MULTI-FAMILY DATA FORM
Duplex - Triples - Quadruplex - Apartment Building
FLORIDA -  MULTIPLE LISTING SERVICE
FAX BACK TOLL FREE 877-471-8143 OR 954-252-4172

I wil send the signed listing agreement by:                 US Mail             FAX

MLS listing period:            3 Months            4 Months           5 Months          6 Months   1 YEAR   

List Price___________________

Owners Full Name: __________________________________________               ___________________

2nd Owners Full Name:__________________________________________________________________

Street Address of Property For Sale:

Street:_______________________________________     City:__________________________________

Unit #:_______           State:                                          _ ____       Zip:_____________________________

Mailing Address:
Street:_______________________________________     City:__________________________________

Unit #:_______           State:                                          _ ____       Zip:_____________________________

FLORIDA COUNTY WHERE PROPERTY IS LOCATED:___________________________________

Daytime Phone:                        ____________        Evening Phone:     _______                                 __       

Do you want both phone numbers on the MLS:       Yes     Just the day #      Just the night #       Other

EMAIL ADDRESS:__________________________________________________________

FAX NUMBER:______________________________________     

Subdivision Name:___________________________     Development Name:_________________________
Tax ID#                      ___     ___  
  Taxes (County & City $                  Tax Year              Year Built________

LEGAL DESCRIPTION:

_______                  ___                 ___                             ________________________________________

                          ___                                                           ________________________________________

Lot Dimensions (Start with street frontage)__________      Total # of Units______   # of Firepaleces________

Annual Association Fee________________

Elementary School:_____________________________________________________________________

Middle School:_________________________________________________________________________

High School:___________________________________________________________________________

UNIT # 1
Bedrooms______
   Full Baths_____    Half Baths_____    Living Room (yes)   (no)    Den_(yes)   (no)

Dining Room  (yes)   (no)
   Monthly Rent___________

UNIT # 2
Bedroms______
   Full Baths_____    Half Baths_____    Living Room (yes)   (no)    Den_(yes)   (no)

Dining Room  (yes)   (no)
   Monthly Rent___________

UNIT # 3
Bedroms______
   Full Baths_____    Half Baths_____    Living Room (yes)   (no)    Den_(yes)   (no)

Dining Room  (yes)   (no)
   Monthly Rent___________

UNIT # 4
Bedroms______
   Full Baths_____    Half Baths_____    Living Room (yes)   (no)    Den_(yes)   (no)

Dining Room  (yes)   (no)
   Monthly Rent___________

FOR ADDITIONAL UNITS  - SUBMIT THE ABOVE INFORMATION FOR EACH ADDITIONAL UNIT
ANNUAL INSURANCE PREMIUM___________     ANNUAL ELECTRIC EXPENSE___________________
ANNUAL GAS EXPENSE___________________     ANNUAL WATER EXPENSE                                          
ANNUAL MAINTENANCE EXPENSE                
     ANNUAL GROSS EXPENSE______________________
ANNUAL GROSS INCOME_________________


PROPERTY DESCRIPTION (up to 300 characters):

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

______________________________________________________________________________________

DIRECTIONS: (from a major road or intersection):

______________________________________________________________________________________

______________________________________________________________________________________

Amount of commission being offered to real estate agents:    2%       2.5%      3%      3.5%     4%    4.5%   5%

CHECK ALL OFF THE FOLLOWING THAT APPLY TO YOUR PROPERTY



AMENITIES: 
_____Boat/Camper/Van Parking 
_____Clubhouse 
_____Golf Course 
_____Guest Lodging
_____Lake 
_____Park 
_____Physical Fitness
____Playground
_____Pool

_____Racquetball
_____Security
_____Sidewalks
_____Street Lights
_____Swim Team
_____Tennis Courts
_____Tennis Team
_____Underground Utilities
____Neighborhood Association
_____Walk to Schools
_____Walk to Shopping
_____Marina 
_____Airstrip 
_____Stables 
_____RV Parking 
_____Boating/Skiing 

_____Country Club 

_____Dry Dock 
_____Fishing 
_____Gated 
_____Restaurant 
_____Ski Lifts 
_____Snow Skiing 
_____Other Amenities 
_____None
APPLIANCES INCLUDED: 
UNIT #1
_____Dishwasher 
_____Disposal 
_____Range oven 
_____Electric oven/range/cook top 
_____Smoke/Fire Alarm

UNIT #2
_____Dishwasher 
_____Disposal 
_____Range oven 
_____Electric oven/range/cook top 
_____Smoke/Fire Alarm

UNIT #3
_____Dishwasher 
_____Disposal 
_____Range oven 
_____Electric oven/range/cook top 
_____Smoke/Fire Alarm

UNIT #4
_____Dishwasher 
_____Disposal 
_____Range oven 
_____Electric oven/range/cook top 
_____Smoke/Fire Alarm

INCLUDE ABOVE INFORMATION
FOR ADDITIONAL UNITS



LEASE TERMS:
UNIT #1
_____Month to Month
_____Six Months
_____Years
_____Other, See Remarks
_____None

LEASE TERMS:
UNIT #2
_____Month to Month
_____Six Months
_____Years
_____Other, See Remarks
_____None


LEASE TERMS:
UNIT #3
_____Month to Month
_____Six Months
_____Years
_____Other, See Remarks
_____None


LEASE TERMS:
UNIT #4
_____Month to Month
_____Six Months
_____Years
_____Other, See Remarks
_____None

 
INCLUDE ABOVE INFORMATION
FOR ADDITIONAL UNITS




 
CONSTRUCTION: 
_____Aluminum 
_____Vinyl 
_____Brick-3 sides 
_____Brick-4 sides 
_____Brick/Frame 
_____Brick front 
_____Log 
_____Pressboard Siding 
_____Rough Sawn Siding 
_____Cedar 
_____Stone 
_____Stone/Frame 
_____Stucco-EIFS 
_____Stucco-Real 
_____Wood siding 
_____Concrete siding 
_____Other
STORIES: 
_____1 story 
_____1.5 story 
_____2 stories 
_____Over 2 stories 
_____Multi-level 
_____Split foyer 
_____Split level
BASEMENT: 
_____Bath finished 
_____Bath stubbed 
_____Block wall 
_____Concrete wall 
_____Crawl space 
_____Daylight 
_____Earthen wall 
_____Entrance inside 
_____Entrance outside 
_____Finished rooms 
_____Full 
_____Partial 
_____Boat Door 
_____Slab
COOLING: 
_____Electric A/C 
_____Gas A/C 
_____Solar A/C 
_____Other energy A/C 

_____Ceiling fan 

_____Central A/C 
_____Common cooling 
_____Heat pump 
_____Whole house fan 
_____Zoned/Dual A/C 
_____Other A/C 
_____No cooling 
_____Window units-cooling
UTILITY INFORMATION: 
_____Cable Included in Rent
_____Cable Paid by Individual
_____Electricity Paid in Rent
_____Individual Electricity Meters
_____Electricity Prorated
_____Garbage Pick-up Included in Rent
_____Garbage Paid by Individual
_____Gas Paid in Rent
_____Individual Gas Meters
_____Gas Prorated
_____Water Paid in Rent
_____Individual Water Meters
_____Water Prorated
_____Other, Indicate in Remarks
_____None
ASSOCIATION FEE INCLUDES: 
_____Building & liability insurance 
_____Exterior Maintenance 
_____Facilities fee 
_____Garbage pickup 
_____Grounds maintenance 
_____Heating/Cooling 
_____Management fee 
_____Pest Control/Termite 
_____Reserved fund 
_____Security 
_____Sewer 
_____Water 
_____Other 
_____None
LAUNDRY: 
_____Coin Laundry
_____Hookups in Units
_____Other, Indicate in Remarks
_____None

PROPERTY TYPE: 
_____Apartments (5 Plus Units)
_____Duplex
_____Quadruplex
_____Triplex
_____Other, Indicate in Remarks
PARKING: 
_____Assigned Space
_____Attached
_____Carport
_____Garage
_____Off Street
_____Over 1 Space Per Unit
_____None
HEATING: 
_____Electric heat 
_____Gas heat 
_____Solar heat 
_____Oil heat 
_____Propane heat 

_____Baseboard heat 

_____Central heat 
_____Common heat 
_____Floor furnace 
_____Forced air heat 
_____Heat pump heat 
_____Space heater 
_____Steam/hot water heat 
_____Zoned/Dual heat 
_____No heating 
_____Ceiling electric 
_____Gravity flow furnace
WATER - SEWER: 
_____Private Water
_____Public Water
_____Septic Tank
_____Sewer Connected ( Owners Initials___)
_____Sewer in Street
_____Well Water

POSSIBLE FINANCING: 
_____Assume 
_____Cash 
_____Conventional 
_____FHA 
_____FNNA approval 
_____FNNC approval 
_____Lease purchase 
_____Owner first 
_____Owner second 
_____VA 
_____Release of liability 
_____Credit report required 
_____1031 exchange 
_____Other, Indicate in Remarks
POSSESSION DATE: 
_____At closing 
_____Negotiable 
_____3-7 days after closing 
_____Other (Specify date ________)
SHOWING INSTRUCTIONS:
_____Caution Alarm
_____Caution Pet
_____Courtesy Call, Leave Message
_____Vacant
_____Under Construction
_____24 Hour Access
_____Day Sleeper

ENERGY RELATED: 
_____Certified Energy Wise 
_____Certified Good Cents 
_____Clock thermostat 
_____Double Pane/Thermo Windows 
_____Floor Insulation 
_____Ceiling Insulation 
_____Roof Vent Fans 
_____Storm doors 
_____Storm windows 
_____Water heater-electric 
_____Water heater-gas 
_____Water heater-solar 
_____None

SELLERS STATEMENT: Seller herein certifies that the property Seller is offering for sale through the broker was built in the year specified in this document, and Seller has been informed by the broker of the lead-based paint disclosure requirments under The Residential Lead Based Paint Hazard Reduction Act of 1992, 42 U.S.C. 4851-4856 (the Act)". Seller agrees to sign all the necessary disclosure forms and to disclose in writing to the broker and to prospective purchasers any other physical characteristics of the property that may adversely affect its value.  Owner/Seller understands and agrees that all the information above will be listed on the Multiple Listing service and will be provided to agents who may represent other parties. Owner/Seller hereby waives any claims arising out of disclosure of such information to other parties. Seller agrees above information is true and correct to the best of his/her knowledge.

Owner(s) agree(s) above information is true and correct to the best of his/her knowledge.

NAME  ______________________________________________  {Signature} ____________________________________________________

NAME  ______________________________________________  {Signature} ____________________________________________________

DATE____________________

 

 Fax to 877-471-8143 (toll free) or 954-252-4172
Realty-Mart America


Back to Main Page