Residential Detached Data Input Form - FMLS

Residential Detached Data Input Form FMLS # Print
Location Information
System Assigned

*Required

*Street Number Direction Prefix e.g. N, SE *Street Name (allows up to 50 characters)

Street Type e.g. road, circle Direction Suffix e.g. N, SE

*City *State *Zip Code Zip +4

*County *Area
*Subdivision (allows up to 30 characters)

*Tax ID (may auto-pop in 1st Addition) *District *Section/GMD *Lot
*Landlot

*Block *Plat Book *Plat Page Deed Book Deed Page
No
Elem Bus Route (Check 1 only) Yes

*Elementary School Middle Bus Route (Check 1 only) Yes No
*Middle School
*High School High Bus Route (Check 1 only) Yes No
*Lake Name
*Required
Listing Information
*Availability to Receive Offers (Check 1 only)
*List Price
*List Date No Conditions Conditions Exist - See PrivateRemarks
*Commission to Selling Broker
*Expiration Date (Check 1 only) Yes No

*Variable Rate Commission

*Owner Name (system allows up to 25 characters) Owner Phone

*Listing Agent ID/Username Co-Listing Agent ID/Username
*Include InstaView Tour (check 1 only)
*Selling Agent/Broker may present offers directly to Seller? Yes No
Yes No Seller's Init req'd

*Allow Internet Display (check 1 only) Yes No *Allow Internet Address (check 1 only) Yes No

*Allow Comments/Reviews (check 1 only) Yes No

To update auto-populated Agent information log in to FMLS.com, select My FMLS and Edit My Roster. To update company information, please submit form #125 to FMLS.com;
the form can be found at FMLS.com, Print On Demand.

rev. 02/12/2016 Pg. 1 of 5

Characteristics Residential Detached

Bdrms FBath HBath *Required
*Upper
**Iakeonproperty
*Main
*Style (check up to 2) Contemporary Mobile Other
*Lower Cottage Modular
System will automatically A-Frame Country Ranch
calculate totals Bungalow Craftsman Rustic
Cabin European Traditional
Cape Cod French Provincial Tudor
Chalet Mediterranean Victorian

Cluster Home
Colonial

*Bedroom Description (check up to 3) *Master Bath Features (check up to 4)

Bdrm on Main Lvl Roommate Fl Plan Other None Sep Tub/Shower Vaulted Ceilings
In-Law Ste/Apt Sitting Room Bidet Shower Only Whirlpool Tub
Mstr on Main Split Bdrm Plan Double Vanity Skylights Other
Garden Tub Tub Only
Sep His/Hers Tub/Shower Combo Unknown

*Year Built *Building Faces (check 1 only)

North East NE SE
South West NW SW

*Age Description (check 1 only) Resale 60+ *Lot Dimensions (system allows up to 24 characters)
To Be Built Certified Professional Home Builder
New/Under Construction
Resale

*Stories (check 1 only) 2 Stories Split Foyer
2 or + Stories Split Level
1 Story
1 & 1/2 Stories

*Special Circumstances (check up to 4) *Lot Acres

None Lease Purchase *Approximate Lot Size (check 1 Only)
Active Adult Community Lender Owned
Agent Related to Seller No disclosures from Seller Under 1/3 acre 1 Up to 2 acres 10 to 20 acres
Cert. Prof. Home Bldr Owner Transferred 1/3 to 1/2 acre 2 Up to 3 acres 20 or more acres
Corporate Owner Owner Will Consider Exchange 1/2 to 3/4 acre 3 Up to 5 acres
Estate Owned Owner/Agent 3/4 Up to 1 acre 5 Up to 10 acres
Fixer Upper Potential Short Sale
Foreclosure Recently Renovated
Government Owned Short Sale Pre-Approved
Historical Sold As-Is
HUD Listing (see remarks) Other
Investor Owned

*Lot Description (check up to 5)

Borders US/State Park Lagoon Pasture
City View Lake Frontage Pond
Corner Lake View Private Backyard
Creek Level River Frontage
Cul-de-sac Level Driveway River View *Tennis on Property (check 1 Only) Yes No
Deepwater Access Marsh Rm-Pool/Tennis **Waterfront Footage
Deepwater at Dock Mountain Frontage Sloped
Flood Plain Mountain View Steep
Golf Course Ocean Frontage Tidal
Golf View Ocean View Wooded

*Pool on Property (check up to 3)
None Fiberglass Heated Pool Vinyl
Above Ground Gunite In Ground

**Dock (check up to 2) Covered/1 Slip
None Double Slip Platform
Community Covered/2 Slips Hoist Shared **Boathouse (check up to 1)
Courtesy Covered/3+ Slips Lights Single Slip
Covered Dock Permit Party Deck Other None 1 Slip 2 Slips 3+ Slips

Features *Construction Description (check up to 3) *Required
*Exterior Features (check up to 12) Stucco - Unknown
1-2 Step Entry Gazebo Pool House Aluminum Cedar Rough Sawn Tabby
Pool Screened/Enclosed Brick & Frame Cement Siding Shingle Vinyl
Barn(s) Guest House Prof Landscaping Brick 3 Sides - Not stucco Stone Other
Carriage House Hot Tub/Spa Satellite Dish
Deck Invisible Fence Stables Brick 4 Sides Frame Stucco - Hardcoat
Wrap-Around Porch Brick-Front Log Stucco - Synthetic
Fenced Yard Irrigation System Other
Front Porch Out-Buildings
Garden Area Outdoor Fireplace
Gas Grill Patio

*Roof Type (check up to 3) *Basement Description (check up to 6)

Composition Metal/Steel Tile Other Bath Daylight Full Unfinished
Concrete Slate Tin Bath/Stubbed Driveway Access Interior Entry
Copper Tar/Gravel Wood Shingle Boat Door Exterior Entry Partial
Crawl Space Finished Slab/None

rev. 02/12/2016 Pg. 2 of 5

Residential Detached

Features (cont.) *Required

*Interior (check up to 12) *Kitchen Features (check up to 10)

9'+ Ceiling Lower Double Vanity Other Pine Floor None Counter Top-Laminated Keeping Room
9'+ Ceiling Main Elevator Rear Stairs Breakfast Area Counter Top-Other Pantry
9'+ Ceiling Upper Entrance Foyer Sauna Breakfast Bar Counter Top-Solid Surface Pantry-Walk-in
10'+ Ceiling Lower Exposed Beams Skylights Breakfast Room Counter Top-Stone Second Kitchen
10'+ Ceiling Main Fire Sprinklers Trey Ceilings Cabinets Other Counter Top-Tile View to Fmly Rm
10'+ Ceiling Upper Hardwood Floors Walk-in Closet(s) Cabinets Stain Country Kitchen Wine Rack
2-Story Foyer High Speed Internet Wall/Wall Carpet Cabinets White Island Other
Bookcases Available Wet Bar
Cathedral Ceiling His/Her Closets
Disp Attic Stairs Perm Attic Stairs Other

*Appliance Description (check up to 14) *Dining Room Description (Check up to 2)

Central Vacuum Garbage Disposal Sec System-Leased None Dining/Great Rm Separate Dng Rm
Gas Ovn/Rng/Ctop Sec System-Owned Butlers Pantry Liv/Dine Rm Combo
Dishwasher Gas Water Heater Dining L Seats 12+
Double Ovens Indoor Grill Self-clean Oven
Elec Air Filter Intercom/Radio Smoke/Fire Alarm
Elec Ovn/Rng/Ctop Microwave Tankless Water Heater
Elec Water Heater Refrigerator Trash Compactor
Energy Star appliance Other

*Rooms Description (check up to 9) Separate Lvng Rm *Parking Description (check up to 4) Driveway
Sun Room Elec Chrg Station
Bonus Room Loft Wine Cellar None 4 + Car Garage Kitchen Level
Computer Room Media Room Workshop 1 Car Carport 1-2 Step Entry Parking Pad
Exercise Room Nursery Other 1 Car Garage Attached Side/Rear Entry
Family Room Recreation Room 2 Car Carport Auto Garage Door Storage Room
Great Room Screened Porch 2 Car Garage Detached Street
Library/Office Separate Den 3 Car Garage Drive Under Main Level
Snow Skiing
*Laundry Features/Location (check up to 2) *Neighborhood Amenities (check up to 12) Street Lights
None Laundry Room Other Swim Team
Basement Garage Main Level None Marina Swimming Pool
Bathroom Hall Mud Room Airstrip Near Beltline Tennis Lighted
Downstairs Kitchen Upstairs Boating Restrictions Park Tennis Unlighted
Laundry Chute Cable Tv Avail Physical Fitness Facilities Undergrnd Utils
Club House Playground Walk to Marta
Country Club Public Trans. Walk to Schools
Dry Dock Racquetball Walk to Shopping
Fishing Restaurant Other
Gated RV Parking
Golf Security
Homeowners Assoc Sidewalk
Lake Ski Lifts

*HERS Index Rating Available Yes No *Home Warranty (check 1 Only) Negotiable No Yes

(if yes) HERS Index Rating *Number of Fireplaces

*Fireplace Features/Location (check up to 5) Setting (check up to 3) River Other
None Gas Logs Remain In Living Room Golf Mountain Ski Resort
Blower Gas Starter In Master Bedroom Lake Ocean

Circulating Glss Doors Remain In Other Room
Decorative Only In Basement Masonry
Double Sided In Great/Fam Room Wood Burning Stove

Factory Built In Keeping Room Wood Stove Insert

*Water Source (check only 1) *Sewer Description (check up to 2)

Private System Well Pub Swr Connectd Septic Tank
Pub Swr in Strt Other Owner's Init req'd
Public Water Other Owner's Init req'd

*Road Type (check up to 2) *Energy Features (check up to 6)
None Easement Paved Public Maintain
Private Maintain None Geothermal HVAC Storm Doors
Dirt Gravel Attic Vent Fans High Eff System Storm Windows
Thermal Pane Wdws
Certified Energy Wise Low Flow Toilet Other
Certified Good Cents Ridge Vents
Clock Thermostat Solar Hot Water
Extra Insulation Solar Power

*Cooling Description (check up to 4) *Heat Type (check up to 4)
None
Ceiling Fans Fan Window Units Baseboard Gravity/Floor Htg Steam/Hot Water
Central Electric Heat Pump Zoned Boiler Heat Pump Zoned
Central Gas Humidity Control Other Electric Oil Other
Solar A/C Forced Air Propane
Gas Solar

*Disability Access (check up to 10) Green Building Certifications (check up to 4)
None Lever Door Handles Shwrs Acc Whlchair
Stepless Entry EarthCraft Home LEED for Homes
32 inch or + doors Low Kit Counters Wide Hallways Energy Star™ Home NAHB National Green Building St
Bath Acc Whlchair Low Switches Other
Elev Acc Whlchair Lwrd Door Handles
Garage Van Access Ramps to Doorways

rev. 02/12/2016 Pg. 3 of 5

Financial Residential Detached

*Taxes *Required

*Square Footage *Tax Year

*Sq Ft Source (check 1 only)

Appraisal Builder Tax Record Not available

*HOA Rent Restrictions (check 1 Only) Yes No *Annual Master Assoc. Fee
*Annual Assoc Fee
*Annual Master Association Fee Description (check 1 only)

None Includes Swim/Tennis Optional Required

*Assoc Fee Desc (check 1 only) Required Assoc. Fee Includes (check up to 5)

None Includes Swim/Tennis Optional Concierge Garbage Landscaping
Lawn Care Security

HOA Contact Phone Swim/Tennis Fee

Swim/Tennis Fee Description (check 1 only) *Assumable (check 1 Only) Yes No

None Optional Required

*Owner Financing (check 1 Only) Yes No *Owner Second (check 1 only) Yes No

Management Company (up to 26 characters) Management Company Email
Management Phone Initiation Fee
*Assessment Due/Contemplated (check 1 Only) Yes No

Remarks/Directions/Showing *Required

Public/Consumer Remarks - Displays to public (575 character limit)

Agent Only/Private Remarks (430 character limit) Pg. 4 of 5

rev. 02/12/2016

Remarks/Directions/Showing (cont.) Residential Detached

*Directions (183 character limit) - Enter directions to property only *Required

*Show Instructions (check up to 5) Courtesy Call-Tenant No Disturb Text Listing Agent
Day Sleeper No Lockbox Use ShowingTime
Anytime Access No Showings in the A.M. Vacant
Appointment Only Gated No Sign
Call Listing Office/Agent before Showing Lockbox - Other Security
Caution Pets Lockbox - Supra
Courtesy Call-Owner

Tours

Virtual Tour

Signature ______________________________________________________________________________________________________________________________ DATE ________________

Owner understands and agrees to all information above and property characteristics in the FMLS computer system will be provided to agents who may represent other parties. Owner hereby waives
any claims against FMLS and its employees arising out of disclosure of such information to other parties and hereby covenants that owner will not sue FMLS or employees for any and all claims suits
or causes of action whenever asserted arising out of such disclosure.

rev. 02/12/2016 Pg. 5 of 5