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.

7