Lots & Acreage Data Input Form Page 1 of 7
North Texas Real Estate Information Systems, Inc.
Lots & Acreage Data Input Form
(Use Lots & Acreage for Vacant Commercial Land)
INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED
Fields REQUIRED for Active status denoted in BOLD BLUE WITH (). Italicized fields will be autofilled from public records, if available.
MLS Information Commercial Residential
Farm/Ranch
Property Type
Range Pricing Yes No (Defaults to No) Low Price
(Above Required if answered Y to Range Pricing)
List Price
Sub Area
Area Parcel ID
County Dallas Ft. Worth Other
Map Book Parker Collin
Denton
Hood/Wise Grayson
Cooke
Ellis/Johnson
Kaufman
Hill/Rockwall
Hunt
Rockwall
Map Page Map Coord
Street Direction
Street/Box # E N NE NW
Street Type S SE SW W
Street Name E N NE NW Unit #
S SE SW W
Street Directional
Suffix
City Will Subdivide Yes No (Defaults to No)
Zip Code
Subdivision Planned Development
Block
Lot
Additional Legal
Multi Parcel ID N/A Yes No
MUD District Yes No
Office Information
System will auto-fill Listing Office and Listing Agent information including
Office Code, Office Name, Office Phone, Office Fax, Office Address, Agent ID, Agent Name, Agent Fax, Agent Email and Agent Website
Agent Other Phone Call for Appt Agent CSS Owner
Listing Agent 2 Builder Office Other
Appt Phone Ext
Appt Phone Buyers Agency
Sub Agency
Commission
Commission
Last Revision 10/26/2010
Lots & Acreage Data Input Form Page 2 of 7
Office Information (continued)
Listing Type Exclusive Right to Sell/Lease Variable Fee Yes No
(Select One) Exclusive Agency Listings will Appear on Members IDX Websites
ER w/Reservations NTREIS Translator
Allow Internet EA w/Reservations Realtor.com
Display Limited Service ER Syndicate Listing
Limited Service EA TexasRealEstate.com
Allow Comments/
Reviews Yes No Allow Address Yes No
Display No
Listing Date Yes No
Allow AVM Yes
Expire Date
Preferred Title Company
Preferred Title Co.
Title Co. Phone Title Co. Location
Owner Permission to Video N/A Yes No
For Intra Office Information
Owner Name Seller Type Builder Lender/REO
Owner Home (Select One) Individual(s) Relo
Phone
Tenant Vacant Owner Alt. Phone
Occupancy Owner Occupant Home
Phone
Occupant
Occupant Alt. Phone
Showing __________________________________________________
Instructions _________________________
(150 character limit)
Secured Showing __________________________________________________
Instructions
(50 character limit)
Keybox #
Keybox Type AEII - Gray IBox - Blue Redisafe - Combo
Combo None Shackle Code
Abilene
CBS Code
Land SqFt Property Information Appraiser Tax
Building Plan Other Documentation
List$/Lot SqFt System Calculated Land SqFt Source
(Select One)
Appraiser’s Name
List$/Acre System Calculated Acres
Road Frontage
Lot Dimensions Yes No Feet to Road Yes No
Road Assessment N/A Subdivided N/A
Last Revision 10/26/2010
Lots & Acreage Data Input Form Page 3 of 7
Lots Sold Separate Property Information (continued)
HOA Dues
Number of Lots
Lots Sold Package
HOA Mandatory None Voluntary
HOA Billing Freq Annually Quarterly Other
Monthly Semi-Annual
(Above Required if answered HOA Mandatory)
Crop Retire Program N/A Yes No
AG Exemption Yes No
Land Leased N/A Yes No
# of Lakes
# of Ponds # of Wells
# of Water Meters # of Stock Tanks
Pasture Acres
Cultivated Acres Bottom Land Acres
Irrigated Acres Include Slide Show Yes No
School Information
School District
School 1 Type N/A Yes No School 1 Name
Bus 1 N/A Yes No School 2 Name
N/A Yes No School 3 Name
School 2 Type N/A Yes No
Bus 2 School 4 Name
School 3 Type
Bus 3
School 4 Type
Bus 4
Financial Information
(All fields required if Assumable Non-Qualifying and Assumable Qualifying are entered as the Loan Type)
Unexempt Taxes
Loan Type Assumable Non-Qualifying Treat as Clear Balance
Assumable Qualifying
Equity System Calculated Mortgage Interest Rate
Payment Payment Type Principal & Interest Principal, Int., & Ins.
Lender Original Mtg. Date
Principal, Interest & Principal, Int., Tax, Ins.
Taxes Other
(Select One)
2nd Mortgage Yes No Possible Short Sale N/A Yes No
Directions to Remarks
Property
__________________________________________________
______________________________________________
________________________________________________
______
(150 character limit)
Last Revision 10/26/2010
Lots & Acreage Data Input Form Page 4 of 7
Property Remarks (continued)
Description
__________________________________________________
Excludes
______________________________________________
________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
_ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_______________________________________________
____________
(450 character limit)
__________________________________________________
__________________________________________________
__________
Private (110 character limit)
Remarks
__________________________________________________
Intra Office
Remarks _________________________ _____________________
________________________________________________
__________________________________________________
_______________________________ _______________
_______________________________________________
_____________
(300 character limit)
__________________________________________________
________________________________ ______________
________________________________________________
__________________________________________________
_______________________________
(225 character limit)
Features
Lot Description Lot Size/Acreage (Select One)
Acreage Horses Permitted River Front Less than .5 Acre 3 Acres to 4.99 Acres Over 100 Acres
Adjacent to Greenbelt Interior Lot Some Trees (not Zero)
Canal (Man Made) Irregular Subdivision
Corner Landscaped Tank/Pond .5 Acre to .99 Acre 5 Acres to 9.99 Acres Zero Lot
Creek Lrg. Backyard Grass Undivided
Cul De Sac No Backyard Grass Water/Lake Front 1 Acre to 2.99 Acres 10 Acres to 100 Acres
Cultivated Park View Water/Lake View
Golf Course Lot Partially Cultivated
Heavily Treed Pasture
Agriculture Present Use Residential Multi-Family Agriculture Proposed Use Residential Multi-Family
Commercial Residential Single Commercial Residential Single
Dairy Grazing Resort Dairy Grazing Resort
Equine Hunting/Fishing Sheep/Goats Equine Hunting/Fishing Sheep/Goats
Exotics Industrial Swine Exotics Industrial Swine
Mobile Mobile
Feed Lot Orchard/Vineyards Truck Farm Feed Lot Orchard/Vineyards Truck Farm
Planned Unit Planned Unit
Fish Farm Other Fish Farm Other
Development Development
Poultry Poultry
Last Revision 10/26/2010
Lots & Acreage Data Input Form Page 5 of 7
Agriculture Zoning Info Retail City Limits Development Zoned
Condo Rural Residential Plat Approved Other
Duplex Not Zoned Townhouse Streets Installed Unzoned
Industrial Office Other Utilities Installed
Multi-Family Residential
Resort
Aerobic Septic Street Utilities Private Sewer Co. Butane Gas Other Utilities Propane/Butane Lease
All Weather Road Private Water Co. Cable Available Propane/Butane Own
Alley Curbs Septic City Electric Natural Gas Septic System Required
Asphalt Dirt Sidewalk Co-op Electric No Sewer Sewer Avail. Off Site
City Sewer Gravel/Rock Underground Utilities Electric No Water Sewer Avail. On Site
City Water MUD Sewer Unincorporated Electric Avail. Off Site Other Electric Sewer Tap Fee Paid
Co-op Water MUD Water Well Electric Avail. On Site Other Utilities Water Tap Fee Paid
Community Mailbox No City Services Other Gas Avail. Off Site Perc Test
Concrete Outside City Limits Gas Avail. On Site Phone Avail. Off Site
Overhead Utilities Phone Avail. On Site
Private Road Propane Gas
Bottom Topography Steep Asphalt Road Frontage Desc Sidewalk
Flood Plain Varied City State
Gullies Level Other Concrete Gravel/Rock Storm Sewer
Hilly Need Fill County Interest U.S. Highway
Rolling Curbs/Gutters Interstate Other
Sloped Dirt None
FM Road Oil & Screen
Private
Road Easement
Bluestem Crops/Grasses Renner Love Grass Black Soil Unknown
Buffalo Grass Row Crop Clay Other
Coastal Bermuda Irrigated Small Grain Fill Limestone
Common Bermuda Klein Grass Softwood Timber Rocky/Shale
Emmedo Love Grass Main Grass Unknown Sandy Loam
Hardwood Timber Native Vineyard
Improved Pasture Non Irrigated Other
Orchard
Produce Other
Surface Rights Restrictions/Encumbrances
All Exist Agriculture Health Department No Mobile Home
Easement Animals
Mineral Easement Architectural Hi Line No Restrictions
Building
Deed Inland-Wetland Restr. Pipeline
Development Mobile Home Surface Lease(s)
Easement(s) No Divide Timber Lease(s)
No Known Restriction(s) Unknown
Encumbrance(s)
No Livestock Other
Access Easements Water Lines Aerial Photo Documents Survey
Drainage Other Topo Maps
None Engineering Floorplans/Blueprints
Electric Pipe Line Environmental None Other
Natural Gas Telephone Impact Study Plat Approved
Utilities Feasibility Study Road Maintenance
Last Revision 10/26/2010
Lots & Acreage Data Input Form Page 6 of 7
Automatic Gate Type of Fence Slick/Smooth Wire. Boiler Operation Exterior Buildings Winery
Barbed Wire Vinyl Bunk House Workshop
Brick Iron Wood Mobile None Other
Chain Link None Other Silo
Cross Fenced Partially Fenced Tenant House
Dog Run Pipe
Rail
Rock/Stone
Barn(s) Barn Information Stanchion Dairy Barn Boat Ramp Common Features Private Lake/Pond
Breeding Barn Tack Room Campground Public Hangar
Electric to Barn Hay Loft Temperature Controlled Club House Guarded Entrance Racquet Ball
Equipment Barn Indoor Arena Wash Rack Comm. Sprinkler System Horse Facilities RV Parking
Farrowing Shed Living Quarters Water to Barn Common Elevator Jogging /Bike Path Sauna
Feeder Pig Barn Loaf Shed(s) Other Community Pool Landing Strip Spa
Goat/Sheep Barn Mare Motel Gated Entrance Laundry Tennis
Hay Barn Parlor Dairy Barn Golf Marina Other
Show Barn Greenbelt Park
Stable(s) Perimeter Fencing
Playground
HOA Includes (Required if answered HOA Mandatory) Miscellaneous
All Utilities Full Use of Facilities Security Auto Feed Mill Fenced for Exotic Outdoor Arena
Back Yard Maintenance Gas Sprinkler System Calf Tables Birds/Game Perm. Squeeze Chutes
Blanket Insurance Management Fees Trash Cattle Guard Walker
Electric None Water/Sewer Cattle Working Pen Fenced for Horses Windmill
Exterior Maintenance Partial Use of Facilities Other Cold Storage Facility Helipad Other
Front Yard Maintenance Reserves Corrals Holding Pen
Fenced for Cattle Hot Walker
Kennels
Loading Chute
1st Right of Refusal Special Notes Verify Rollback Tax Assumable Loan Proposed Financing Texas Vet
Affordable Housing Verify Tax Trade/Exchange
Res. Service Contract Bond Money FHA Assumable
Deed Restrictions Senior/Adult Living Exemptions Fixed
Flowage Easement Cash
Owner/Agent Community Other FMHA TX Vet Assumable
Contact Agent
Special Conventional Lease Purchase VA
Conventional Assumable Not Assumable VA Assumable
Contracts/Provisions Escalating Owner Carry First VA Reinstatement Reqd.
Federal Land Bank Owner Carry Second Other
Survey Available FHA Private Assumable
Release Liability Reqd.
Verify Flood Insurance
Closing/Funding Possession Other Agent or Owner Present Showing Key in Office
Lease Outstanding Appointment No Lock Box
Negotiable Combo Lockbox
(Appt Svc only) No Sign on Lot
Specific Date Contact Agent Special
Appointment Service
Courtesy Call
Call-Key Box
Centralized Showing (Appt Svc)
Service Go (Appt Svc only)
Go-Key Box
Last Revision 10/26/2010
Lots & Acreage Data Input Form Page 7 of 7
Owner(s) have examined the information contained in this profile sheet and warrant that the information contained herein is true and correct to
the best of their knowledge.
Owner’s Signature
Owner’s Signature
Signed the day of 20
NOTE: Any information changes and/or status changes should be made on a separate listing modification form and entered into the Multiple
Listing Service within the time specified in the Multiple Listing Service Rules & Regulations. I certify that a written listing agreement has been
executed on the above property and that it complies with the Rules & Regulations of the Multiple Listing Service.
Participant/Subscriber for Participant
Last Revision 10/26/2010
Notice of Change to Seller’s Internet Display Options
Addendum to Listing Input Form
The purpose of this form is to provide the seller with the option to limit internet display of his/her property listing. For
each option, the MLS will automatically default to “yes” unless otherwise noted below. A detailed explanation of these
options can be found on page 2 of this form.
MLS # (if applicable):______________________________________________________________________________
Property Address:________________________________________________________________________________
_______________________________________________________________________________________________
1. Allow Internet Display? Yes_____ No_____
If “no” is selected to option #1, consumers who conduct searches for listings on the internet will NOT see information about the
property.
If “no” is selected in option #1, skip #2 through #4 and sign below. If “yes” is selected, please complete the
following:
2. Allow Address Display? Yes_____ No_____
3. Allow Public Comments/Reviews? Yes_____ No_____
4. Allow AVM? Yes_____ No_____
__________________________________________ ____________________________________________
Seller 1 Signature Seller 2 Signature
Date: _______________________________
______________________________________ Date: ______________________________________
Listing Agent/Broker Signature
05/09
Explanation of Seller’s Internet Display Options:
1. Allow Internet Display
If “no” is selected, your listing will not be included in NTREIS MLS data feeds to internet
websites that display property listing data, whether intended for advertising the
property (IDX sites, Realtor.com, NTREIS Translator, etc.) or for providing online
brokerage services (Virtual Office Websites “VOW”). Please note that brokers do not have the
option to opt‐out of VOW but are able to make selections based on their preferences for IDX, Realtor.com
and NTREIS Translator. This is done in NTREIS Listings by clicking on My Tools>My Page>Office
Participation.)
2. Allow Address Display
If “no” is selected, the address (street number and name) of your property will be
hidden on websites receiving data feeds from NTREIS MLS that result in internet listing
display, whether intended for advertising the property as noted in #1 or for providing
online brokerage services (VOW).
3. Allow Public Comments/Reviews
Some websites that display MLS listing data may provide functionality that permits
consumers to enter comments or reviews of the listing properties. If “no” is selected,
the website may not collect or display comments or reviews of the listing or by hyperlink
to such comments or reviews. Please note that the broker displaying the listing on
his/her VOW may add commentary representing his/her professional judgment
regarding the listing’s value, etc.
4. Allow AVM
Some websites that display MLS listing data may provide an automated valuation model
(AVM) function or service. An AVM uses statistical calculations to estimate the value of a
listed property based on data from available public records, the MLS, and other sources
and incorporating certain assumptions. The seller(s), by selecting “no,” may prohibit
display of an AVM of his/her listing adjacent to the listing display.
05/09