Smoke Detector(s)

Key Card Entry

Security Lights

Water*

Canal/Lake for IrrigationWell Required

None Private Public Well

Utilities*

BB/HS Internet Available

Natural Gas Connected

Public

Sprinkler Recycled

Water Available

Cable Available

Fiber Optics

Other

Sewer Available

Sprinkler Well

Cable Connected

Fire Hydrant

Phone Available

Sewer Connected

Street Lights

Electricity Available

Mini Sewer

Private

Solar

Electricity Connected

Natural Gas Available

Propane

Sprinkler Meter

Underground Utilities

Heating and Fuel*

Air Conditioning*

Baseboard

Heat Recovery Unit

Partial

Space Heater

Central

Natural Gas

Propane

Wall Furnace

Electric

None

Radiant Ceiling

Wall/Window Unit(s)

Exhaust Fans

Oil

Reverse Cycle

Zoned

Heat Pump

Other

Solar

Central AirWall/Window Unit(s)

Humidity ControlZoned

Mini-Split Unit(s) None Other

Sewer*

Aerobic SepticSeptic Needed

NoneSeptic Tank

Other Private Sewer Public Sewer

Water Connected

# of Wells # of Septics



Room Type* Room Level* Primary Floor Covering Room Features

Indicates Multiple Choice Indicates Single Select * Indicates Required Field

ROOM DETAILSChoice for Room Type are below. (Required Room Types are Kitchen*, Living Room* or Great Room*, and Master Bedroom*)

Additional Bedroom

Bathroom 4

Bedroom 5

Family Room

Interior In-Law Suite

Loft

Studio

Balcony/Porch/Lanai

Bathroom 5

Bonus Room

Florida Room

Inside Utility

Master Bedroom*

Study/Den

Basement

Bedroom 1

Breezeway

Foyer

Kitchen*

Master Bathroom

Workshop

Bathroom 1

Bedroom 2

Dinette

Game Room

Laundry

Media Room

Bathroom 2 Bathroom 3

Bedroom 3 Bedroom 4

Dining Room Double Master Bedroom

Great Room*

Library

Office

Gym

Living Room*

Sauna

Choices for Room Levels are:Basement First Second Third Upper

Choices for Room Primary Floor Covering are:Bamboo

Epoxy

Parquet

Tile

Brick/Stone

Forestry Stewardship Certified

Porcelain Tile

Travertine

Carpet Ceramic Tile Concrete Cork Engineered Hardwood

Granite

Quarry Tile

Vinyl

Laminate

Reclaimed Wood

Wood

Linoleum

Recycled/Composite Flooring

Marble

Slate

Other

Terrazzo

Choices for Room Features:

Width* Length*

Bar

Ceiling Fan(s)

Granite Counters

Stone Counters

Wet Bar

Bath w/Spa/Hydro Massage Tub

Closet Pantry

Handicapped Accessible

Tile Counters

Bath With Whirlpool

Cooking Island

Island

Tub with Separate Shower Stall

Bidet

Desk Built-In

Other - Specify in Remarks

Tub with Shower

Breakfast Bar

Dual Sinks

Pantry

Walk-In Pantry

Built-In Shelving

Garden Bath

Shower - No Tub

Walk-In Closet(s)

Jack & Jill Bathroom

En Suite Bathroom

Window/Skylight in BathWalk-In Tub Water Closet/Priv Toilet

Urinal

Tall CountertopsSunken ShowerSteam ShowerSplit VanitiesSink - Pedestal

Single VanitySaunaRain Shower Head

Multiple Shower HeadsMakeup/Vanity SpaceLinen Closet in BathHeated Floors

Exhaust Fan

Claw Foot TubBuilt-In Shower Bench


STELLAR MLS RESIDENTIAL LISTING DATA ENTRY FORMWATER INFORMATION


Water Access*Yes No Bay/Harbor

Brackish WaterFreshwater Canal w/ Lift to Saltwater CanalLake

River

Bayou

Canal - Brackish

Gulf/Ocean

Lake - Chain of Lakes

Beach - Access Deeded

Canal - Freshwater

Gulf/Ocean to Bay

Limited Access

Beach - Private

Canal - Saltwater

Intracoastal Waterway

Marina

Beach - Public

Creek

Lagoon/Estuary

Pond

Water Access

Water View*Yes No

Water View

Bay/Harbor - Full

Creek

Lagoon/Estuary

River

Bay/Harbor - Partial

Gulf/Ocean - Full

Lake

Bayou

Gulf/Ocean - Partial


Beach

Gulf/Ocean to Bay

Marina

Canal


Pond

Water Extras* Water Extras

Assigned Boat Slip

Bridges - Fixed

Dock - Covered

Dock - Wood

Fishing Pier

No Wake Zone

Seawall - Concrete

Boat Port

Bridges-No Fixed Bridges

Dock - Open

Dock w/Electric

Lift

Powerboats-None Allowed

Seawall - Other

Boat Ramp - Private

Davits

Dock - Slip 1st Come

Dock w/o Electric

Lift - Covered

Private Lake Dues Req

Boathouse

Dock - Composite

Dock-Slip Deeded Off-Site

Dock w/o Water Supply

Lock

Riprap

Boats - None Allowed

Dock - Concrete

Dock-Slip Deeded On-Site

Dock w/Water Supply

Minimum Wake Zone

Sailboat Water

Water Frontage* Water FrontageYes No

Bay/Harbor

Beach - Private

Brackish Water

Canal - Freshwater

Creek

Gulf/Ocean


Lake

Marina

River

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Bayou

Beach - Public

Canal - Brackish

Canal - Saltwater

Freshwater Canal w/Lift to Saltwater Canal

Gulf/Ocean to Bay

Lagoon/Estuary


Pond

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Water Name(s)

Additional Water Information

Yes No

Skiing Allowed

STELLAR MLS RESIDENTIAL LISTING DATA ENTRY FORMGREEN INFORMATION

EarthCraft House

Administrator

Complete In Process

Assessor Builder Contractor or Installer Other - See Remarks

Owner Program Sponsor Program Verifier Public Records

Choices for Green Building Verification Type are below

Choices for Green Verification Source are below

Choices for Green Verification Status are below

Building Verification Type Status Year Version Body Metric Rating Source URL

FGBC Green Certified Home

Florida Friendly Yard Recognition

Geothermal HVAC

LEED Neighborhood Development NAHB Certification NGBS New Construction NGBS Small Projects Remodel

NGBS Whole-Home Remodel Other - Specify in Remarks WaterSense

ENERGY STAR Certified Homes

FGBC Remodel

Florida Green Lodging

HERS Index Score

EPA Indoor Air Quality Plus

Florida Certified Yard

Florida Water Star

LEED Certified Building

FGBC Green Certified Building

Florida Friendly Landscape

FORTIFIED for Safer Living

LEED For Homes



Fl. Friendly/Native Landscape Non-Toxic Fertilizer/Pesticides Rain Water Harvesting Veg. (Productive) Garden Xeriscape

Green Landscaping

Conserving Methods Onsite Recycling Center Recyclable Materials Recycled Materials Regionally-Sourced Materials

Renewable Materials Salvaged Materials

Green Sustainability

Green Energy Generation

Green Energy Features

Hydro Power Solar Wind

AppliancesPool

Energy Monitoring SystemRoof

HVACThermostat

InsulationWater Heater

Lighting

Green Water Features

Drip Irrigation

Water Recycling

Irrig. System-Drip/Microheads

Whole House Water Purification

Irrig. System-Rainwater from Ponds Irrig. System-Reclaimed Water

Low-Flow Fixtures

Windows

Hurricane Shutters / Windows

Disaster Mitigation

Indoor Air Quality

Above Flood Plain Fire/Smoke Detection Integration

Safe Room

Fire Resistant Exterior Hurricane Insur. Deduction Qual.

Lightning Protection System

Air Filters MERV 10+ HVAC UV/Elec. Filtration

No/Low VOC Cabinets/Counters

Non-Toxic Pest Control

Whole House Vacuum System

HVAC Cartridge/Media Filter

Janitor Closet Neg Pressurized No/Low VOC Flooring

Sealed Combustion

HVAC Filter MERV 8+

No Smoking - Interior Bldg

No/Low VOC Paint/Finish Ventilation



OWNEROwner Name

Tenant Name

Owner Phone

Tenant Phone


Ownership*Co-op Condominium Fee Simple Fractional

Home WarrantyYes No

EXISTING LEASE

Existing Lease or Tenant*Yes No

Monthly Rental Amount Days Notice to Tenant if Not Renewing15 Days 30 Days 60 Days 90 Days

End Date Lease Month to Month or WeeklyYes No

ASSOCIATION INFORMATIONHOA/Comm Assn* HOA Fee Requirement HOA Fee HOA Payment Schedule Condo Fee

Condo Fee Schedule Addtl Mo. Maint Fee Other Fee Other Fee Schedule

Association/Manager Contact Name

Association/Manager Email

Association/Manager Contact Phone

Association/Manager Website Address

Yes No None

Required

Optional

Annual

Quarterly

Monthly

Semi Annual

Annually

Quarterly

Monthly

Semi-Annually

Annual

Quarterly

Monthly

Semi Annual

COMMUNITY

Community Features

Airport/Runway

Deed Restrictions

Golf Community

No Truck/RV/Motorcycle Parking

Public Boat Ramp

Water Access

Association Recreation - Lease

Fishing

Handicap Modified

None

Raquetball

Waterfront

Association Recreation - Owned Buyer Approval Required

Fitness Center

Horse Stable(s)

Park

Sidewalk

Wheelchair Access

Gated Community

Horses Allowed

PlaygroundSpecial Community Restrictions

Community Boat Ramp

Golf Carts OK

Irrig. Reclaimed Water

Pool

Tennis Courts

Association Amenities

Fee Includes

Amenities w/Additional Fees

Airport/Runway

Dock

Golf Course

Maintenance

Pickleball Court(s)

Recreation Facilities

Storage

Basketball Court

Elevators

Handicap Modified

Marina

Playground

Sauna

Tennis Court(s)

Boat Slip

Fence Restrictions

Horse Stables

Optional Additional Fees

Pool

Security

Trails

Cable

Fitness Center

Laundry

Other

Private Boat Ramp

Shuffleboard Court

Clubhouse

Gated

Lobby Key Required

Park

Raquet Ball

Spa/Hot Tub

24-hour Guard

Escrow Reserves Fund

Maintenance Exterior

Other

Security

Cable TV

Fidelity Bond

Maintenance Grounds

Pest Control

Sewer

Common Area Taxes

Gas

Maintenance Repairs

Pool Maintenance

Trash

Community Pool

Insurance

Manager

Private Road

Water

Electricity

Internet

None

Recreational Facilities

Vehicle Restrictions Wheelchair Access

Housing for Older Persons*Yes No

Management TypeFull Time Part Time


REALTOR INFORMATION


PETSPets Allowed

Breed Restrictions

Number Limit

Yes

No

Size Limit

Max Pet WeightNumber of Pets Allowed Pet Size

Pet Restrictions

1

5

9

2

6

10+

3

7

4

8

Extra Large (101+ Lbs.)Medium (36-60 Lbs.)Very Small (Under 15 Lbs.)

Large (61-100 Lbs.)Small (16-35 Lbs.)

Leasing RestrictionsCan Property Be Leased*

Lease Restrictions

Association Approval Required

Minimum Lease Period Max Times Per Year

Years of Ownership Prior to Leasing Required

Yes No

Number of Ownership Years Prior to Leasing

Additional Lease Restrictions Approval Process

No Minimum

2 Weeks

4 Months

8-12 Months

No Rent

1 Month

5 Months

1-2 Years

1-7 Days

2 Months

6 Months

2+ Years

1 Week

3 Months

7 Months

Financing Available

Assumable

Lease Option

USDA

Cash

Lease Purchase

VA

Conventional

Other

Exchange/TradePrivate Financing Available

FHA

Special Funding

Realtor Information Confidential

Disclosures

Bonus to Selling Office Copy of Lease Available Go to Site In-Foreclosure Pre-Foreclosure

Condo Disclosure Available

None

Environmental Disclosure

Other

HOA/PUD/Condo Disclosure

PACE Loan Disclosure

Land Sales Disclosure

Seller Property Disclosure

Lead paint

Yes No Yes No Yes No

As-Is

Realtor Information

3rd Party Approval Req

CDD Addendum Required

Docs Available

Floodway

Leasing Not Allowed

Other

Phase I Environ. Report

Remediation in Progress

Seller Must Build

Subject to Approval

Will Sell 1 Lot

Applications in Process

Confidentiality Letter Req

Engineering Report

Floor Plan Available

List Agent is Owner

Owner Motivated

Phase II Environ. Report

Right of First Refusal

Septic/Sewer Addm Req

Subject to Zoning

Will Subdivide

Contract for Deed

Environ. Report Available

Foreign Seller

List Agent is Related to Owner

Owner Will Assist w/Closing Costs

Potential for Zoning Change

Scrub Jay - Check w/County

Short Term Rental Allowed

Survey Available

Zoning Grandfathered In

Assoc Approval Required

Corp Owned Relo

Fannie Mae Approved Pilot

In-Foreclosure

Mtge - Owner Will Hold

Owner Will Consider Exchange

Pre-Foreclosure

See Attachments

Sign

Termite Bond/Warranty

Brochure Available

Currently Leased

Fannie Mae Secured

Lease Restrictions

No Sign

Owner Will Consider Financing

Remediation Accomplished

Seller May Build

Special Assessments

Title Insurance

Superfund

COMPENSATIONSingle Agent Comp* Non Rep Comp* Trans Broker Comp*



AGENT/OFFICE

List Agent ID* Agent Name and Information*

Office Name and Information*

List Agent 2 ID Agent Name and Information

Office Name and Information

Team Name

Interoffice Info

Bonus Dual/Variable Compensation*Bonus Amount Bonus Expiration DateYes No Yes No

SHOWING INFORMATIONCall Center Phone Number ShowingTime Secure Remarks

Showing Instructions*

SELLER’S PREFERRED CLOSING AGENTClosing Agent Name

Phone

Closing Company Name

FaxEmail

Street Name City StateStreet Number Zip

24 Hour Notice

Call Listing Office

Contact Call Center

Gate Key in Listing Office

Key/Agent

Lock Box No Call

Pet on Premises

Appointment Only

Call ManagerDangerous Farm Animals on Site

Gate Key in Lock Box

Listing Agent Must Accompany

Locked Gate

See Remarks

Call Agent 2

Call Owner

Do Not Contact Tenants

Go Direct

Lock Box Coded

No Call BoxUnder Construction

Call Before Showing

Call Tenant

Farm Animals on Site

Guard Dog

Lock Box ElectronicNo Sign

Use ShowingTime Button

Call Listing Agent

Combination Lock Box

Gate Code Required

Key In Office

Lock Box Elec.-CBS Code Required

Other

Occupant Type*Owner Tenant Vacant

LISTING DISTRIBUTION



MARKETING LINKS AND INFORMATION

The owner has reviewed the foregoing information contained in this Data Entry Form and acknowledges the information to be true and correct to the best knowledge of the owner. The owner agrees to indemnify and hold harmless the My Florida Regional MLS DBA Stellar MLS (Stellar MLS), the Originating Board, and their employees, the Listing Broker and licensees, the Selling Broker and licensees, and all other cooperating Brokers and licensees against any and all claims or liability (including attorney fees) arising from any breach of warranty by Owner or from any incorrect information supplied by the Owner or from any facts concerning the Property which was known or reason-ably should have been known to Owner but not disclosed by Owner. At the request of the Listing Broker, unless otherwise properly indicated on this Data Entry Report form, Stellar MLS will electronically transmit information about the Owner’s property to Internet web sites to aid in the marketing of the Property for sale. Stellar MLS shall retain and make available all such data and photographs to all its participants for an indefinite period. Stellar MLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the Stellar MLS computer system. The Owner hereby authorizes Listing Broker to file this Data Entry report form with the Stellar MLS and the Owner will provide timely notice of all status changes.

Realtor Only Remarks


Internet* IDX/VOW Display Comments* IDX/VOW AVM* Third Party* Show Prop Address on Internet*Yes No Yes No Yes No Yes No Yes No

Distribute To

Create Free AutomaticVirtual Tour*

Virtual Tour Link 1

Virtual Tour Link 2

Web Link 1

Web Link 2

Public Remarks*

Yes No

Driving Directions*

Owner Signature*

Owner Signature*

Broker Signature*

Date*

Date*

Date*

Virtually Staged Listing Photos

Homes.com Homesnap Realtor.comInternational MLS

residential listing data entry form indicates multiple

Documents