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
Tax I.D. ( Folio Number)
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Legal
Description___________________________________________________________________________
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Number of
Parcels__________________________________________________________________________
Ownership (Check One)
_____________ Fee Simple
__________________ Fee Simple w/Home Owner’s Association
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 (Maximum 250 characters)
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Financial Information
Selling Terms
___Assumption ___Conventional ___FHA/VA ____Lease Option ____Owner
Financing_____ Exchange________ Installment_______ Owner
Financing______ Owner hold second
mortgage________________________________
Total Mortgage Balance _________________________Taxes
Paid:__________________ Tax Year___________
Do you pay any special tax assessments ___Yes ___No
(Description)________________
Tax I.D # (as shown on tax bill)
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Deed Restrictions: ____________ No Deed Restrictions,
_______________________ Subdivision Deed Restrictions
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Other Deed Restrictions
Available Documents: _________ Abstract, _______ Aerial Photo, _____
Appraisal,_____ Building Permit,
________ Bore Test, _______ Deed Restrictions, _____
Engineering Studies, ______ Environmental Impact Study,
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Leases,
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Other Documents Available,
_____ Perc Test, __________________ Plans Available,_____ Previous
Title Policy, _______ Subdivision Requirements, ____ Survey
Available,_____ Topography Map
MINIMUM SQ. FT. LIVING AREA
REQUIREMENTS__________________________________________________________________________
PROPERTY IS ZONED____ Residential,______ Duplex,_______ Multi-Family
Associations and memberships
Home Owners Association ____Yes ___No Association
Name__________________________________________
Association Fee_______ ____Monthly, ___Quarterly,
___Semi Annually, ___Annually
Association Fee Includes
______Maintenance, _______Club House, _________Cable, ________Common
Area, _________Exterior
______Insurance, _____Lawn Care, _____Security, ____Trash Pick-Up,
_____Recreation, ________________Other
Membership Purchase Requirements ___Yes ___No Membership
Amount______________________________
Subdivision Information:__________ Buyer Approval Required,
________________________Covenant Restrictions,
__________ Golf Course Community, ______________Gate Guarded,
__________Horses Permitted,
___________________ Mandatory Home Owners Association,
________________Community Pool,
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Subdivision Restrictions,
__________________ Community Tennis Courts,
______________________Voluntary Home Owners Association.
Parking Restrictions ____No Motorcycle, ____No RV/Boat, ____No Tractor
Trailer,
Other Parking
Restrictions_______________________________________________________________________
Lot Description ___Corner Lot, ____Cul-de-Sac, ____Flood Zone, ___On
Golf Course, ___Interior, ___Irregular, ___Oversize, ___Lake
Front, ___Zero Lot Line
________________________________________________________________________________________Other,
Lot
Dimensions______________________________________________________________________________
PAVED ROAD_________,
OTHER_____________________________________________________________
Ground Cover___________ Brush, ______________Grass,
______________Marsh, _________________ weeds,
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Other
TYPES OF TREES ON
PROPERTY______________________________________________________________
Waterfront Property __Yes __No (if yes) ___Canal Front,___Ocean Access
,___Lake, ____Pond, ___Seawall,
_______________________________________________________________________________________Other
_________Community Boat Dock,________ Community Boat Ramp, ________
Dock Available, ______ Private Dock
Water Access __Yes __No (if yes) ______Beach Access, ______Boat Lift,
______Private Dock, _____Dock Available,
________________________________________________________________________________________Other
WATERFRONT FRONTAGE (Square Feet)________________________________
Property Faces ___East, ___West, ___North, ___Northeast, ____Northwest,
___South, ____Southeast, ____Southwest
Property View ___Garden, ___Golf, ___Intracoastal, ___Ocean, ___Pool,
______Other
DOCK INFORMATION _____Electric Available, _____ Living Aboard
Permitted, _______ None,
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Other Dock Information,
____ Parking Available, _______ Phone Available, _________Pump
Available, _____Rest Room Facilities,
_______ Water Available, ___________________________ Subject to Lease.
LENGTH OF THE BOAT THE DOCK CAN
ACCOMMODATE_______________________________________.
Miscellaneous/Improvements Information: __________ Above Ground
Irrigation, ____ Alley, ____ Build to Suit,
____ Lot Cleared, _____ Compact Soil, ____, Curb, ____ De-Mucked,
_____ Drainage Canal, ______Drip System,
____Fenced, ____ Filled, ______ Gutter, _______No Miscellaneous
Improvements,
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Other Improvements,
____ Partially Filled, ______Septic System, _______ Well, ____Sidewalk,
_____ Street Lights.
Soil Type: ______ Clay,_____ Dirt, _____ Marl, ______ Marsh/Mangrove,
_______ Muck,
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Other Soil Type,
____Sand, ____ Sandy/Loam.
Utilities Available on Lot ______Cable T.V., _______________ Electric,
_____________ Gas,
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Other Utilities Available,
____ Phone Line, ____ Sewer, _____Trash Removal, _____Water, ______
Underground Utilities.
Are Any of the Above Utilities On-Site
Now_____________________________________________________
Sprinkler System ____None, ____Automatic, ____City Sprinkler System,
___Well Sprinkler, ___Manuel Sprinkler
Water Description _____Lake Worth Drain, ______Municipal Water,
______Well Water,
________________________________________________________________Other
Water, _______ None
Sewer Description ____ At-Site, _____ Lift Station Required,
___Municipal Sewer, ___Septic System,
________________________________________________________Other Sewer,
_______ None,
____Outside of Easement, ___With-In Easement, ____ Private Treatment,
_______With-In 500 Feet of Property
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Owners
Signature
Owners Signature
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Date
Date