** Indicates a Required Field o Indicates a Single Choice ... · Living Room/Great Room Volume...
Transcript of ** Indicates a Required Field o Indicates a Single Choice ... · Living Room/Great Room Volume...
** Indicates a Required Field o Indicates a Single Choice Field □ Indicates a Multiple Choice Field [G] = Green Fields
Association
**Expiration Date BOM Date **List Price Range Price
Yes No
Vrange List Low Price
Lease Rate
Original List Price **Listing Type Exclusive Right to Lease
Representation
Exclusive Agency
L.S. / Exclusive Agency
Seller Not Represented
LP/Sq Ft
**Deposit
Yes
No
**Security Deposit **Office Primary Board ID
Central Pasco DeSoto
East Pasco
East Polk Interealty Usage
Lake/Sumter
Lake Wales Lakeland
Orlando Regional
Osceola Other Pinellas Suncoast
Sarasota Tampa Venice
West Pasco
Bartow
Englewood
Manatee
Port Charlotte
West Volusia
L.S. / Exclusive Right To Sell
REO/Bank Owned
**Special Listing Type
Exclusion
Not Applicable
Other
ADDRESS
**Street Number
Street Dir Pre **Street Name
Street Type
Street Dir Post
Unit Number
**City **State **Zip Zip + 4
Number Building Name/
Total # Buildings
SCHOOLS
Page 1
Office
LISTING TAB-STATUS AND LISTING INFORMATION
**Entered Where
Exclusive Right to Sell
Limited Service (L.S.)
Sold Data / Entry Only Previous List Price
Seller Represented
**Listing Date
Special Sales Provision
Exclusion / Variable Commision
Variable Commision
Auction*
Yes
NoShort Sale
None of the Above
** County
Elementary School
Middle or Junior School
High School
FINANCIAL INFORMATION
Annual Gross Income
**Annual Net Income
Est Annual Market Income
Total Monthly Rent Total Monthly Expenses
Annual Expenses
Efficiency Avg Rent
Lease Terms (5)
Gross Lease
Seasonal
Limited Pets
Monthly Pet Fee
Tenant Pays Electric
Net Lease
Improvement Allowance
Month to Month
Other
Tenant Pays Association Fee
1 to 2 Years
6 + Years
Renewal Option
Pass Throughs
Pet Deposit
Tenant Pays Sewer Tenant Pays Trash
3 to 5 Years
Annual Rate Increase
Purchase Option
No Pets
Tenant Pays Parking Fee
Tenant Pays Water
Financial Source
Broker
CPA
Owner
Tax Return
EXTERIOR/POOL TAB **POOL
Community None Private
Pool Type (8)
Above Ground Auto Cleaner Child Safety Fence
Diving Board Fiberglass Gunite/Concrete
Heated Pool Heated Spa In Ground
Infinity Edge Inside Other Water Feature
Other Outside Bath Access Pool Sweep
Salt Water [G] Screen Enclosure Solar Cover for Pool [G]
Solar Heated Pool [G] Solar Powered Pool Pump [G] Spa
Tile Vinyl
Page 2
**Location (10)
Conservation Area
Corner Lot
Flood Plain
Gated Community
Greenbelt
Highway Frontage
In City Limits
In County
Lot - Irregular
Lot - Key
Pasture/Agriculture
Park View
Sidewalk
Street Brick
Street Paved
Street Private
Close to Bus Line
Corner Lot/Unit
Golf Course Frontage
Hilly
Level
Lot – Oversized
Pool View
Street Dead-End
Street Unpaved
Coastal Constr Ctrl Lnn
Cul-de-Sac
Golf Course View
Historic District
Lot – Flag
Lot - Tip
Room for Pool
Street One Way
Zoning Permits Horses
**Exterior Construction (5)
Asbestos
Brick
Log
On Piling
Siding
Stem Wall
Stucco
Wood Frame
Block
ICF Insulated Concrete Forms [G]
Metal Frame
Other
SIP Structurally Insulated Panel [G]
Stone
Tilt Up Walls [G]
Wood Frame (Forestry Stewardship Certified) [G]
Porches
**Roof (3)
Built up Membrane Metal
Roof Over
Shake Shingle Slate
TileOther
Front Exposure
North South East West
Northeast Northwest Southeast Southwest
**Exterior Features (12)
Detached In-Law Apt
French Doors
Gutters/Downspouts
Hurricane Shutters
Oak Trees
Outdoor Grill
Patio/Porch/Deck Covered
Rental Apartment
Sidewalk
Stables
Utility Shed
Balcony/Sun Deck
Detached Workshop
Fruit Trees
Handicap Modified
Irrigation System
Open Patio
Outdoor Shower
Patio/Porch/Deck Open
Satellite Dish
Sliding Doors
Storage
Wheelchair Accessible
Barn
Fenced
Greenhouse
Hot Tub/Spa
Mature Landscaping
Other
Parking - RV/Boat
Patio/Porch/Deck Screened
Sauna
Sprinkler Metered
Trees/Landscaped
Xeriscape
**Sidewalk
Yes
No
**Garage / Carport (3)
1 Car Carport 1 Car Garage 2 Car Garage
3 Car Carport 3 Car Garage 4 Car Garage
5+ Car Carport 5+ Car Garage Golf Cart Garage
RV Garage None
2 Car Carport
4 Car Carport
RV Carport
Under Building parking
**Garage Features (10)
Assigned Parking
Circular Drive
Covered Parking
Drive Space
Golf Cart Parking
None
Open Parking
Parking Pad
Portico
Street Parking
Tandem Parking
Attached
Detached
Guest Parking
Other
Secured Parking
Under Building Parking
Bath In Garage
Door Opener
No Street Parking
Oversized
Side Rear Entry
Washer/Dryer Hookup
Workshop
Garage Dimensions Model Name
Page 3
LAND AND TAX TAB - LEGAL
**Tax ID Alt Key/Folio **Taxes **Tax Year **Year Built **Zoning
**Legal Description **Section **Township **Range
**Subdivision Number Subdivision Section Number **Block/Parcel **Lot # **Legal Subdivision Name **Plat Book/Page
**Additional ParcelYes No
SW Subdiv Sub Condo Number SW Subdv Community Name Complex/Community Name/NCCB Millage Rate
LAND AND TAX TAB - LOT INFORMATION
Lot Dimensions Lot Size (Square Feet)* Lot Size (Acres)* Future Land Use
**Total Acreage
Zero Lot Line Up to 10,889 Sq. Ft. 1/2 acre to 1 acre
One+ to Two acres Two + to Five acres 10 to less than 20
20 to less than 50 50 to less than 100
1/4 Acre to 21,779 Sq. Ft.
5 to less than 10
100 to less than 200 200 to less than 500
500+ acres Non-Applicable
Yes No
Other Exemptions
Yes No
**CDD
Yes No
**New Construction
Yes No
Special Tax District
Yes No
LAND AND TAX TAB - PARCEL
Construction Status
Completed
Pre-Construction
Under Construction
Projected Completion Date
**Homestead
INTERIOR TAB - INTERIOR INFORMATION
**Property Style
Duplex Five or more units Four Units
Single Family Single Family Home Townhouse
Dock/Rackominium
Triplex
Home with a Rental Unit
**Property Description (4)
1 Level 2 Levels 3 Levels 4 + Level
Attached Detached
Architectural Styles (6)
Cape Cod Colonial Contemporary
Custom Dutch Provincial Florida
Historical Key West Ranch
Townhouse Traditional Tudor
Bungalow
Courtyard
French Provincial
Spanish / Mediterranean
Victorian Villa Other
**Utilities Data (10)
BB/HS Internet Avail City Water
Electric Fiber Optics
None Gas
Public Sewer Public Utilities
Sewer Sprinkler Recycled
Aerobic Septic
Cable Connected
Fire Hydrant
Private Municipal Water
Septic
Sprinkler Well Street Lights
Cable Available
County Water
Other
Private or Subdivision
Sprinkler Meter
Underground Well
**Square Feet Heated
**Sq Ft Source
Builder
Measured
Owner Provided
Public Records
Appraisal
Total Units
Annual CDD Fee
Additional Rooms (9)
Bonus Room Breezeway
Den / Library / Office Family Room
Florida Room Foyer
Game Room Inlaw / Rental Apt
Inside Utility
**Air Conditioning (2)
Central Humidistat
No Air Wall/Window Units
Zoned/Multiple
**Heating and Fuel (6)
Central Fuel - Electric
Fuel – Oil Heat Pump
Other
Partial
Solar Space Heater
Zoned / Multiple
Fuel - Gas Bottled
Fuel - Gas Natural
Heat Recovery Unit No Heat
Raiant / Baseboards Raiant / Ceiling
Wall Furnace
Wall / Window Units
**Appliances Included (13)
Dishwasher
Gas Appliances
Other
Solar Hot Water Rented
Compactor
Freezer
None
Solar Hot Water Owned
Disposal
Hot Water Electric
Range
Washer
Dryer
Hot Water Gas
Range Hood
Water Softner Owned
Exhaust Fan
Microwave
Rifrigerator
Water Softner Rented
Page 4
Interior Layout (8)
Formal Dining Room Separate
L Dining
Master Bedroom Downstairs
Breakfast Room Separate
Formal Living Room Separate
Living/Dining Room Combo
Split Bedroom
Eating Space In Kitchen
Kitchen/Family Room Combo
Living Room/Great Room
Volume Ceilings
**Interior Features (14)
Attic Fan
Central Vacuum
Hot Tub/Spa
Radiant Barrier
Smoke Alarm(s)
Walk In Closet
Cathedral/Vaulted Ceiling
Furnished
Medical Alarm
Sauna
TV Antenna
Wet Bar
Attic
Ceiling Fan(s)
Handicapped Modified
Pest Guard System
Skylights
Volume Ceilings
Wheelchair Accessible Window Treatment
Blinds/Shades
Corridor Access
Intercom System
Rods
Solid Stone Counters
Washer/Dryer Hookup
Other
Master Bath Features (4)
Bath with Whirlpool
Dual Sinks
Handicapped Accessible
Tub w Separate Shower Stall
Other - Specify in Remarks
Bath w Spa/Hydro Massage Tub
Bidet
Garden Bath
Shower - No Tub
Tub w Shower
**Floor Covering (6)
Carpet
Cork [G]
Marble
Other
Recycled/Composite Flooring [G]
Terrazzo
Bamboo [G]
Ceramic Tile
Forestry Stewardship Certified [G]
Marmoleum [G]
Quarry Tile
Salvaged Flooring [G]
Vinyl
Brick/Stone
Concrete [G]
Laminate
Parquet
Reclaimed Wood [G]
Slate
Wood
Security System
Leased Owned
**Fireplace
Yes No
Fireplace Description (2)
Family Room
Living Room
Other Room
Electric Fireplace
Gas Fireplace
Master Bedroom
Wood Burning FP
Kitchen Features (5)
Closet Pantry
Cooking Island Desk Built In
Breakfast/Snack Bar
Pantry Walk In Pantry
SPACE
**Efficiencies-Number of 1 Bed/1 Bath # 1 Bed/1 Bath Avg Rent Num of Add Parcels
2 Bed/1 Bath # 2 Bed/1 Bath Avg Rent 2 Bed/2 Bath # 2 Bed/2 Bath Avg Rent
3 Bed/1 Bath # 3 Bed/1 Bath Avg Rent 3 Bed/2 Bath # 3 Bed/2 Bath Avg Rent
WATER/GREEN TAB - WATER ACCESS
Water Access
Yes
No
Water Access (10)
Beach – Private Canal – Freshwater Canal – Saltwater
Gulf/Ocean Gulf/Ocean to Bay Lagoon Lake
Limited Access Marina River
Water View
Yes
No
Water View (10)
Bay/Harbor – Partial Beach
Lagoon Lake
Pond River
Beach - Access DeededBay/Harbor
Creek
Lake - Chain of Lakes
Beach – Public
Intracoastal Waterway
Pond
Canal Gulf/Ocean - Full
Gulf/Ocean - Partial
Bay/Harbor - Full Creek
Intracoastal Waterway
Marina
Gulf/Ocean to Bay Lake - Chain of Lakes
Water Frontage
Yes
No
Water Frontage (10)
Beach – Private
Gulf/Ocean Lagoon Lake
Pond
Beach – Public
I r er y
River
.. y/H r r er
M r
l re er
G e y
Creek
e e
Page 5
Water Extras
Yes
No
Water Extras (10)
Water Name Waterfront Feet
Boathouse
Dock - Slip Deeded On-Site Fishing Pier Lock
Riprap Seawall - Other
Boat Ramp - Private
Dock - Slip Deeded Off-Site Lift
Boats - None Allowed
Sailboat Water Skiing Allowed
Davits Dock - Slip 1st Come
Private Lake Dues Required
Bridges - No Fixed Bridges
Seawall - Concrete
WATER/GREEN TAB - GREEN INFORMATION
Green Certifications (G) (4)
Energy Star HomeTM
FGBC Green Certified Home
Florida Friendly Yard Recognition
Geothermal HVAC
LEED Neighborhood Development
EPA Indoor Air Quality Plus
FGBC Remodel
Florida Water Star
LEED Certified Building
NAHB Certification
EarthCraft HouseTM
EPA WaterSense
Florida Certified Yard
FORTIFIED for Safer Living
LEED for Homes
Other – Specify in Remarks
Green Energy Features (G) (9)
Energy Star Refrigerator
Energy Star Windows
Heat Pump Water Heater
Hydronic Radiant Heating
Outdoor Lighting – Solar
Reflective Roofing Material
Solar Hydronic Radiant Heating
Sprayfoam Insulation – Attic
Energy Star Qualified Roof Product
Gas Tankless Appliances
Heat Recovery Unit
Humidistat
Programmable Thermostat
HVAC SEER 15+
Solar Power
Sprayfoam Insulation – Walls
Energy Star Dishwasher
Energy Star Washer
Geothermal Heat Pump
Hydro Power
Outdoor Lighting – None
Radiant Barrier
HVAC SEER 20+
Solar Water Heater
Wind
Green Water Features (G) (11)
Cistern
Dual Flush
High Efficiency Faucet/Fixtures
Irrigation – Low Volume
Irrigation – Reclaimed Water
Whole House Water Purification
Drip Irrigation
Grey Water Use (Whole House)
High Efficiency (Low Flow) Toilet
Irrigation - None
Rain Barrels w Spigot/Overflow
Green Landscaping (G) (4)
Non Toxic Fertilizer/Pesticides
Vegetable (Productive) Garden
Florida Friendly/Native Landscape
Rain Water Harvesting
Fire Resistant Exterior
Hurricane Insurance Deduction Qual.
Lightning Protection System
Above Flood Plain
Fire/Smoke Detection Integration
Hurricane Shutters/Windows
Safe Room
Disaster Mitigation (G) (7)
Indoor Air Quality (G) (15)
Bath Fans Vented to Outside
HVAC Filter MERV 8+
Non Toxic Pest Control
Range Hood Vented to Outside
Fireplace - Direct Vent
No/Low VOC Paint/Stain/Finish
HVAC Cartridge/Media Filter
Sealed Combustion
Fresh Air Ventilation System
No/Low VOC Flooring
HVAC UV/Electronic Filtration
Whole House Vacuum System
OWNER TAB - OWNER
Owner Name
Owner Phone
Tenant Name
Tenant Phone
Management
Management Contact Information **Ownership
Co-Op
Condominium
Fee Simple
Land-Lease
Fannie Mae Secured
Yes No
COMMUNITY TAB - ASSOCIATION INFORMATION
**HOA/COMM ASSN
OptionalNone
HOA Fee HOA Payment Schedule
MonthlyAnnual
Quarterly Semi Annual
Required
Monthly HOA Amount Condo Maintenance Fee Condo Maintenance Fee Schedule
Annual Monthly
Quarterly Semi AnnualMonthly Condo Fee Amount
COMMUNITY TAB - HOUSING FOR OLDER PERSONS
**HOUSING FOR OLDER PERSONS (2)
55+ 62+ N/A
FCHR Website
Yes No
Affidavit
Yes No
Expire Renewal Date
Page 6
Community Features (25)
Association Recreation -Owned
Dock
Golf Community
Maintenance Free
Park
Security
Tennis Courts
Airport/Runway
Community Hot Tub/Spa
Fitness
Irrigation By Reclaimed Water [G]
Optional Additional Fees
Racquet Ball
Special Community Restrictions
Association Recreation - Lease
Deed Restrictions
Gated Community
Laundry Facility
Playground
Recreation Building
PUD
PETS
Pets Allowed
Yes
No
Pet Restrictions
Yes
No
Number of Pets Pet Size Max Pet Weight
Pet Restrictions
Boat Slip
Elevators
Handicap Modified
No Truck/RV/Motorcycle Parking
Private Boat Ramp
Shuffleboard
Water Access
Buyer Approval Required
Fees Required
Horse Stables
None
Public Boat Ramp
Storage
Waterfront Complex
REALTOR INFORMATION TAB – REALTOR INFORMATION
Realtor Information (25)
3rd Party Approval Req
CDD Addendum required
Corporate Owned Relo
Environmental Report Available
Floor Plan Available
In Foreclosure
Lease Restrictions
Owner/Agent
Owner Will Consider Financing
Seller Must Build
Septic Sewer Addendum Req.
Special Assessments
Tenant Occupied
Assumable Mortgage
Condominium Disclosure Avail
Deed Restrictions
Fannie Mae Approved Pilot
Foreign Seller
In-Law Quarters
No Sign
Owner Occupied
Pre-Foreclosure
Seller Property Disclosure
Short-Term Rental Allowed
Subject To Zoning
Termite Bond / Warranty
Brochure Available
Contract for Deed
Docs Available
Fixer-Upper
Home Warranty
Lead Paint Disclosure
Other Disclosures-Contact Agent
Owner Will Assist w/ Closing Costs
Seller May Build
Seller Related To Agent
Sold As-Is
Survey Available
Will Sell 1 Lot
Realtor Info Confidential (7)
Bonus to Selling office
Go To Site
Lease Available
Pet on Premises
Tenant Approval
Vacant
Bonus to Lease office
Contract for Deed
In Foreclosure
Owner Occupied
Pre-Foreclosure
Tenant Occupied
Variable Rate Commission
Financing Available (10)
Assumable - Non Qualify
Conventional
Exchange/Trade
Flood Insurance Required
Lease Option
Other
Special Funding
VA
Assumable - Must Qualify
Cash
Energy Efficient Mortgage [G]
FHA
Green Financing Available [G]
Lease Purchase
Seller Financing
USDA
COMPENSATION
Single Agent Comp Non Rep Comp Trans Broker Comp
AGENT/OFFICE**Agent ID Agent Name Agent Email Office Name and Information
List Agent 2 ID List Agent 2 name List Agent 2 Email Office Name and Information
Team Name
SHOWING INFORMATION
Call Center Phone Number Showing Time Showing Time Secure Remarks
Page 7
**Showing Instructions (16)
24 Hour Notice
Call Listing Agent
Call Owner
Contact Call Center
Listing Agent Must Accompany
Lock Box Coded
See Realtor Remarks
Appointment Only
Call Agent 2
Call Property Manager
Gate Code Required
Lock Box - Combination
Lock Box No Call
Under Construction (Go to site)
Call Before Showing
Call Listing Office
Call Tenant
Key-Listing Broker Office
Lock Box - Electronic
Pet on Premises
Use Request Showing Button
IDX/VOW
**Internet
Yes
No
**Show Prop on Address on Internet
Yes
No
**IDX
Yes
No
**Realtor.com
Yes
No
**VOW AVM
Yes
No
**IDX/VOW Display Comments
Yes
No
Third Party
Yes
No
MARKETING LINKS and INFORMATION
**Create Automatic Virtual Tour
Yes
No
Virtual Tour Link Virtual Tour Link 2 Web Link 1 Web Link 2
**Public Remarks
Realtor Only Remarks
**Driving Directions
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 Multiple Listing Service (MFRMLS), 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 Owner or from any facts concerning the Property which was known or reasonably 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 form, MFRMLS will electronically transmit information about the Owner's property to Internet web sites to aid in the marketing of the Property for sale.
MFRMLS shall retain and make available all such data and photographs to all its participants for an indefinite period.
MFRMLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the MFRMLS computer system.
The Owner hereby authorizes Listing Broker to file this Data Entry form with the MFRMLS and the Owner will provide timely notice of all status changes.
DATE OWNER SIGNATURE OWNER SIGNATURE
DATE BROKER