Fillable RESI RESIDENTIAL SINGLE FAMILY ONLY RES (Maris MLS)

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RESI RESIDENTIAL SINGLE FAMILY ONLY RES (Maris MLS)

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RES

RESIDENTIAL SINGLE FAMILY ONLY

RESI

7/7/2020

n ALARM SYSTEM

n APPOINTMENT-LOCKBOX

nAPPOINTMENT THROUGH MLS

n BY APPOINTMENT ONLY

n CALL LISTING AGENT

n CALL LISTING OFFICE

n COMBINATION

n KEY AT OFFICE

n LISTING AGENT ACCOMPANY

n OCCUPIED

n OTHER

n OTHER LOCK BOX

n PET

n REGISTER & SHOW

n SENTRILOCK

n SHOW AT WILL

n SUPRA

n UNDER CONSTRUCTION

n VACANT

® SHOWING INSTRUCTIONS (4):

n 1/2 DUPLEX

n A-FRAME

n ATRIUM

n BUNGALOW/COTTAGE

n CABIN

n DOUBLE WIDE

n EARTH HOME

n GARDEN APARTMENT

n LOFT

n MANUFACTURED

n MODULAR

n OTHER

n QUAD-LEVEL

n RAISED RANCH

n RANCH

n ROW HOUSE

n SPLIT FOYER

n TOWNHOUSE

n TRI-LEVEL

n VILLA

® STYLE DESCRIPTION:

n1 STORY

n1.5 STORY

n 2 STORY

n 2.5 STORY

n 3 + STORY

n MULTI-LEVEL

n OTHER

® STYLE:

® OFFICE ID: ________________________________________________ ® AGENT ID: ____________________ CO-AGENT ID: ______________________________________________

AGENT INFORMATION:

® Denotes required information that must be provided.

GENERAL LISTING INFORMATION:

DETAILS:

YEAR BUILT: _________________ ® YEAR BUILT EXCEPTION: ® LISTING DATE: ____________________ ® EXPIRATION DATE: _________________

n NEW CONSTRUCTION n UNDER CONSTRUCTION

n TBB n UNKNOWN

OWNER NAME: _______________________________________________________________ OWNER PHONE AREA + NUMBER : ______________________________________

LOT NUMBER: ________________________________________________ SECTION / TOWNSHIP / RANGE: __________________________________________________________

® TRANSACTION TYPE: n LEASE n SALE n AUCTION ® TAX ID: ________________________________________

® SPECIAL LISTING CONDITIONS: ® POSSIBLE BUYER FEES: n YES n NO 

LEGAL DESCRIPTION: ______________________________________________________ 

® LISTING PRICE ($) / LEASE (MONTHLY): ® AGREEMENT TYPE: ® AGREEMENT TYPE 2: AD CODE: _________

® PUBLISH TO INTERNET: n YES n NO ® SHOW ADDRESS TO PUBLIC: n YES n NO ® PERMIT AVM: n YES n NO ® PERMIT COMMENTS: n YES n NO

n EXCLUSIVE AGENCY

n EXCLUSIVE RIGHT TO SELL

n VARIABLE RATE

n PURCHASER EXEMPTIONS

n TRANS BROKERAGE

SIZES:

BUILDING SQUARE FOOTAGE: _____________________________

(ABOVE GRADE)

LOT SIZE (ACRES): LOT SIZE SOURCE:

n APPRAISAL n COUNTY RECORDS n LISTING AGENT n OWNER

n BUILDER n DEED n OTHER n SURVEY

n LIMITED SERVICE

n NOT APPLICABLE

n SELLER’S AGENT

n DESIGNATED AGENT

n TRANSACTION BROKER

ADDRESS:

® COUNTY:

_________________________________ ® CITY: ___________________________________ MUNICIPALITY/TOWNSHIP: __________________________________________

® AREA: _____________________________ ®SUBDIVISION / COMPLEX: __________________________________________________________

® ZIP CODE: _____________+4: _____________ CROSS STREET: ____________________________________________________

® SCHOOL DISTRICT: ____________________________________________________

® MIDDLE/JR. HIGH SCHOOL: _______________________________________________

LEASE INFORMATION:

SUB LEASE:

n YES n NO LEASE TYPE: n GROSS n NET n OTHER AVAILABLE DATE: _______________ SUB LEASE EXPIRATION DATE: _________________

DEPOSIT AMOUNT ($): ________________________ PETS ALLOWED: n YES n NO PET DEPOSIT: n YES n NO PET DEPOSIT AMOUNT:________________

COMMISSIONS:

® SUB AGENCY COMMISSION: ® BUYER AGENCY COMMISSION: ® TRANS BROKER COMMISSION: ® VARIABLE RATE:

n YES n NO

COMMISSION COMMENTS: ____________________________________________________________________________________________________________

AGENT INFORMATION

GENERAL

ROOMS & BATHS DESCRIPTION ADDITIONAL INFO UTILITIES, ASSUMPTIONS & FINANCIAL INFO

___________________

______________

______

n FORECLOSURE

n NONE

n PROBATE

n SHORT SALE

BASEMENT:

n YES n NO

AGENT INFORMATION

GENERAL ROOMS & BATHS DESCRIPTION ADDITIONAL INFO UTILITIES, ASSUMPTIONS & FINANCIAL INFO

® LICENSEE ASSISTING SELLER:DUAL AGENCY:

n YES n NO

® ELEMENTARY SCHOOL: _____________________________________________________

® SENIOR HIGH SCHOOL: ___________________________________________________

TOTAL LIVING AREA: __________________® SQUARE FOOTAGE SOURCE:

n APPRAISAL

n BUILDER

n COUNTY RECORDS

n OTHER

n OWNER

OCCUPANT PHONE TO SHOW

AREA CODE + NUMBER: _______________________

POST DIRECTION:_____________ SUFFIX: ______________ UNIT #:__________ ® STATE:__________________________

® STREET #: ___________________ MODIFIER: __________ DIRECTION:__________

® STREET NAME:______________________________________________________________

® EXPECTED ACTIVE DATE: ___________

® SHOWINGS Y/N: _______

BUILDING SQUARE FOOTAGE: _____________________________

(BELOW GRADE)

OCCUPANT TYPE:

n OWNER n TENANT n VACANT

OCCUPANT NAME: _________________________________

AGENT INFORMATION

GENERAL ROOMS & BATHS DESCRIPTION ADDITIONAL INFO UTILITIES, ASSUMPTIONS & FINANCIAL INFO

7/7/2020

BEDROOMS • BATHROOMS • TOTAL FULL BATHS • TOTAL HALF BATHS:

n NONE

n SOME

WINDOW COVERING:

ROOM TYPE:

n BATHROOM

n BEDROOM

n BREAKFAST ROOM

n BONUS ROOM

n DEN

n DINING ROOM

n EXERCISE

n FAMILY ROOM

n GREAT ROOM

n HEARTH

n KITCHEN

n LAUNDRY ROOM

n LIVING ROOM

n LOFT

n MASTER BATHROOM

n MASTER BEDROOM

n MEDIA ROOM

n MUD ROOM

n OFFICE

n OTHER

n RECREATION

n SITTING ROOM

n STORAGE

n SUN ROOM

FLOOR COVERING:

n CARPETING

n CERAMIC TILE

n CONCRETE

n LAMINATE

n MARBLE

n OTHER

n PARQUET

n TILE

n VINYL

n WOOD

n WOOD ENGINEERED

n WOOD VENEER

AGENT INFORMATION

GENERAL ROOMS & BATHS DESCRIPTION ADDITIONAL INFO UTILITIES, ASSUMPTIONS & FINANCIAL INFO

BEDROOMS • BATHROOMS • TOTAL FULL BATHS • TOTAL HALF BATHS:

n NONE

n SOME

WINDOW COVERING:

ROOM TYPE:

n BATHROOM

n BEDROOM

n BREAKFAST ROOM

n BONUS ROOM

n DEN

n DINING ROOM

n EXERCISE

n FAMILY ROOM

n GREAT ROOM

n HEARTH

n KITCHEN

n LAUNDRY ROOM

n LIVING ROOM

n LOFT

n MASTER BATHROOM

n MASTER BEDROOM

n MEDIA ROOM

n MUD ROOM

n OFFICE

n OTHER

n RECREATION

n SITTING ROOM

n STORAGE

n SUN ROOM

FLOOR COVERING:

n CARPETING

n CERAMIC TILE

n CONCRETE

n LAMINATE

n MARBLE

n OTHER

n PARQUET

n TILE

n VINYL

n WOOD

n WOOD ENGINEERED

n WOOD VENEER

BEDROOMS • BATHROOMS • TOTAL FULL BATHS • TOTAL HALF BATHS:

n NONE

n SOME

WINDOW COVERING:

ROOM TYPE:

n BATHROOM

n BEDROOM

n BREAKFAST ROOM

n BONUS ROOM

n DEN

n DINING ROOM

n EXERCISE

n FAMILY ROOM

n GREAT ROOM

n HEARTH

n KITCHEN

n LAUNDRY ROOM

n LIVING ROOM

n LOFT

n MASTER BATHROOM

n MASTER BEDROOM

n MEDIA ROOM

n MUD ROOM

n OFFICE

n OTHER

n RECREATION

n SITTING ROOM

n STORAGE

n SUN ROOM

FLOOR COVERING:

n CARPETING

n CERAMIC TILE

n CONCRETE

n LAMINATE

n MARBLE

n OTHER

n PARQUET

n TILE

n VINYL

n WOOD

n WOOD ENGINEERED

n WOOD VENEER

BEDROOMS • BATHROOMS • TOTAL FULL BATHS • TOTAL HALF BATHS:

n NONE

n SOME

WINDOW COVERING:

ROOM TYPE:

n BATHROOM

n BEDROOM

n BREAKFAST ROOM

n BONUS ROOM

n DEN

n DINING ROOM

n EXERCISE

n FAMILY ROOM

n GREAT ROOM

n HEARTH

n KITCHEN

n LAUNDRY ROOM

n LIVING ROOM

n LOFT

n MASTER BATHROOM

n MASTER BEDROOM

n MEDIA ROOM

n MUD ROOM

n OFFICE

n OTHER

n RECREATION

n SITTING ROOM

n STORAGE

n SUN ROOM

FLOOR COVERING:

n CARPETING

n CERAMIC TILE

n CONCRETE

n LAMINATE

n MARBLE

n OTHER

n PARQUET

n TILE

n VINYL

n WOOD

n WOOD ENGINEERED

n WOOD VENEER

BEDROOMS • BATHROOMS • TOTAL FULL BATHS • TOTAL HALF BATHS:

n NONE

n SOME

WINDOW COVERING:ROOM TYPE:

n BATHROOM

n BEDROOM

n BREAKFAST ROOM

n BONUS ROOM

n DEN

n DINING ROOM

n EXERCISE

n FAMILY ROOM

n GREAT ROOM

n HEARTH

n KITCHEN

n LAUNDRY ROOM

n LIVING ROOM

n LOFT

n MASTER BATHROOM

n MASTER BEDROOM

n MEDIA ROOM

n MUD ROOM

n OFFICE

n OTHER

n RECREATION

n SITTING ROOM

n STORAGE

n SUN ROOM

FLOOR COVERING:

n CARPETING

n CERAMIC TILE

n CONCRETE

n LAMINATE

n MARBLE

n OTHER

n PARQUET

n TILE

n VINYL

n WOOD

n WOOD ENGINEERED

n WOOD VENEER

BEDROOMS • BATHROOMS • TOTAL FULL BATHS • TOTAL HALF BATHS:

n NONE

n SOME

WINDOW COVERING:

ROOM LENGTH:__________

ROOM WIDTH:____________

ROOM LEVEL:

n L n M n U

ROOM TYPE:

n BATHROOM

n BEDROOM

n BREAKFAST ROOM

n BONUS ROOM

n DEN

n DINING ROOM

n EXERCISE

n FAMILY ROOM

n GREAT ROOM

n HEARTH

n KITCHEN

n LAUNDRY ROOM

n LIVING ROOM

n LOFT

n MASTER BATHROOM

n MASTER BEDROOM

n MEDIA ROOM

n MUD ROOM

n OFFICE

n OTHER

n RECREATION

n SITTING ROOM

n STORAGE

n SUN ROOM

FLOOR COVERING:

n CARPETING

n CERAMIC TILE

n CONCRETE

n LAMINATE

n MARBLE

n OTHER

n PARQUET

n TILE

n VINYL

n WOOD

n WOOD ENGINEERED

n WOOD VENEER

ROOMS & BATHS :

# OF ROOMS: _________ ® UPPER BEDROOMS: ___________ ® UPPER FULL BATHS: ___________ ® UPPER HALF BATHS: _________ ® MAIN BEDROOMS: _________

® MAIN ® LOWER ® LOWER

FULL BATHS: ___________ ® MAIN HALF BATHS: ___________ ® LOWER BEDROOMS: ___________ FULL BATHS: ________________ HALF BATHS: _______________

DETAILS CONTINUED:

® Denotes required information that must be provided.

ROOM LENGTH:__________

ROOM WIDTH:____________

ROOM LEVEL:

n L n M n U

ROOM LENGTH:__________

ROOM WIDTH:____________

ROOM LEVEL:

n L n M n U

ROOM LENGTH:__________

ROOM WIDTH:____________

ROOM LEVEL:

n L n M n U

ROOM LENGTH:__________

ROOM WIDTH:____________

ROOM LEVEL:

n L n M n U

ROOM LENGTH:__________

ROOM WIDTH:____________

ROOM LEVEL:

n L n M n U

® TAXES PAID ($): _________________________ ® TAX YEAR: __________ HOA FEE($):_________ ASSOCIATION FEE($): ______ HOA FEE INCLUDES:_____________________

PROPERTY ASSESSED CITY TAXES:

n YES n NO HOA FEE PAID: n NONE n QUARTERLY n MONTHLY n YEARLY ASSOCIATION FEE PAID: n NONE n QUARTERLY n MONTHLY n YEARLY

MARIS (RESI) Page 2

MARIS (RESI) Page 3

AGENT INFORMATION

GENERAL ROOMS & BATHS DESCRIPTION ADDITIONAL INFO UTILITIES, ASSUMPTIONS & FINANCIAL INFO

n 8 FT+ POUR

n 9 FT+ POUR

n BATHROOM IN LOWER LEVEL

n CELLAR

n CONCRETE BLOCK

n EGRESS WINDOW

n FIREPLACE IN LOWER LEVEL

n FULL

n LOOKOUT

n NONE

n PARTIALLY FINISHED

n PARTIAL

n POURED CONCRETE

n RADON MITIGATION SYSTEM

n RECREATION/FAMILY AREA

n ROUGHED-IN FIREPLACE

n ROUGHED-IN BATH

n SLAB

n SLEEPING AREA

n SUMP PIT/PUMP

n SPACE/CRAWL OR OTHER

n STONE/ROCK

n STORAGE/LOCKER

n UNFINISHED

n WALK-OUT

n WALK-UP

® BASEMENT DESCRIPTION (8):

n BASEMENT

n BEDROOM

n DEN/LIBRARY

n DINING ROOM

n EXTERIOR

n FAMILY ROOM

n GRAND ENTRY HALL

n GREAT ROOM

n HEARTH ROOM

n KITCHEN

n LIVING ROOM

n MASTER BEDROOM

n NONE

n OTHER

FIREPLACE LOCATION (5):

® # FIREPLACES:_____________

n CIRCULATING BLOWER

n ELECTRIC

n FREESTANDING/STOVE

n FULL MASONRY

n GAS

n GAS STARTER

n INSERT

n NONE

n NON FUNCTIONAL

n STUBBED IN GAS LINE

n VENTLESS

n WOODBURNING

FIREPLACE TYPE (4):

n ACCESSIBLE PARKING

n ACCESSIBLE ROUTE TO ENTRY

n ADDITIONAL PARKING

n ALLEY ACCESS

n ATTACHED GARAGE

n BASEMENT/TUCK-UNDER

n CARRIAGE HOUSE

n CARRIAGE HOUSE W/APT

n CIRCLE DRIVE

n COVERED

n DETACHED

n GARAGE DOOR OPENER

n OFF STREET

n OTHER

n OVERSIZE

n REAR/SIDE ENTRY

n TANDEM PARKING

n WORKSHOP/STORAGE AREA

® PARKING DESCRIPTION (8):

DESCRIPTION:

® # GARAGE SPACES:______________________

® # CARPORT SPACES:_______________________

# PARKING PAD SPACES:____________________

GARAGE DIMENSIONS:______________________

n COLONIAL

n CONTEMPORARY

n CRAFTSMAN

n ENGLISH

n FRENCH

n HISTORIC

n MANSE

n OTHER

n RUSTIC

n TRADITIONAL

n TUDOR

n VICTORIAN

ARCHITECTURE (6):

n ALUMINUM SIDING

n ASBESTOS SHINGLE

n BRICK VENEER DECORATIVE

n BRICK VENEER PREDOMINATE

n BRICK/STONE MASON PREDOMINATE

n BRICK/STONE VENEER FRONT

n CEDAR/WOOD

n CONCRETE BLOCK

n DRYVIT

n FIBER CEMENT

n FULL BRICK/STONE VENEER

n FRAME

n LOG

n OTHER

n SIDING-ALUMINUM

n SIDING-ASBESTOS

n SIDING-VINYL

n STEEL SIDING

n STUCCO

CONSTRUCTION:

® Denotes required information that must be provided.

7/7/2020

R FACTOR CEILING:

____________________________

R FACTOR WALL:

________________________

LOT DESCRIPTION (8):

® LOT DIMENSIONS:

_____________________________

n AGGREGATE

n ASPHALT

n BRICK

n CONCRETE

n DIRT

n GRAVEL

n HEATED

n NONE

n OTHER

n PAVERS

n SHARED

n SEE REMARKS

DRIVEWAY:

NEIGHBORHOOD (STL CITY ONLY):

_________________________________

n ADJOINS GOV LAND

n BACKS TO COMM GRND

n BACKS TO GOLF COURSE

n BACKS TO OPEN GRND

n BACKS TO PUBLIC GRND

n BACKS TO TREES/WOODS

n CORNER LOT

n CREEK

n CUL-DE-SAC

n FENCE-CHAIN LINK

n FENCE-ELECTRIC

n FENCE-INVISIBLE/PET

n FENCE-WOOD

n FENCE-WOVEN WIRE

n FENCING

n FENCING-PARTIAL

n INFILL LOT

n LEVEL LOT

n NONE

n PARK ADJACENT

n PARK VIEW

n POND/LAKE

n RIVER

n SIDEWALKS

n SPRING

n STREETLIGHTS

n SUITABLE FOR HORSES

n TERRACED/SLOPING

n WATER VIEW

n ARENA

n BARN(S)

n BOAT DOCK

n CATTLE BARN(S)

n CAVE(S)

n CLUB HOUSE

n CONFINEMENT-BUILDING

n CORN CRIB

n COVERED ARENA

n DAIRY BARN(S)

n EQUIPMENT SHED

n FEED LOT

n GARAGE(S)

n GAZEBO

n GRAIN STORAGE

n GREENHOUSE

n GUEST HOUSE

n HOG BARN(S)

n INDOOR RIDING RING

n KENNEL/DOG RUN

n METAL BUILDING

n MOBILE HOME

n OTHER

n OUTBUILDING

n OUTDOOR KITCHEN

n OUTDOOR RIDING RING

n PERGOLA

n POLE BARN(S)

n POOL HOUSE

n PULTRY COOP

n RV/BOAT STORAGE

n SECOND GARAGE

n SECOND RESIDENCE

n SHED(S)

n SILO(S)

n STABLE(S)

n STORAGE

n UTILITY BUILDING

n WORKSHOP

OTHER STRUCTURES:

LAKE / WATERFRONT:

______________________________

MARIS (RESI) Page 4

AGENT INFORMATION

GENERAL ROOMS & BATHS DESCRIPTION ADDITIONAL INFO UTILITIES, ASSUMPTIONS & FINANCIAL INFO

ADDITIONAL INFORMATION:

® Denotes required information that must be provided.

n 9’ CEILINGS

n 10’+ CEILINGS

n BUILT-IN BOOKCASES

n CEILING - CATHEDRAL

n CEILING - COFFERED

n CEILING - VAULTED

n CENTER HALL PLAN

n HISTORIC/PERIOD MILLWORK

n OPEN FLOOR PLAN

n SOME CARPETING

n SPECIAL MILLWORK

n SOME WINDOW TREATMENT

n WALK-IN CLOSETS

n WETBAR

n SOME WOOD FLOORS

INTERIOR DECOR

n 6 PANEL DOOR(S)

n 32” MINIMUM INTERIOR DOOR

n 36” MINIMUM ENTRY DOOR

n DOOR(S) - ATRIUM

n DOOR(S) - FRENCH

n DOOR(S) - PANEL

n DOOR(S) - POCKET

n DOOR(S) - SLIDING GLASS

n DOOR(S) - SOME STORM

n LEVER STYLE DOOR HANDLES

n LOW-E

n POWER DOOR OPERATOR

n SKYLIGHT(S)

n SOME STAINED GLASS

n WINDOW(S) - BAY/BOW

n WINDOW(S) - GREENHOUSE

n WINDOW(S) - PALLADIAN

n WINDOW(S) - SOME INSULATED

n WINDOW(S) - SOME STORM

n WINDOW(S) - SOME TILT-IN

n WINDOW(S) - SOME WOOD

WINDOWS & DOORS (7):

n 2 STORY ENTRY FOYER

n 2ND FLOOR LAUNDRY

n BALCONY

n BONUS ROOM

n DEN/OFFICE

n ELEVATOR

n ENTRY FOYER

n FAMILY ROOM

n FRONT/BACK STAIRS

n GAME ROOM

n GREAT ROOM

n LIBRARY/DEN

n LIVING ROOM

n LOFT

n MAIN FLOOR LAUNDRY

n MEDIA ROOM

n MUD ROOM

n SUN ROOM

n UTILITY ROOM

n WINE CELLAR

SPECIAL AREAS (8):

n BBQ GRILL

n CENTRAL VACUUM

n DISHWASHER

n DISPOSAL

n DOWNDRAFT/COOKTOP

n DRYER

n ELECTRIC COOKTOP

n ENERGY STAR APPLIANCE

n FRONT CONTROLS ON RNG/CKTP

n GAS COOKTOP

n INTERCOM

n MICROWAVE

n OTHER

n RANGE

n RANGE HOOD

n RANGE/OVEN-ELECTRIC

n RANGE/OVEN-GAS

n REFRIGERATOR

n STAINLESS STEEL APPLIANCES

n TRASH COMPACTOR

n WASHER

n WATER FILTRATION SYSTEM

n WINE COOLER

APPLIANCES (8):

n 29” KNEE CLEARANCE UNDER VANITY

n 34” OR LOWER VANITY

n 60” DIAMETER CLEAR FLOOR SPACE

n CURBLESS/ROLL IN SHOWER

n DOUBLE SINK

n FULL BATH

n HALF BATH

n LEVER/EASY TO USE FAUCETS

n SHOWER ONLY

n TUB & SEPARATE SHOWER

n WHIRLPOOL

n WHIRLPOOL & SEPARATE SHOWER

BEDROOM DESCRIPTION

n DIVIDED BEDROOM FLOOR PLAN

n POSSIBLE EXTRA BEDROOM

n POSSIBLE EXTRA LOWER LEVEL

n IN-LAW QUARTERS

n MAIDS QUARTERS

n MAIN FLOOR MASTER

n MASTER BEDROOM SUITE

n OTHER

MASTER BATH DESCRIPTION (3):

n DINING/LIVING ROOM COMBO

n KITCHEN/DINING COMBO

n SEPARATE DINING

n NONE

DINING (3):

n 34” OR LOWER COUNTERTOPS

n BREAKFAST BAR

n BREAKFAST ROOM

n BUTLER PANTRY

n CENTER ISLAND

n CUSTOM CABINETRY

n EAT-IN KITCHEN

n GRANITE COUNTERTOPS

n HEARTH ROOM

n KNEE CLEARANCE AT SINK

n PANTRY

n SOLID SURFACE COUNTER

n WALK-IN PANTRY

KITCHEN (8)

SPECIAL DESCRIPTION:

® OWNERSHIP:

n ASBESTOS

n LEAD BASE PAINT/PIPE

n OTHER

n UNKNOWN

n BANK OWNED

n GOVERNMENT OWNED

n OWNER BY CONTRACT

n PRIVATE

n RELOCATION

® CONDITIONS (2):

BUILDER:

____________________________

MODEL:

____________________________

n BUILDER DISPLAY

n DISABLED PERSONS

n DISABLED VETERAN

n DISPLAY

n ENERGY STAR HOME

n HOMESTEAD IMPROVE

n HOMESTEAD SENIOR

n INTERIOR ELEV IN RESI

n LEED-CERT. GREEN

n NAHB/GBI VER. GREEN

n NO EXEMPTIONS

n NO STEP ENTRY

n OTHER

n OWNER OCCUPIED

n REHABBED

n RENOVATED

n RETURNING VETERANS

n TAX EXEMPT

n TAX EXEMPTIONS

n SENIOR COMMUNITY

n SENIOR FREEZE

n SOME ACCESSIBLE FEATURES

n SOME UNIVERSAL DESIGN FEATURES

n SPEC HOME

n SUNKEN LIVING ROOM

MISCELLANEOUS (14):

n BUILDERS WARRANTY

n BUILT-IN SPEAKERS

n DECK

n DECK-COMPOSITE

n DECK-COVERED

n DECK-SCREENED

n HIGH SPEED CONNECTION

n HOME PROTECTION POLICY

n LAKE ACCESS

n PATIO

n PATIO-COVERED

n PATIO-SCREENED

n PORCH

n PORCH-COVERED

n PORCH-GLASS ENCLOSED

n PORCH-SCREENED

n NEAR PUBLIC TRANS

n ROOF-FLAT

n ROOF-SHAKE

n ROOF-TILE/SLATE

n SATELLITE DISH

n SECURITY ALARM-LEASED

n SECURITY ALARM-OWNED

n SMOKE ALARM/DETECTOR

n SPRINKLER SYS-INDOOR

n SPRINKLER SYS-INGROUND

n SUITABLE FOR BED/BRK

AMENITIES (14):

n CLUB-GOLF

n CLUB-POOL

n CLUB-TENNIS

n CLUB HOUSE/FACILITIES

n ELEVATOR

n ELEVATOR IN RESIDENCE

n HOT TUB

n POOL-ABOVE GROUND

n POOL-PRIVATE INDOOR

n POOL-PRIVATE INGROUND

n SAUNA

n SECURITY LIGHTING

n TENNIS COURT

n UNDERGROUND UTILITIES

n WORKSHOP/HOBBY AREA

® DISCLOSURES (5):

n AGENT OWNED

n CITY

n CODE COMPLIANCE REQUIRED

n FLOOD PLAIN - NO

n FLOOD PLAIN - YES

n HISTORIC RESTRICTION

n LIMITED SELLER DISCLOSURE

n MOLD DISCLOSURE

n NO OTHER KNOWN RESTRICTION

n OCCUPANCY PERMIT REQUIRED

n OTHER-CALL LIST AGENT

n POOL DISCLOSURE

n RELOCATION

n SELLERS DISCLOSURE AVAILABLE

n SELLERS DISCLOSURE NOT AVAILABLE

n SEPTIC/WELL

n UNINCORPORATED

ACCESIBILITY FEATURES:

n ACCESSIBLE APPROACH WITH RAMP

n ACCESSIBLE BEDROOM

n ACCESSIBLE CENTRAL LIVING AREA

n ACCESSIBLE CLOSETS

n ACCESSIBLE COMMON AREA

n ACCESSIBLE DOORS

n ACCESSIBLE ELECTRICAL AND ENVIRONMENTAL CONTROLS

n ACCESSIBLE ELEVATOR INSTALLED

n ACCESSIBLE ENTRANCE

n ACCESSIBLE FOR HEARING-IMPAIRMENT

n ACCESSIBLE FULL BATH

n ACCESSIBLE HALLWAY(S)

n ACCESSIBLE KITCHEN

n ACCESSIBLE KITCHEN APPLIANCES

n ACCESSIBLE STAIRWAY

n ACCESSIBLE WASHER/DRYER

n ADAPTABLE BATHROOM WALLS

n ADAPTABLE FOR ELEVATOR

n CEILING TRACK

n CUSTOMIZED WHEELCHAIR ACCESSIBLE

n ELECTRONIC ENVIRONMENTAL CONTROLS

n ENHANCED ACCESSIBLE

n EXTERIOR WHEELCHAIR LIFT

n GRIP-ACCESSIBLE FEATURES

n REINFORCED FLOORS

n SAFE EMERGENCY EGRESS FROM HOME

7/7/2020

MARIS (RESI) Page 5

AGENT INFORMATION

GENERAL ROOMS & BATHS DESCRIPTION ADDITIONAL INFO UTILITIES, ASSUMPTIONS & FINANCIAL INFO

UTILITIES:

FINANCIAL / MISCELLANEOUS INFORMATION:

® SELLING TERMS (16): ® POSSESSION (8):

n 30 DAYS

n AT CLOSING

n IMMEDIATE

n LEASE OUTSTANDING

n NEGOTIABLE

n OTHER

n POSSESSION OF OTHER HOME

n 2ND AVAILABLE

n ASSUMPTION

n BUY DOWN

n CASH

n CONVENTIONAL

n EXCHANGE

n FHA

n GOVERNMENT

n LEASE

n LEASE BACK

n LEASE OPTION

n LEASE PURCHASE

n OWNER MAY FINANCE

n PRIVATE

n RENT

n RRM/ARM

ASSUMPTION INFORMATION:

7/7/2020

SELLER(S) SIGNATURE: ______________________________________________________________________________________________________________

n SPECIFIC DATE

n TENANTS RIGHTS

n TO BE CONSTRUCTED

n UNDER CONSTRUCTION

n USDA

n SELLER ASSIST

n SELLER MAY PAY SOME CLOSING COST

n SELL AS ENTITY

n SPECIAL FINANCING CALL AGENT

n TRADE-IN

n VA

n OTHER

OFFER URL: _______________________________________________________________________________________________________________________

REMARKS:

® 1ST ASSUMABLE:

n YES n NO

APPROX ASSUMABLE BALANCE:___________________ ASSUMABLE MORTGAGE PAYMENT:_____________

YEARS REMAINING:________ ASSUMABLE INTEREST RATE (%):____________ ASSUMPTION FEE ($):_________ 2ND MORTGAGE:

n YES n NO

ASSUMABLE PAYMENT:

n PI n PIT n PITI n OTHER

n CISTERN

n COMMUNITY

n LO-FLOW FIXTURES

n NOT CONNECTED

n PUBLIC

n SHARED

n WELL

n OTHER/NONE

® WATER (5):

n ELECTRIC

n GAS

n OIL

n PROPANE

n SOLAR

n STEAM

n WOOD

n WOOD INSERT

n OTHER

® HEAT SOURCE (3):

n ADDITIONAL

n ELECTRIC

n GAS

n HIGH EFFICIENCY

n PROPANE

n SOLAR

n TANKLESS HWH

n OTHER

WATER HEAT (2): UTILITY AVERAGE:

_____________________

CABLE AVAILABLE:

n YES

n NO

® SEWER (3):

n AERATOR

n COMMUNITY

n LAGOON

n NOT CONNECTED

n OTHER/NONE

n PUBLIC

n SEPTIC

n SHARED

n TERRE DU LAC

WATER SOFTENER:

n LEASED

n NONE

n OWNED

® HEATING (5):

n ELECTRONIC AIR FILTERS

n BASEBOARD

n CEILING

n DUAL SYSTEM

n FORCED AIR

n FORCED AIR 90+

n GEOTHERMAL

n GRAVITY AIR

n HEAT PUMP

n HRV/ERV

n HUMIDIFIER

n HOT WATER/STEAM

n RADIANT FLOOR

n RADIATOR(S)

n SPACE HEATERS

n ZONED

n OTHER

® COOLING:

n 1 WINDOW/WALL

n 2 WINDOW/WALL

n 3 PLUS WINDOW/WALL

n 14 SEER+

n ATTIC FAN

n CEILING FAN

n CENTRAL-ELECTRIC

n CENTRAL-GAS

n DUAL SYSTEM

n GEOTHERMAL

n HEAT PUMP

n NONE

n POWER ROOF VENTS

n ROOF TURBINES

n ZONED

n OTHER

® Denotes required information that must be provided.

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RESI RESIDENTIAL SINGLE FAMILY ONLY RES (Maris MLS)

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Completed 4 August 2021

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