List Price________________________        MLS Listing Period (90 days)______

Owner Information
Please Print:

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Last Name                                                         First Name
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Last Name (2nd Owner)                                    First Name
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Street Address                                                   City                       State                 Zip
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Daytime Phone                                                   Evening Phone
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Fax                                                                    Email Address

Property Address
Please Print:

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Street Address                                                   City                      State                 Zip
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County                                                               Subdivision Name
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Model Name                                                      Development Name

Ownership (Check One)
___ Fee Simple       ____ Fee Simple w/Home Owner’s Association   ____Condominium

General Information
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Directions from a major road or intersection
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Remarks
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Property Description or additional information (up to 300 characters)
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Rent Period
Month_______, Week__________, Year______________________________________

Compass Point
____East, ___North, ___Northeast, ___Northwest, ___South, ___Southeast, ___Southwest, ___West

Furnished  Information
____Furnished, ___Partially Furnished, ___Furniture for Sale, ___Unfurnished

Style & Type of Rent
___Residential-Annual,  ___Residential-Seasonal,  ___Condo-Annual, ___Condo-Seasonal, ___Apartments-Annual, ___Apartments-Seasonal, ___Duplex/Triplex/Quad-Annual, ___Duplex/Triplex/Quad-Seasonal, ___Townhouse/Villa-Annual, ___Townhouse/Villa-Seasonal, ___Effic. or Hotel Room-Annual, ___Effic. Or Hotel Room-Seasonal, ___Condo-Off Season, ___Apartments-Off Season, ___Duplex/Triplex/Quad-Off Season, ___Townhouse/Villa-Off Season, ___Effic./Hotel Room-Off Season.

Is The Property For Sale
___Yes, ___No

Number of Stories______________
Unit Floor Location_____________
Available Date to Rent___________

___________Unfurnished Annual Rent, ___________Unfurnished Seasonal Rent,
___________Unfurnished Off-Season Rent

___________Furnished Annual Rent, _____________Furnished Seasonal Rent,
___________Furnished Off-Season Rent

Approximate Square Feet________________________

______Year Built, _____# of Bedrooms, _______# of Full Baths, ____# of Half Baths, ______# of Garage Spaces, ________# of Carport Spaces

Waterfront Frontage_____________________________

Front Exposure
____East, ___North, ____Northeast, ___Northwest, ___South, ___Southeast, ___Southwest, ___West

________________Balcony, _________________Porch, ________________Patio

Parking Description
______1 Space, _______2 Spaces, _______1 Assigned Space, ________Circular Drive,
______Covered Parking, _______Guest Parking, _______Parking Garage, ______Street Parking, ________Valet Parking, __________________________________Other

Parking Restrictions
________Limited # of Vehicles, _________No Motorcycles, _________No Rv/Boats, ________No Trucks/Trailers

Approximate Lot Size_________________________________________________

Restrictions
__________________Children OK, __________________________Dock Restrictions, ____________________________________________________Additional Restrictions

View
_______Garden View, ______Golf Course View, ___________Intracoastal View, _______Ocean View, _______Pool area View, __________________Water View, 
________________________________________Other View, ____________None

Waterfront Property ________Yes, _________No

Waterfront Description
___Canal Front, ___Intracoastal Front, ___Lake Front, ___Lake Access, ___Fixed Bridges(s), ___No fixed Bridge(s), ___Point Lot, ___Seawall

Design
______Garden Apartment, ______High Rise, _____Ranch style, _____Penthouse, 
______Substantially Remodeled

Water Access
___Deeded Beach Access, ___Boatlift, ___Boat Dock, ___Community Boat Dock, 
___Community Boat Ramp, ___Deeded Dock, ___Dock Available, ___Boat Hoists/Davits, ___Private Dock, ___Restricted Salt Water Access, ___No Access,
_______________________________________________________Other Water Access

Windows/Treatments
___Arched, ___Awning, ___Bay, ___Blinds, ___Casement, ____Drapes, ____Jalousie, ____Picture, ___Sliding, ___Thermal, ___Vertical, ________________________Other

Construction Type 
_____Brick, _____CBS (Concrete Block & Stucco), _____Frame, _____Frame Stucco,
___Modular, ____Pre-Fab, ___Aluminum Siding, ___Vinyl Siding, ___Slab,___ Wood, ____Stone, ____Wood, _____ New Construction, __________________________Other

Roof Type
___Bahama Tile, ___Barrel Tile, ___Concrete Tile, ___Flat Tile, ___Metal, __S-Tile,
___Shake, ___Shingle, ___Slate, ___Tar & Gravel, ______________________Other

Flooring
__Carpet, __Ceramic Tile, __Concrete, __Marble, ___Parquet, ___Slate, ___Terrazzo,
__Vinyl, ___Wood, _________________________________________________Other

Dining Area
___Breakfast Area, ___Dining/Living Room, ___Family Room/Dining Combination,
___Formal Dining, ___Kitchen Dining, ___Snack/Bar/Counter

Rooms Description
___Attic, ___Den, ___Library, ___Office, ___Family Room, ___Florida Room, ___Foyer, ___In-Law Quarters, ---___Laundry Room, ___Maid’s Quarters, ___Pantry, ___Sauna, ___Screened Patio/Porch, ___Storage Room, ___Utility Room
____________________________________________________________Other Rooms

Pool ________Yes, __________No

Private Description
____Above Ground, ___Below Ground, __Child Gate, ___Automatic Chlorination,
____Auto Pool Clean, ___Concrete, __Fiberglass, ___Freeform, ___Gunite, ___Heated, ___Screened, __Solar, ___Whirlpool, ___________________________________Other, 

Pool Dimensions____________________________

Spa/Hot Tub ___Yes ___No

Are Pets Allowed _________Yes, _______________No

Pet Restrictions
______Maximum 20 Pounds, ___More than 20 Pounds OK, _______Cats OK, ___Dog OK, _________________________________________________Other Pet Restrictions
 
 

School Information
Elementary School________________________________________________________
Middle School ___________________________________________________________ 
High School _____________________________________________________________ 

Interior Features
___First Floor Entry, ___Bar, ___Built-Ins, ___Cook Island, ___Custom Mirrors, ___Elevator, ___Fireplace, ___Foyer, ___French Doors, ___Pantry, ___Laundry Tub, ___Roman Tub, ___Skylight, ___Split Bedroom, ___Vaulted Ceiling, ___Walk In Closets, ___Wet Bar, ________________________________________Other Features

Security Information
___Key/Card Entry Building, ___Common Building Security, ___Complex Fenced, ___Guard Gate, ___Intercom in Lobby, ___Lobby Attended, ___No Burglar Alarm, ___Key/Card Entry Parking, ___Security Patrol, ___Security T.V. Monitor, 
__________________________________________________________Other Security

Equipment/Appliances Included
___Automatic Garage Door Opener, ___Bottled Gas, ___Central Vacuum, ___Trash Compactor, ___Dishwasher, ___Disposal, ___Dryer, ___Electric Water Heater, 
___Fire Alarm, ___Gas Water Heater, ___Washer/Dryer Hook-Up, ___Water Heater Leased, ___Ice Maker, ___Intercom, ___Microwave, ___Electric Range, ___Gas Range,
___Refrigerator, ___Security System Leased, ___Self Cleaning Oven, ___Smoke Detector, ___Solar Water Heater, ___Washer/Dryer Leased, ___Wall Oven, ___Water Softener/Filter Owned, ___Water Softener/Filter Rented 

Exterior Features
__Awnings, __Barbeque, __Barn-Stall, __Built in Grill, ___Deck, ___Fence, ___Patio,
__Fruit Trees, __Greenhouse, __Open Balcony, __Room for Pool, ___Satellite Dish,
__Screened Balcony, ___Screened Porch, ___Shed ,___Shutters, ___Sprinkler System,
Other_________________________________________________________________

Amenities
___Bar, ___Club House, ___Country Club Membership, ___Club Membership Required, ___Community Pool, ___Basketball, ___Dock Access, ___Exercise Room, ___Card Entry Gate, ___Guard Gate, ___Golf Course, ___Private Roads, ___Tennis Courts, __Security Patrol, ___Play Area, ___Pool, ___Sauna, ___Shuffle Board, ___Laundry Facilities, ___Underground Utilities, ___Management on Site

Minimum Lease Period___________________________________________________

Application Fee Required ________Yes, __________No

Any Additional Move in Cost _______Yes, ________No

Approval Information
____1-2 Week Approval, ____ 3-4 Week Approval, ___Association Approval Required, ___Credit Report Required, ___________________________________Other Approvals

Amount Required to Move In $________________________

Lease Terms
____1 Year With Renewal Option, ____1 Year Only, ____Less than 1 Year, ____Lease Option, ____Month To Month, ____Tenant may Sublet

Renewable Rental ________Yes, ________No

Rental Deposit Includes
____First Month’s Tent, ____Cleaning Deposit, ____Last Month’s Rent, ____Pets,
____Refundable Deposit, ____Security Deposit
 

Rental Payment Includes
____Association Fee, ____Cable T.V., ____Electricity, ____Exterminator, ____Gas,
____Hot Water, ____Pool Maintenance, ____Water/Sewer, ____Yard Maintenance

# Of Ceiling Fans________________

Heating Description
___Central Heat, ___Electric, ___Gas, ___Solar Heat, ___Window/Wall Unit, ___Zoned Heat Cycle, ___No Heat, ______________________________________________Other

Cooling Description
___Central Air Conditioning, ___No Air Conditioning, ___Window/Wall Unit, ___Attic Fan, ___Thermal Attic Fan, ___Zoned Cooling

Water ___Municipal Water, ___Well Water, _____________________________Other

Sewer Description ___Municipal Sewer, ___Septic System, _________________Other

I will pay for MLS service:  Online__________, Mail Check___________________
I will send the signed listing agreement by:  Fax_____________, US Mail__________

The owner(s) acknowledges that the foregoing information provided in this data form is believed to be true and correct and will become a part of the listing agreement. The above property is not currently listed on the Multiple Listing Service (MLS).

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Owners Signature                                                 Owners Signature
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Date                                                                     Date