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North Texas Real Estate Information Systems, Inc.

Residential Data Input Form

Also includes input fields for Condominium and Townhouse Categories on last few pages

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

|MLS # |System Assigned | |( Property Type |( Condo ( |( Single Family |

| | | | |Farm/Ranch |( Townhouse |

| | | | |( Half/Duplex | |

| | | | | | |

| |(Assigned when Saved As Active) | | | | |

|( Status |( Active ( Pending ( Sold | | | |

|( Range Pricing |( Yes ( No | |Low Price | |

| | | | | |

|( List Price | | |(Above Required if answered Y to Range Pricing) |

| | | | | |

|( Area | | |( Sub Area | |

| | | | | |

|( County | | |( Parcel ID | |

|( Map Book |( Dallas |( Ft. Worth |( Other | | | |

| | | | | | | |

| |( Denton |( Parker/ |( Collin | | | |

| |Cooke |Hood/ | | | | |

| | |Wise |Grayson | | | |

| | | | | | |

| |( Kaufman |( Ellis | | | |

| |Hunt |Johnson | | | |

| |Rockwall |Hill | | | |

| | |Navarro | | | |

| | | | | | |

|( Map Page | | |( Map Coord | |

| | | | | |

|( Street/Box # | | |Street Direction |( East (|( Northeast ( | |

| | | | |North ( |Northwest ( |( West ( |

| | | | |South |Southwest |Southeast |

| | | | | | | |

|( Street Name | | | | | | |

| | | | | | | |

|Unit # | | | | | | |

| | | | | |

|( City | | |Street Type | |

| | | | | |

|( Zip Code | | |( Will Subdivide |( Yes ( No (Defaults to No) |

| | | | | |

|( Subdivision | | |Planned Development | |

| | | | | |

|Block | | |Lot | |

| | | | | |

|Additional Legal | | |(Multi Parcel ID |( Yes ( No |

| | | |( MUD District |( Yes ( No |

Office Information

|( Listing Office Code |Autofilled | | Listing Office Name |Autofilled |

| | | | | |

| List Office Phone |Autofilled | | Listing Office Fax |Autofilled |

| | | | | |

| List Office Address |Autofilled | | List Office Address 2 |Autofilled |

| | | | | |

| Listing Office City |Autofilled | | Listing Office State |Autofilled |

| | | | | |

| List Office Zip Code |Autofilled | | List Office Zip + 4 |Autofilled |

| | | | | |

|( Listing Agent ID |Autofilled | | List Agent Full Name |Autofilled |

| | | | | |

|Agent Other Phone | | | Listing Agent Fax |Autofilled |

Office Information (continued)

|Call for Appt |( Agent ( CSS | ( Other |Appt Phone | |

| |( Builder | ( Office | ( Owner | | |

|Appt Phone Ext | | | | |

| | | | | |

|List Agent Email |Autofilled | |List Agent Website |Autofilled |

| | | | | |

|( Sub Agency | | |( Buyers Agency | |

|Commission | | |Commission | |

| | | | | |

|( Variable Fee |( Yes ( No | |( Listing Type |( Exclusive Right to Sell/Lease |

| | | |(Select One) |( Exclusive Agency |

| | | | |( ER w/Reservations |

| | | | |( EA w/Reservations |

|Listings will |( NTREIS Translator ( | | |( Limited Service ER |

|Appear on |( Other Member Websites | | |( Limited Service EA |

|( Listing Date | | |( 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 | | | | | | |

| | | | |( Builder |( Foreclosure | |

| | | | |( Owner |( Relo | |

| | | | | | | |

|Owner Home | | |( Seller Type | | | |

|Phone | | |(Select One) | | | |

| | | | | | | |

| | | | | | | |

| | | | | |

|Occupancy |( Owner |( Tenant |( Vacant | |Owner Alt. Phone | |

| | | | | |

|Occupant | | |Occupant Home | |

| | | |Phone | |

| | | | | |

|Occupant Alt. Phone | | | | |

| | |

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|Showing | |

|Instructions | |

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| |(150 character limit) |

|Secured Showing | |

|Instructions | |

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| |(50 character limit) |

|( Keybox # | | |Combo | |

| | | | | |

|Shackle Code | | |CBS Code | |

Property Information

|( # Bedrooms | | | | |

| | | | | |

| ( # Full Baths | | |( # Half Baths | |

| | | | | |

|# Full Baths/1st Level | | |# Full Baths/2nd Level | |

| | | | | |

|# Full Baths/3rd Level | | |# Full Baths Bsmt Level | |

| | | | | |

|# Half Baths/1st Level | | |# Half Baths/2nd Level | |

| | | | | |

|# Half Baths/3rd Level | | |# Half Baths Bsmt Level | |

| | | | | |

|( # Stories | | |( # Fireplaces | |

| | | | | |

|( # Living Areas | | |( # Dining Areas | |

| | | | | |

|( SqFt | | |( SqFt Source |( Appraiser |( Tax |

| | | | |( Building Plan |( Other |

| | | | |( Owner |Documentation |

| | | | | | |

| | | | |(Select One - Defaults to Tax) |

|( Handicap Amenities |( Yes ( No | |List$/SqFt |System Calculated |

| (Defaults to No) (If Yes, Handicap Amenities Features Required) |

|( Year Built | | |( Construction Status |( New Constr - Complete |( Preowned |

| | | | | |( Proposed |

| | | | |( New Constr - Incomplete | |

| | | | | | |

| | | | |( Unknown | |

| | | | | | |

| | | |(Select One) | | |

|( Living 1 Length | | |( Living 1 Width | |

| | | | | |

| ( Living 1 Level |(1 – 9, or B) | | | |

| | | | | |

|Living 2 Length | | |Living 2 Width | |

| | | | | |

|Living 2 Level |(1 – 9, or B) | | | |

| | | | | |

|Living 3 Length | | |Living 3 Width | |

| | | | | |

|Living 3 Level |(1 – 9, or B) | | | |

| | | | | |

|Formal Dining Length | | |Formal Dining Width | |

| | | | | |

|Formal Dining Level |(1 – 9, or B) | | | |

| | | | | |

|Breakfast Length | | |Breakfast Width | |

| | | | | |

|Breakfast Level |(1 – 9, or B) | | | |

| | | | | |

|( Kitchen Length | | |( Kitchen Width | |

| | | | | |

|( Kitchen Level |(1 – 9, or B) | | | |

| | | | | |

|( Master BR Length | | |( Master BR Width | |

| | | | | |

|( Master BR Level |(1 – 9, or B) | | | |

| | | | | |

|Bedroom 2 Length | | |Bedroom 2 Width | |

| | | | | |

|Bedroom 2 Level |(1 – 9, or B) | | | |

| | | | | |

|Bedroom 3 Length | | |Bedroom 3 Width | |

| | | | | |

|Bedroom 3 Level |(1 – 9, or B) | | | |

| | | | | |

|Bedroom 4 Length | | |Bedroom 4 Width | |

| | | | | |

|Bedroom 4 Level |(1 – 9, or B) | | | |

| | | | | |

|Bedroom 5 Length | | |Bedroom 5 Width | |

| | | | | |

|Bedroom 5 Level |(1 – 9, or B) | | | |

| | | | | |

|Study Length | | |Study Width | |

Property Information (continued)

|Study Level |(1 – 9, or B) | | | |

|Utility Length | | |Utility Width | |

| | | | | |

|Utility Level |(1 – 9, or B) | | | |

| | | | | |

|Other Room 1 Length | | |Other Room 1 Width | |

| | | | | |

|Other Room 1 Level |(1 – 9, or B) | | | |

| | | | | |

|Other Room 2 Length | | |Other Room 2 Width | |

| | | | | |

|Other Room 2 Level |(1 – 9, or B) | | | |

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|( Total Covered Parking | | |( # Garage Spaces | |

| | | | | |

|( # Carport Spaces | | | | |

| | | | | |

|Garage Length | | |Garage Width | |

|(Above Required if answered # Garage Spaces) (Above Required if answered # Garage |

|Spaces) |

|( Security System |( Yes ( No | |( Pool on Property |( Yes ( No |

| | | | | |

| Lot Dimensions | | |Acres | |

| | | | | |

|( HOA |( Mandatory |( None |( Voluntary |HOA Dues | |

|HOA Billing Freq |( Annually |( Monthly |( Semi-Annual |( Quarterly |( Other | |

| (Above Required if answered HOA Mandatory) |

School Information

|( School District | | | | |

| | | | | |

|( School 1 Type | | |( School 1 Name | |

|Bus 1 |( N/A ( Yes ( No | | | |

|( School 2 Type | | |( School 2 Name | |

|Bus 2 |( N/A ( Yes ( No | | | |

|( School 3 Type | | |( School 3 Name | |

|Bus 3 |( N/A ( Yes ( No | | | |

|School 4 Type | | |School 4 Name | |

|Bus 4 |( N/A ( Yes ( No | | | |

Financial Information

(All fields required if Assumable Non-Qualifying and Assumable Qualifying are entered as the Loan Type)

|( Property Also for Lease |( Yes ( No | |Unexempt Taxes | |

| | | | | |

|( Loan Type |( Assumable Non-Qualifying | ( Treat as Clear |Balance | |

| |( Assumable Qualifying | | | |

| | | | | |

|Equity |System Calculated | |Mortgage Interest Rate | |

|Payment | | |Payment Type |( Principal & |( Principal, Int., & |

| | | | |Interest |Ins. |

| | | | |( Principal, Interest|( Principal, Int., Tax, |

| | | | |& |Ins. |

| | | | |Taxes |( Other |

| | | | | | |

| | | | |(Select One) |

|Lender | | |Original Mtg. Date | |

|( 2nd Mortgage |( Yes ( No | | | |

Remarks

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|Directions to |_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |

|Property |(150 character limit) |

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|Property |_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |

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|Excludes |_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |

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|Intra Office |_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ |

|Remarks |(225 character limit) |

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Features

| |( Housing Type | | |Style of House | |

|( Apartment |( Garden/Zero Lot Line |( Resort Property |( A-Frame |( Geo/Dome |( Spanish |

|( Attached / ½ Duplex |( High Rise |( Single Detached |( Colonial |( Loft/Appt. |( Split Level |

|( Condo/Townhome |( Historical |( Singlewide w/Land |( Contemporary/Modern |( Mediterranean |( Studio Apartment |

| |Conservation Dist. | | | | |

|( Designated Historical |( Lake House |( Underground |( Early American |( Oriental |( Traditional |

|( Doublewide w/Land |( Log Cabin |( Vacation Home |( English |( Prairie |( Tudor |

|( Farm/Ranch House |( Manufactured | |( Flat |( Ranch |( Victorian |

| |(certificate exchanged) | | | | |

| | | |( French |( Southwestern |( Other |

|( Lot Size/Acreage (Select One) | |Lot Description | |

|( Less than .5 Acre (not |( 3 Acres to 4.99 Acres |( Over 100 Acres |( Acreage |( Heavily Treed |( River Front |

|Zero) | | | | | |

|( .5 Acre to .99 Acre |( 5 Acres to 9.99 Acres |( Condo/Townhome Lot |( Adjacent to Greenbelt |( Horses Permitted |( Some Trees |

|( 1 Acre to 2.99 Acres |( 10 Acres to 100 Acres |( Zero Lot Line |( Canal (Man Made) |( Interior Lot |( Subdivision |

| | | |( Corner |( Irregular |( Tank/Pond |

| | | |( Creek |( Landscaped |( Undivided |

| | | |( Cul de Sac |( Large Backyard Grass |( Water/Lake Front |

| | | |( Cultivated |( No Backyard Grass |( Water/Lake View |

| | | |( Golf Course Lot |( Partially Cultivated |( Other |

| | | |( Green Belt |( Pasture | |

|Exterior Features |Soil |

|( Arena |( Gutters |( Sport Court |( Black |( Limestone |( Unknown |

|( Balcony |( Lighting System |( Sprinkler System |( Clay |( Rocky/Shale |( Other |

|( Boat Dock/Slip |( Patio Covered |( Stable/Barn |( Fill |( Sandy Loam | |

|( Covered Porch(es) |( Patio Open |( Storage Building | | | |

|( Equestrian Center |( Private Hangar |( Tennis Court(s) | | | |

|( Gazebo |( Private Landing Slip |( Wood Deck | | | |

|( Greenhouse |( RV/Boat Parking |( Workshop | | | |

|( Grill |( Satellite Dish |( Other | | | |

|( Guest Quarters |( Separate Entry Quarters| | | | |

| | | | | | |

|( Construction |

|( Brick |( Log |( Stucco |

|( Common Wall |( Rock/Stone |( Wood |

|( Fiber Cement |( Siding |( Other |

|( Foundation |( Roof |

|( Basement |( Piered Beam Slab |( Slab |( Built-Up |( Metal |( Tile/Slate |

|( Bois D’Arc Post |( Pilings |( Other |( Composition |( Overlay |( Wood Shake |

|( Pier & Beam | | |( Concrete |( Shake Metal |( Wood Shingle |

| | | |( Fiber Cement |( Tar/Gravel |( Other |

|Backyard Pool Features |Type of Fence |

|( Above Ground |( Heated |( Lap Pool |( Automatic Gate |( Iron |( Rock/Stone |

|( Attached Spa |( In Ground Fiber Glass |( Play Pool |( Barbed Wire |( None |( Slick/Smooth Wire |

|( Cabana |( In Ground Gunite |( Pool Perimeter Fence |( Brick |( Partially Fenced |( Vinyl |

|( Cleaning System |( In Ground Vinyl |( Separate Spa/Hot Tub |( Chain Link |( Pipe |( Wood |

|( Custom Cover |( Indoor |( Other |( Cross Fenced |( Rail |( Other |

|( Diving | | |( Dog Run | | |

|( Parking/Garage |( Street/Utilities |

|( Assigned |( Has Sink in Garage |( Side |( Aerobic Septic |( Curbs |( Private Sewer Co. |

|( Attached |( None |( Swing Drive |( All Weather Road |( Dirt |( Private Water Co. |

|( Circle Drive |( Opener |( Tandem Style |( Alley |( Gravel/Rock |( Septic |

|( Covered |( Outside Entry |( Unassigned |( Asphalt |( MUD Sewer |( Sidewalk |

|( Detached |( Oversized |( Uncovered |( City Sewer |( MUD Water |( Underground Utilities |

|( Front |( Porte-Cochere |( Workbench |( City Water |( No City Services |( Unincorporated |

|( Garage Conversion |( Rear |( Other |( Co-op Water |( Outside City Limits |( Well |

|( Golf Cart Garage | | |( Community Mailbox |( Overhead Utilities |( Other |

| | | |( Concrete |( Private Road | |

|Common Features |HOA Includes (Required if answered HOA Mandatory) |

|( Boat Ramp |( Guarded Entrance |( Private Lake/Pond |( All Utilities |( Full Use of Facilities |( Security |

|( Campground |( Horse Facilities |( Public Hangar |( Back Yard Maintenance |( Gas |( Sprinkler System |

|( Club House |( Jogging /Bike Path |( Racquet Ball |( Blanket Insurance |( Management Fees |( Trash |

|( Comm. Sprinkler System |( Landing Strip |( RV Parking |( Electric |( None |( Water/Sewer |

|( Common Elevator |( Laundry |( Sauna |( Exterior Maintenance |( Partial Use of |( Other |

| | | | |Facilities | |

|( Community Pool |( Marina |( Spa |( Front Yard Maintenance |( Reserves | |

|( Gated Entrance |( Park |( Tennis | | | |

|( Golf |( Perimeter Fence |( Other | | | |

|( Greenbelt |( Playground | | | | |

|( Interior Features |( Bed/Bath Features |

|( Bay Windows |( Loft |( Wainscoting |( Bidet |( Jack/Jill Bath |( Separate Vanities |

|( Cable TV Available |( Multiple Staircases |( Water Filter |( Built-ins |( Jetted Tub |( Sitting Area in Master |

|( Central Vac |( Paneling |( Water Purifier |( Double Shower |( Linen Closet |( Split Bedrooms |

|( Decorative Lighting |( Plantation Shutters |( Water Softener |( Fireplace in Master |( Medicine Cabinet |( Steam Shower |

|( Dry Bar |( Skylights |( Wet Bar |( Garden Tub |( Murphy Bed |( Walk-in Closets |

|( Elevator |( Smart Home Features |( Window Coverings |( Hollywood Bath |( Separate Shower |( Other |

|( High Speed Internet |( Sound System Wiring |( Other | | | |

|Available | | | | | |

|( Intercom |( Vaulted Ceilings | | | | |

| Specialty Rooms |Fireplace Type |

|( Dark Room |( Media Room |( Solarium/Sunroom |( Blower Fan |( Freestanding |( Metal Box |

|( Exercise Room |( Mud Room |( Spa/Hot Tub Room |( Brick |( Gas Logs |( See Through Fireplace |

|( Extra Storage Room |( Music Room |( Unfinished Bonus Room |( Decorative |( Gas Starter |( Stone |

|( Game Room |( Sauna/Steam Room |( Wine Cellar |( Direct Vent |( Insert |( Wood Burning |

|( Library/Study |( Second Master |( Other |( Electric |( Masonry |( Other |

| |Kitchen Other |

|( Kitchen Equipment | |

|( Built-in Compactor |( Disposal |( Oven-Electric |( Breakfast Bar |( Eat-in Kitchen |( Tile Countertop |

|( Built-in Icemaker |( Double Oven |( Oven-Gas |( Butlers Pantry |( Galley Kitchen |( Walk-in Pantry |

|( Built-in Microwave |( Drop in Range/Oven- |( Plumbed for Gas in |( Corian/Corian Type |( Granite/Granite Type |( Other |

| |Electric |Kitchen |Countertop |Countertop | |

|( Built-In |( Drop in Range/Oven-Gas |( Self Clean |( Dumb Waiter |( Island | |

|Refrigerator/Freezer | | | | | |

|( Built-in Wine Cooler |( Dual Fuel Range |( Vent Mechanism | | | |

|( Convection Oven |( Freestanding Range- |( Warmer Oven Drawer | | | |

| | | | | | |

| |Electric | | | | |

|( Cooktop-Electric |( Freestanding Range- |( Water Line to | | | |

| | |Refrigerator | | | |

| |Gas | | | | |

|( Cooktop-Gas |( Indoor Grill |( Other | | | |

|( Dishwasher | | | | | |

|( Utility Room |Alarm/Security Type |

|( Drip/Dry Area |( None |( Utility Closet |( Burglar |( Firewall(s) |( Pre-Wired |

|( Dryer Hookup-Elec |( Room for Freezer |( Utility in Garage |( Carbon Monoxide |( Leased |( Smoke Detector |

| | | |Detector | | |

|( Dryer Hookup-Gas |( Second Pantry |( Utility in Kitchen |( Exterior Security |( Monitored |( Unknown |

| | | |Light(s) | | |

|( Floor Drain |( Separate Utility Room |( Washer Hookup |( Fire/Smoke |( Owned |( Other |

|( Full Size W/D Area |( Sink in Utility |( Other |( Fire Sprinkler System | | |

|( Laundry Chute |( Stacked W/D Area | | | |

|( Flooring |( Heating/Cooling (2 Required) |

|( Brick/Adobe |( Marble |( Vinyl |( Addtl Water Heater(s) |( Gas Jets |( Propane |

|( Carpet |( Parquet |( Wood |( Central Air-Electric |( Geotherm |( Solar |

|( Ceramic Tile |( Slate |( Wood Under Carpet |( Central Air-Gas |( Heat Pump |( Space Heater |

|( Concrete |( Stone |( Other |( Central Heat-Electric |( Humidifier |( Two(+) Pipe (Condo) |

|( Laminate |( Terrazzo | |( Central Heat-Gas |( No Air |( Window Unit |

| | | |( Direct Vent |( No Heat |( Zoned |

| | | |( Electrostatic Air |( Panel/Floor/Wall |( Other |

| | | |Filter | | |

|Energy Features |Green Certification |

|( 12 inch+ Attic |( Gas Water Heater |( Solar Screens |( HERS Rated |( Energy Star Certified |( LEED Platinum |

|Insulation | | | | | |

|( 13-15 SEER AC |( High Efficiency |( Storm Door (s) |( HERS 0-85 |( LEED Certified |( Green Built N. TX |

| |Water Heater | | | | |

|( 16+ SEER AC |( Insulated Doors |( Storm Window (s) |( HERS 86-100 |( LEED Silver |( NGBP-National Green |

|( 90% Efficient Furnace |( Low E Windows |( Tankless Water |( HERS 101+ |( LEED Gold | |

| | |Heater | | | |

|( Attic Fan |( None |( Thermo Windows | |

|( Ceiling Fans |( Programmable |( Tinted Windows |Handicap Amenities |

| |Thermostat | |(Required if answered Y to Handicap Amenities) |

|( Dehumidifier |( Turbines |( Turbines |( Elevator |( Meets ADA Requirements |( Wide Doorways |

|( Double Pane Windows |( Radiant Barrier |( Variable Speed HVAC |( Hand Rails |( Ramp |( Other |

|( Energy Star Appliances |( Smart Electric Meter |( Ventilator |( Lower Fixtures |( Wheelchair Access | |

|( Foam Insulation |( Solar Panels |( Other | | | |

|Green Features (Energy Efficiency) |( Assumption Info |

|( Solar Electric System |( Low Flow Fixtures |( Rain Water Catchment |( Balloon |( Escrow to be Prorated |( Private Assumable |

|( Solar Hot Water |( Recirculating Hot Water|( Energy Recovery |( Bond |( FHA Assumable |( Release Liability Req. |

| | |Ventilator | | | |

|( Geo-thermal HVAC |( Rain/Freeze Sensors |( Mechanical Fresh Air |( Buydown |( Fixed |( Texas Vet Assumable |

|( Drought Tolerant Plants|( Wind Power |( Enhanced Air Filtration|( Conventional Assumable |( Graduated/Adjusted |( VA Assumable |

|( Low Flow Commode |( ET Irrigation Control | |( Credit Report Req. |( Not Assumable |( VA Reinstatement Req. |

| |( Escalating | | | | |

|Special Notes |( Possession |

|( 1st Right of Refusal |( Owner/Agent |( Verify Rollback Tax |( Closing/Funding |( Negotiable |( Other |

|( Affordable Housing |( Res. Service Contract |( Verify Tax Exemptions |( Lease Outstanding |( Specific Date | |

|( Deed Restrictions |( Senior/Adult Living |( Virtual Tour | |

| |Community | |Complex Approved For |

|( Flowage Easement |( Special |( Other |( Fannie-Mae Approved |( FHA/VA |( VA |

| |Contracts/Provisions | | | | |

|( HUD/VA |( Verify Flood Insurance | |( FHA |( Unknown | |

| | | | | | |

|Proposed Financing | |

| |( Showing |

|( Assumption of Equity |( Combo Lockbox |( Key in Office |( Agent or Owner Present |( Combo Lockbox |( Key in Office |

|( Bond Money |( Courtesy Call |( No Lock Box |( Appointment |( Courtesy Call |( No Lock Box |

| |(Appt Svc only) | |(Appt Svc only) |(Appt Svc only) | |

|( Cash |( Go (Appt Svc only) |( Sign on Lot |( Appointment Service |( Go (Appt Svc only) |( Sign on Lot |

|( Conventional |( Go-Key Box |( Special |( Call-Key Box |( Go-Key Box |( Special |

|( Federal Land Bank | | |( Centralized Showing | | |

| | | |Service | | |

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

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