List Price________________________        MLS Listing Period (up to 1 year)______
Selling Agent Commission____________ 

Owner Information                                        Minimum listing period is 3 months but you

Please Print:                                                      can cancel the listing at any time without                                                                                   penalty.

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Last Name                                                         First Name
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Last Name (2nd Owner)                                    First Name
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Street Address                             Unit                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                            Unit                 City                      State                      Zip
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County                                                               Complex Name
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Model Name                                                     Development Name

Property Type
_____Condo, _____Villa, _____Co-Op, _____Townhouse, ___Duplex, _________Other,
The Unit is _____Attached, _____Detached,______Owner Occupied, ________Vacant,
________Rented,__________New Construction,__________Never Lived In,

Floor Location of Unit __1st, __2nd, __3rd, ________Other, _____Total Floors in Building
Unit#______, Building #_________, _______Total # of Units in Building, _____Total # of Units in Complex

Is the Property an Efficiency Unit ___Yes ___No, The Unit Has _____Balcony, _______Porch, ________Patio, __________________________________Other

Assigned Parking Space #__________________ Dock Space #_____________________ 

The Main Living Area is Located ______Entry Level, _______Upstairs, ________Other
 

Ownership (Check One)
___ Fee Simple, ____ Fee Simple W/Home Owner’s Association, ____Condominium
___Deed Restrictions, ______Homeowners Association Required, ______Homeowners
Association Optional, ______Land Lease

Governing Bodies
___Builder Control, ____Condo Association, ____Home Owners Association, ____None 

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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Financial Information
Selling Terms
___Assumption ___Conventional ___FHA/VA ____Lease Option ____Owner Financing
Other Terms Considered___________________________________________________

Total Mortgage Balance ___________________________________________________

Taxes Paid:_______________________          Tax Year__________________________

Tax Exemptions
____No Exemptions   ____Homestead   ________________________Other Exemptions
Do you pay any special tax assessments ___Yes ___No (Description)_______________
Tax I.D # (as shown on tax bill) _____________________________________________ 
Associations and memberships
Condo Owners Association __Yes ___No Association Name_______________________
Association Fee_______   ____Monthly,  ___Quarterly, ___Semi Annually, ___Annually
___________________Application Fee, ________________________Maintenance Fee, 

Association Approval Information
_____Application Fee Required, _____Association Approval Required, ______Personal Interview Required, ___No Approval Required, ___________Other Approvals Required,
___1-2 Weeks Approval, ___3-4 Weeks Approval, ____Rapid Approvals, ___Unknown

Is There a Land Lease __Yes __No $_____Amount, Recreation Lease_Yes, _ No $_____ 

Maintenance Fee Includes
___Air Conditioning Maintenance, ___Building Exterior, ___Club House, ____Cable, ___Common Area, ___Electric, ____Exterior, ___Golf, ___Insurance, ___Hot Water, ___Landscaping/Lawn Maintenance, ___Laundry Facilities, ______________Manager,
___No Maintenance Included, ___Parking, ___Pest Control Interior, ___Pool Service,
___Recreation Facilities, ___Roof Repairs, ___Security, __Trash Removal, ___Water, ___________________________________________________________________Other

Membership Purchase Requirements ___Yes ___No   Membership Amount___________

Amenities 
___Bar, ___Basketball, ___Bike/Jog Path, ___Bike Storage, ___Billiard Room, ___Boat Dock, ___Picnic Area, ___Club House, ___ Common Laundry, ___Courtesy Bus, ___Elevator, ___Exercise Room, ___Extra Storage, ___Exterior Lighting, ___Heated Pool, ____Library, ___No Amenities, _________________Other Membership Available,
___Private Beach Pavilion, ___Golf Course, ___ Putting Green, ___Sauna, ___Tennis Courts, ___Spa/Hot Tub ___Play Area, ___Pool,  ___Shuffle Board, ___ Trash Chute, 
____Vehicle Wash Area 
School Information
Elementary School________________________________________________________
Middle School ___________________________________________________________ 
High School _____________________________________________________________ 

Property Information

Approximate Year Built_____ # Bedrooms______ # Full Baths_____ # Half Baths____
Approximate Square Feet (under air)____________Total Square Feet______________
Approximate Land Size or Dimensions______________________________________

Attached Garage: __Yes __No ___  Detached Garage: __Yes __No  # Garage Spaces__ 
Carport: ___Yes ___No _____Attached  _____Detached  # Carport Spaces__________
Garage Features ___Door Opener, ______Converted,____ A/C Unit,___ Storage_______

Parking Information ___1 Space, ____2 or More Spaces, __________Covered Parking, ___Deeded Parking, ___Detached, ___Golf Cart Parking, ___Guest Parking, ___Open Space Parking, ___RV/Boat Parking, ___Space Purchased, ___Space Rented, ___Street Parking, ___Parking Under Building, ___Valet Parking, ____________________Other

Parking Restrictions ____No Motorcycle, ____No RV/Boat, ____No Tractor Trailer,
Other Parking Restrictions_________________________________________________

Waterfront Property __Yes __No (if yes) ___Canal Front,___Ocean Access ,___Lake,
____Pond, ___Seawall, _______________________________________________Other

Water Access __Yes __No (if yes) ___Beach Access, ___Boat Lift, ___Private Dock,
___Dock Available, _________________________________________________Other

Property Faces ___East, ___West, ___North, ___Northeast, ____Northwest, ___South,
____Southeast, _____Southwest 

Unit View ___Club, ___Garden, ___Golf, ___Intracoastal, ___Ocean, ___Pool, ___Tennis, ___Water, ___None, _________________________________Other
Unit is Available ______Furnished, _______Part Furnished, ________Unfurnished 

Foundation
_____Slab, _____Crawlspace, ________Basement

Exterior Features
__Awnings, ___Barbecue, ___Courtyard, ___Deck, ___Fence, ___Fruit Tree, ___Open Balcony, __Open Porch, ___Patio, ___Privacy Wall, ___Satellite Dish, ___Screened Balcony, __Screened Porch, ___Shed, ___Shutters, _________________________Other

Private Pool __Yes __No (if yes) ___Above Ground, ___Below Ground, __Child Gate,
___Concrete, __Fiberglass, ___Freeform, ___Gunite, ___Heated, ___Screened, __Solar,
___Whirlpool, __________Other, Pool Dimensions____________________________,
Private Spa/Hot Tub ___Yes ___No

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

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

Room Dimensions 
For each room please indicate the size rounded to the nearest foot. 
Living Room___x___, Dining Room ___x___, Kitchen ___x ___, Family Room___x__, Florida Room ___x___, Master Bedroom ___x___, 2nd Bedroom ___x___, 
3rd Bedroom ___x ___, 4th Bedroom ___x___, 5th Bedroom ___x___, Den ___x___

Bedroom Description
___Master Bedroom Upstairs, ____Master Bedroom Ground Level, ____Sitting Room, 
___One or more Bedrooms on Ground Level, ____________________________Other

Master Bath Description
___2 master baths, ___Tub & Shower, ___Separate Tub & Shower, ___Tub Only, ___Shower Only, ___Whirlpool/Spa, ___Dual Sinks 

Interior Features
___Bar, ___Built-Ins, ___Cook Island, ___Custom Mirrors, ___Elevator, ___
___Fireplace, ___Foyer, ___French Doors, ___Pantry, ___Roman Tub, ___Skylight,
___Vaulted Ceiling, ___Volume Ceiling, ___Walk In Closets, __________Wet Bar,
Other_______________________________________________________________

Fireplace Information
___Electric, ___Family Room, ___Gas Fireplace, ___Living Room, ___Wood Burning,
__________________________Other Location

Rooms
Additional Rooms
___Family Room, ___Florida Room, ___Garage Conversion, ___Glass Porch, 
___Great Room, ___Separate Guest/In Law Quarters, ___Maid/In Law Quarters,
___Utility/Laundry in Garage, ___Utility/Laundry Room

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

Equipment/Appliances Included
___Automatic Garage Door Opener, ___Central Vacuum, ___Trash Compactor, ___Dishwasher, ___Disposal, ___Dryer, ___Fire Alarm, ___Washer/Dryer Hook-Up,   ___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, Other_________________________________________________________

# 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

Is Cable Available ___Yes ___No

Property Restrictions ___Exterior Alterations, ___No Leasing, ___No Leasing First Year Owned, ___OK to Lease, ___No Restrictions, ___No Trucks/RV’s,
Other Restrictions____________________________________________
Are There any Minimum # of Days for Leasing Unit_________________
Limit on # of Times Per Year Unit Can Be Leased___________________

Are Pets Allowed _Yes _No, _______________Restrictions or Possible Restrictions,
___Cats OK, ___Dogs OK, ___More than 20 LBS, ___Maximum 20 LBS

Security Information
___Complex Fenced, ___Elevator Secure, ___Card Entry Gate, ___Phone Entry, ___Guard Secured, ___Guard at Site, ___Intercom in Lobby, ___Lobby Secured, 
___No Burglar Alarm, ___Private Guards, ___Leased Burglar Alarm, ___Security Patrol,
___TV Camera, ___Alarm System in Unit, _____________________________Other

Construction of Building
__Asbestos,___Brick, ___Brick Veneer, ___CBS (Concrete Block & Stucco), ___Frame, ___Log, ___On Piling, ___Siding,___Stone, Other_______________________________

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).

__________________________________      __________________________________
Owners Signature                                               Owners Signature
__________________________________      __________________________________
Date                                                                   Date