Privacy
Public/Private: __________________
Street #: __________________ Street Dir: _________ Street Name: __________________
St Sux: __________________ St Dir Sux: __________________ St T
ype: ____________
Unit #: _________ County: __________________
Town: __________________
Zone: _________ Zip: __________________ Sec./Area: ________________________
Cross St: __________________
Development: __________________________ District: __________________
Section: _________ Block: _______ Lot: _________ Building: ______________
Tax Unit #: ____________ Adult Community: _____ Minimum Age: _____ Lot Size Units: _____
School Dist. Name: ______________________
High School: _________________________ Junior Middle School: _______________________
Elementary School: ______________________
6th Floor Or Higher
Basement
Between 3rd & 5th Floors
Center
End
First Floor
Front
Ground Floor
Municipal
Rear
Residential
Rural
Second Floor
See Remarks
Top Floor
Location Desc:
Close to Bus
Close to Park
Close to Railroad
Close to School
Close to Shops
Corner Apartment
Cul-De-Sac
Horse Property
Privacy
Protected Wetland
Tot Lot
Location Features:
As a Licensed Realtor you must provide true and accurate information to the consumer, including taxes. By not doing so
is a direct violation of MLS Rules, Code of Ethics and DOS regulations. Fines for violations could be up to $15,000. A list
of counties, townships and villages including contact info to verify taxes may be found under MLS/LIBOR Links on the Info
Center.
Price Range Listing?: __________________ Listing Price: _______________
Taxes (without exemption): __________________ Additional Village Taxes: _________________
Sewer Trash Water
Included in Taxes:
Price/Dates
Location
Condo/Co-op Property Data Section
Assessed Value: __________________ Additional Fee: __________________
Additional Fee Desc: __________________ Additional Fee Frequency: __________________
Common Area Costs
Exterior Maintenance
Other/See Remarks
Sewer
Snow Removal
Trash Collection
Water/Sewer
HOA Fee Includes:
Minimum Income$: __________________ Minimum Income Required: __________________
Minimum Pct Down Payment: __________________ Common Charges: __________________
Maintenance: __________________ Deductible %: ______________ Heating: ______________
Management: __________________ Insurance: __________________
Cesspool
Community
Municipal
None
Others/See Remarks
Septic
Septic Above Ground
Septic Approved
Sewer
Sewer:
Dates:
Reserve: __________________ Fees: __________________ Other Fees: ____________
Type Ownership: _________________ Style: _______________ Model Name: _________________
Detached/Attached: __________________ # Floors in Building: __________________
Unit on Floor #: __________________ # Floors in Unit: __________________
# Levels: __________________
Rooms: ______________ Bedrooms: __________ Baths - Full: _________ Baths - Half: ________
Total Rms Finished: __________________
Apprx Int Square Footage: __________________
# Fireplaces: __________________ Smoking: __________________
1st Fl Master Bedroom
1st Floor Bedrm
ADA Inside
Cathedral/Vaulted/High Ceiling
Eat in Kitchen
Eciency Kitchen
Elevator
Exercise Room
Floor to Ceiling Windows
Formal Dining Room
Foyer
Granite Countertops
Guest Quarters
Hardwood Floors As Seen
Lr/Dr
L-Shaped Dining Room
Marble Countertops
Master Bath
Pantry
Powder Room
Sauna/Steam Room
Security System
Sky Light
Sprinkler Fire Sys
Storage
Walk In Closet
Walk Out Basement
Wall To Wall Carpet
WD Hookup
Wetbar
Wood Burning Stove
Interior Features:
Characteristics
Listing Date: _______________ Exp Date: ______________ Finance Restrictions: _____________
Bilco Door(s)
Common
Crawl
Finished
Full
None
Opt
Partial
Partially Finished
See Remarks
Slab
Unnished
Walk Out
Common
Dormer
Finished
Full
None
Partial
Partially Finished
Pull Stairs
Scuttle
See Remarks
Unnished
Walkup
BuildingLink
Clubhouse
Community Pool
Community Spa
Community Tennis Courts
Doorman
Golf Course
Kitchen In Clubhouse
Laundry Room/Common
Laundry Room/Private
Maid Service
Private Laundry
Trash Collection
Level: __________________ Type: __________________
Description: ____________________________________________________________________
Level: __________________ Type: __________________
Description: ____________________________________________________________________
Advanced Framing Technique
Batt Insulation
Block
Blown-In Insulation
Brick
Cellulose Insulation
Energy Star
Fiberglass Insulation
Frame
HERS
Insulated Concrete Forms
LEED
LEED-Gold
LEED-Platinum
LEED-Silver
Log
Manufactured
Modular
NAHB Green-Bronze
NAHB Green-Gold
NAHB Green-Silver
Other/See Remarks
Post and Beam
Auxiliary Rooms: __________________
Association Amenities:
Construction:
Basement: Attic:
Exterior/Util
New Construction: __________ Approx Year Built: _________ Year Built Exception: ____________
Year Renovated: ___________ Appearance: ________________ Garbage Removal: ___________
Rooms
Level: __________________ Type: __________________
Description: __________________________________________________________________
Above Ground Pool
ADA Access
Balcony
Basketball Court
Deck
Gated Community
Heated Parking
In Ground Pool
Patio
Porch
Sprinkler Lawn Sys
Tennis
1 Car Attached
1 Car Detached
2 Car Attached
2 Car Detached
3 Car Attached
3 Car Detached
4+ Car Attached
4+ Car Detached
Assigned
Attached
Carport
Common
Covered
Detached
Driveway
Garage Parking
Lot Parking
No Garage
No Parking
None
O-Site Parking
O-Street Parking
Other/See Remarks
Private Parking
Public Parking
Storage
Street Parking
Tandem
Unassigned
Under Home/Ground
Waitlist
Exposure East
Exposure North
Exposure North East
Exposure North West
Exposure South
Exposure South East
Exposure South West
Exposure West
Greenhouse
Out Building
Stable/Paddock
Workshop
Parking:
Exterior Features:
Double Pane Windows
Energy Star Dishwasher
Energy Star Doors
Energy Star Dryer
Energy Star Furnace
Energy Star Refrigerator
Energy Star Skylight(s)
Energy Star Stove
Energy Star Washer
Energy Star Water Heater
Energy Star Windows
Geothermal Water Heater
Gray Water System
Green Certied
Insulated Doors
Insulated Windows
Low Flow Showers/Fixtures
Low Flow/Dual Flush Toilet
Programmable Thermostat
Solar Panels
Solar Pool Cover
Solar Water Heater
Storm Doors
Tankless Water Heater
Triple Thermo Windows
Windmill
HERS Index Score: __________________
Green Features:
Lot Exposure: Other Structures:
Aluminum
Asbestos
Block
Brick
Cedar
Cedar Shake
Clap Board
Concrete Fiber Board
Hardiplank
Log
Masonry
Other/See Remarks
Shingle
Stone
Stucco
T111
Vinyl
Wood
Siding:
# Cars/Gar Parking: __________________ Parking: ______________ Parking Spaces: _______
# Assigned Parking Spcs: __________ Parking Charges: __________ Parking Fee: ________
All Dogs
Call Listing Agent
Cats
No Dogs
No Restrictions
None Allowed
Restricted Weight
Bay
Beach
Beach Rights
Bulkhead
Canal
Creek
Dock/Mooring
Harbor
Inlet
Lake
Lake Association
Lake Views
Lake/Pond/Stream
Lakefront
Ocean
Pond
River
River Views
Sound
Water Access
Water Other
Water View
Waterfront
Bridge View
City View
Mountain Views
Open View
Park View
Scenic View
Skyline View
View
A/C Units
Air Filter System
Alarm System
Attic Fan
Awning
B/I Audio/Visual Equip
B/I Shelves
Basketball Hoop
Bread Warmer
Ceiling Fan
Central Vacuum
Chandelier(s)
Compactor
Convection Oven
Cook Top
Craft/Table/Bench
Curtains/Drapes
Dehumidier
Dishwasher
Disposal
Door Hardware
Dryer
Energy Star Appliance(s)
Entertainment Cabinets
Fireplace Equip
Flat Screen TV Bracket
Freezer
Front Gate
Garage Door Opener
Garage Remote
Gas Grill
Gas Tank
Generator
Greenhouse
Hot Tub
Humidier
Intercom
Lawn Maint Equip
Light Fixtures
Low Flow xtures
Mailbox
Microwave
Nanny Cam/Comp Serv
Oven/Range
Pellet Stove
Playset
Pool Equipt/Cover
Refrigerator
Screens
Second Dishwasher
Second Dryer
Second Freezer
Second Refrigerator
Second Stove
Second Washer
See Remarks
Shades/Blinds
Shed
Solar Panels Leased
Solar Panels Owned
Speakers Indoor
Speakers Outdoor
Stained Glass Window
Storm Windows
TV Dish
Video Cameras
Wall Oven
Wall to Wall Carpet
Washer
Water Conditioner Owned
Water Conditioner Rented
Whirlpool Tub
Whole House Ent. Syst
Wine Cooler
Woodburning Stove
Coal
Electric
Kerosene
Natural Gas
None
Oil
Oil Above Ground
Oil Below Ground
Other/See Remarks
Propane
Solar
Wood
Included:
Waterfront Features:
Pets Allowed:
Heating Fuel:
View:
Air Purication System
Central
Ductless
Ductwork
Energy Star CAC
Energy Star Unit(s)
Geothermal
High Pressure System
Individual
None
SEER Rating 12+
Wall Units
Window Units
Yes
Hotwater:
Electric Stand Alone
Fuel Oil Stand Alone
Gas Stand Alone
Indirect Tank
None
On Demand
See Remarks
Solar Thermal
Tankless Coil
Water Description:
Community
Drilled Well
Dug Well
Municipal
None
Other/See Remarks
Private
Shared
Spring
Air Conditioning
Air Conditioning Allowed
Cable
Electric
Garbage Removal
Gas
Ground Care
Heat
Hot Water
Housekeeping
Pool Care
Sewer
Water
Owner: _________________________ Status/Showing Phone: _____________________
Listing Agent: ________________________ Listing Agent Phone#: _______________________
Co-Listing Agent: _____________________ Co-Listing Agent Phone#: _____________________
Seller Agency Compensation: ________________ Buyer Agency Compensation: ______________
Broker Agency Compensation: __________________
Agreement Type: _______________ Negotiate Direct: ________ Oer Presentation: ___________
Occupancy: ___________ Management Ph#: __________________
Show Instructions: _______________________________________________________________
Lockbox: ______ Access for Showing: __________________ Owner Financing: _______
Renting Allowed: ______
A/C:
Utilities Included:
Base Board
Electric
Energy Star Unit(s)
Forced Air
Geothermal
Gravity Hot Air
Heat Pump Air
Heat Recovery System
Hot Water
Hydro Air
None
Other
Passive Solar
Heating Type:
Owner/Broker
Remarks/Misc
Broker Remarks (Info for Realtors):
Directions:
Public Remarks
(Info for consumers):
Also For Rent: ______ Rental Price: __________________ Approval Required: ______
Property Desc is for description only. No name, PH#, refer to agent, oce, status, etc.
Heat
Hot Water
Housekeeping
Pool Care
Sewer
Water
A/C Units
Air Filter
Alarm System
Awnings
B/I Audio/Visual Equip
B/I Shelves
Basketball Hoop
Bread Warmer
Ceiling Fan
Chandelier(s)
Compactor
Convection Oven
Craft/Table/Bench
Curtains/Drapes
Dehumidier
Dishwasher
Disposal
Door Hardware
Dryer
Entertainment Cabinets
Fireplace Equipment
Flat Screen TV Bracket
Freezer
Front Gate
Garage Door Opener
Garage Remote
Gas Tank
Generator
Greenhouse
Grill
Hot Tub
Humidier
Intercom
Lap Pool
Lawn Maint Equip
Mailbox
Microwave Oven
Nanny Cam/Comp Serv
Pellet Stove
Playset
Pool Above Ground
Pool Equipt/Cover
Refrigerator
Screens
Second Dishwasher
Second Dryer
Second Freezer
Second Refrigerator
Second Stove
Second Washer
See Remarks
Selected Light Fixtures
Selected Plantings
Selected Window Treatment
Shades/Blinds
Shed
Speakers Indoor
Speakers Outdoor
Stained Glass Window
Storm Windows
TV Dish
Video Cameras
Wall To Wall Carpet
Washer
Water Conditioner
Water Softner
Whole House Ent. Syst
Wine Cooler
Wood Stove
M1 Buyer Exclusions
M2 Agent Exclusions
M3 IAW
M4 Commission Modication
M6 Disclosure of Ownership
M7 Insuciency of Funds
M7A Litigation Policy
M7B Litigation Policy
M8 Short Sale Notication
None
Supersedes: _____ Supersedes ML#: ________________ REO: _____
Auction Listing: _________ Auction Terms Sale Listing: _______ Contract Vendee Listing: _______
Max Finance%: _______________ Flip Tax: ______________ Flip Tax Amount: _____________
Pres. Board/Mge. Agent: __________________Mge. Agent Ph. #: _____________
Bylaws Attached: ______ Do you want to display the address on the internet: ______
Publish to Zillow: _______ Send Listing to Realtor.com: _______
Excluded:
By signing this Property Data Form, Owner(s) acknowledges that Owner(s) read the form in its entirety and arms to the
best of their knowledge, recollection, or ability that the information contained therein is true and accurate as of the date
Owner(s) signs the form. Should Owner(s) acquire knowledge which changes any of the information contained on this
form, Owner(s) must immediately notify Listing Broker of such changes in writing.
By: ____________________________ ____________________________________ ___________
(Owner) (Owner) (Date)
Modications/Exclusions: