Additional Parcel Y/N - Morris Williams Realty
|My Florida Regional Multiple Listing Service
RESIDENTIAL DATA ENTRY FORM
Shaded Areas are Required
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| Listing Date: | / / |Expiration Date: |
|House #: |Street Name: |Street Type: |Str. Dir.Pre /Post |
|City: |State: FL |County: |
|Floors in Unit : |Days Lease: |MH Width: Single Double Triple |
|Total Units: |Model / Make: |Millage Rate: |
|Tampa Area: |Year Built: |Hills. Munic. Code: |
|Tax ID: |Taxes: |Tax Year: |Alt/ Key/ Folio #: |
|Section: |Township: |
|Legal Description (255 characters) |
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|Subdivision / Community Name: |SW Subdv / Community Name: |
|Zoning: |Plat Book/Page: |
|Future Land Use: |Complex/Community Name/NCCB: |
|Property Style |
| ½ Duplex | Manufactured / Mobile Home | Single Family Home |
|Co-op |Modular |Townhouse |
|Condo |Planned Unit Development |Villa |
|Mobile Home Style |
| Pre-Fabrication |
|Mobile Home |
|Office Primary Board ID |
| (A)Sarasota | (G)Lake / Sumter | (P)East Polk |Bedrooms: |
|(B)Bartow |(K)Lake Wales |(R)Other | |
|(C)Port Charlotte |(L)Lakeland |(S)Osceola | |
|(D)Englewood |(M)Manatee |(T)Tampa | |
|(E)East Pasco |(N)Venice |(V)West Volusia | |
|(F)DeSoto |(O)Orlando Regional | | |
| | | | |
| | | |Full Baths : |
| | | |Half Baths: |
| | | |Sq Ft Heated: |
| | | |Total Building Sq Ft: |
|Square Foot Source | |Ownership (4 Max) | |CDD Y/N |
| Yes | | Yes | | Yes |
|No | |No | |No |
| | | | | |
|Other Exemptions Y/N | |Special Tax District Y/N (Tampa) | |Auction Y/N |
| Yes | | Yes | | Yes |
|No | |No | |No |
| | | | | |
|Fannie Mae Secured | |Home Features (4 Max) |
| Yes | | FGBC Green Certified home |
|No | |LEED Certified Building |
| | |Florida Certified Yard |
| | |Green Features—Contact Realtor |
| Owner Name: | Owner Phone: ( ) - |
| Tenant Name: | Tenant Phone: ( ) - |
|Management Company Information: |
|Land Information |
|Lot Dimensions: |Lot Size (Sq. Ft.): |Lot Size (Acre.): |
|Total Acreage |Location (10 Max) |Front Exp |Utilities Data (10 Max) |
| Zero Lot Line | Close to Bus Line | In County | N | BB/HS Internet Avail | Private Utilities |
|Up to 10,889 Sq. Ft. |Coastal Constr Ctrl Lnn |Key Lot |S |Cable Available |Public Municipal Wtr |
|1/4 Acre to 1/2 Acre |Conservation Area |Level |E |Cable Connected |Public Sewer |
|1/2 acre to 1acre |Corner Lot |Oversize Lot |W |Canal/Lake For Irrigtn |Public Water Avail |
|One+ to Two acres |Corner Unit |Pasture/Agriculture |NE |City Water |Public Utilities |
|Two + to Five acres |Cul de Sac |Park View |NW |County Water |Septic |
|Five+ acres |End Unit |Pool View |SE |Electric |Sprinkler Meter |
|10+ acres |Flood Zone |Sidewalk |SW |Fire Hydrant |Sprinkler Recycled |
|20+ acres |Golf Course Frontage |Street Brick | |Gas |Sprinkler Well |
|50+ acres |Golf Course View |Street Dead-End | |Mini Sewer |Street Lights |
|100+ acres |Greenbelt |Street One Way | |None |Underground |
|200+ acres |Greenbelt View |Street Paved | |Other |Well |
|500+ acres |Highway Frontage |Street Private | |Private Municipal Water | |
|Non-Applicable |Hilly |Street Unpaved | |Private Sewer | |
| |Historic District |Tennis Court View | | | |
| |In City Limits |Tip Lot | | | |
| | |Wooded View | | | |
| | |Zoning Permits Horses | | | |
|Waterfront Information |
|Water Access Y/N: |Water View Y/N: |Water Frontage Y/N: |Water Extras Y/N: |
| Yes | Yes | Yes | Yes |
|No |No |No |No |
|Water Access: | |Water View: |Water Frontage: |Water Extras: |
| Bay/Harbor | Bay/Harbor – Full | Bay/Harbor | Boat Ramp – Private |
|Beach – Private |Bay/Harbor – Partial |Beach - Private |Boathouse |
|Beach – Public |Beach |Beach – Public |Boats – None Allowed |
|Beach – Access Deeded |Canal |Canal – Freshwater |Bridges – No Fixed Bridges |
|Canal – Freshwater |Creek |Canal – Saltwater |Dock – Slip 1st Come |
|Canal – Saltwater |Gulf/Ocean – Full |Creek |Dock – Slip Deeded Off-Site |
|Creek |Gulf/Ocean – Partial |Gulf/Ocean |Dock – Slip Deeded On-Site |
|Gulf/Ocean |Gulf/Ocean to Bay |Gulf/Ocean to Bay |Fishing Pier |
|Gulf/Ocean to Bay |Intracoastal Waterway |Intracoastal Waterway |Lift – Davits |
|Intracoastal Waterway |Lagoon |Lagoon |Lock |
|Lagoon |Lake |Lake |Private Lake Dues Required |
|Lake |Lake – Chain of Lakes |Lake – Chain of Lakes |Sailboat Water |
|Lake – Chain of Lakes |Marina |Marina |Seawall – Concrete |
|Limited Access |Pond |Pond |Seawall – Other |
|Marina |River |River |Skiing Allowed |
|Pond | | |Riprap |
|River | | | |
|Water Name |Waterfront Feet |
| | |
|New Construction |Construction Status |Projected Completion Date |
| Yes | Completed | / / |
|No |Pre-Construction | |
| |Under Construction | |
|Exterior Information |
|Private Pool Y/N |
| Airport/Runway | Fees Required | None | Storage |
|Association Recreation - Lease |Fishing Pier |Optional Additional Fees |Tenants No Pets |
|Association Recreation - Owned |Fitness |Park |Tennis Courts |
|Boat Slip |Gated Community |Playground |Water Access |
|Buyer Approval Required |Golf Community |Public Boat Ramp |Waterfront Complex |
|Community Boat Ramp |Handicap Modified |PUD | |
|Community Heated Pool |Horse Stables |Racquet Ball | |
|Community Pool |Laundry Facility |Recreation Building | |
|Deed Restrictions |Maintenance Free |Security | |
|Dock |No Deed Restriction |Shuffleboard | |
|Elevators |No Truck/RV/Motorcycle |Special Comm. Restrictions | |
| | | |Housing For Older Persons |
| | | | |
| | | |55+ 62 + |
|HOA / Comm. Association |HOA Fee: |HOA Payment Schedule |Monthly Maint. (Addition to HOA) |
| None | | Annually | |
|Optional | |Semi Annually | |
|Required | |Quarterly | |
| | |Monthly | |
|Pets Allowed Y / N |Pet Restrictions Y/N |# of Pets |Max Pet Weight |Pet Restrictions |
| Yes | Yes | | | |
|No |No | | | |
|Elementary School |Middle or Junior School |High School |
| | | |
|Interior Information |
|Approximate Dimensions |
|Living Room | x |Master Bedroom | x |Study / Den Dimensions | x |
|Family Room | x |3rd Bedroom | x |Dinette | x |
|Great Room | x |4th Bedroom | x |Bonus Room | x |
|Kitchen | |5th Bedroom | |Studio Dimensions | | |
| |x | |x | | | |
| | | | | | | |
| | | | | | | |
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| | | | | | | |
| | | | | | | |
| | | | |Security System | | |
| | | | | | | |
|Financing Available (10 Max) |
| Assumable - Must Qualify | Exchange/Trade | Lease Option | Seller Financing |
|Assumable - Non Qualify |FHA |Lease Purchase |Special Funding |
|Cash |Flood Insurance Required |Other |USDA |
|Conventional | | |VA |
|Realtor Information (25 Max) |
| Agent / Owner | HOA Disclosure Available | Pet on Premises |
|Assumable Mortgage |Home Warranty |Scrub Jay-check with county |
|Brochure Available |In-Law Quarters |Seller Related To Agent |
|CDD Addendum required |Lead Paint Disclosure |Seller Property Disclosure |
|Condominium Disclosure Avail |Lease Restrictions |Septic Sewer Addendum Required |
|Condominium Documents Avail |Leasing Not Allowed |Short Term Rental Allowed |
|Corporate Owned Relo |No Sign |Sold As-Is |
|Environmental Report Available |Not Applicable |Special Assessments |
|Fixer-Upper |Other Disclosures-Contact Agent |Subdivision Restrictions |
|Floor Plan Available |Owner Will Assist w/ Closing Costs |Survey Available |
|Foreign Seller |Owner Will Consider Financing |Termite Bond / Warranty |
|Realtor Information (Confidential) 7 Max |
| Bonus to Selling office | Owner Occupied | Vacant |
|Go To Site |Tenant Approval |Variable Rate Commission |
| |Tenant Occupied | |
|Special Sale Provision |
| Bank Owned / REO | Short Sale | None |
|Showing Instructions (16 Max) |
| 24 Hour Notice | Contact Call Center | Lock Box Coded |
|Appointment Only |Gate Code Required |No Call Box |
|Call Before Showing |Key-Listing Broker Office |Other |
|Call Listing Agent |Listing Agent Must Accompany |Pet on Premises |
|Call Listing Office |Lock Box - Combination |Under Construction (Go to site) |
|Call Owner |Lock Box - Electronic |Use Request Showing Button |
|Call Tenant | | |
|Call Center Phone Number: ( ) - |
|ShowingTime Secure Remarks (500 Characters): |
|Special Listing Type |
| Exclusion | Other |
|Exclusion / Variable |Variable Commission |
|Not Applicable | |
|Virtual Tour: |
|Internet Y/N: |Display Property Address on Internet Y/N: |
|IDX Y/N: | Y/N: |
|VOW AVM Y/N: |VOW Display Comments Y/N: |
|Agent Information |
|Agent ID: |Agent E-mail: |
|Agent Home Page: |
|Agent Name: |Direct Phone: ( ) - |
|Pager / Cell: ( ) - |Agent Fax: ( ) - |
|List Agent 2 ID: |List Agent 2 Name: |
|List Agent 2 Email: |List Agent 2 Phone: ( ) - |
|Sales Team Name: |
|Office #: |Office Phone: ( ) - |
|Agent Extension: |Office Fax: ( ) - |
|Office Name: |
|List Office 2 ID: |List Office 2 Name: |
|Buyer Agent Comp: |Non-Rep Comp: |Trans Broker Comp: |
| | | |
|Interoffice Info (255 Characters) |
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|Driving Directions (255 Characters) |
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|Realtor Only Remarks 1 and 2 (455 Characters) |
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|Public Remarks (255 Characters) – This is the field that transfers to the public websites |
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|Additional Public Remarks (1275 Characters) |
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|# of Times Per Year |Minimum Lease |
| | 1-7Days 2 Months 4Months No Rent |
| |1Month 2 Weeks 6Months 1Week |
| |1Year 3 Months No Min |
The Owner has reviewed the foregoing information contained in this Data Entry Form and acknowledges the information to be true and correct to the best knowledge of the owner.
The Owner agrees to indemnify and hold harmless the My Florida Regional Multiple Listing Service (MFRMLS), the Originating Board, and their employees, the Listing Broker and licensees, the Selling Broker and licensees, and all other cooperating Brokers and licensees against any and all claims or liability (including attorney’s fees) arising from any breach of warranty by Owner or from any incorrect information supplied by Owner or from any facts concerning the Property which was known or reasonably should have been known to Owner but not disclosed by Owner.
At the request of the Listing Broker, unless otherwise properly indicated on this Data Entry form, MFRMLS will electronically transmit information about Owner’s property to Internet web sites to aid in the marketing of the Property for sale.
MFRMLS shall retain and make available all such data and photographs to all its participants for an indefinite period.
MFRMLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the MFRMLS computer system.
The Owner hereby authorizes Listing Broker to file this Data Entry form with the MFRMLS and the Owner will provide timely notice of all status changes.
___________________________ _______________________________________ _______________________________________
DATE OWNER SIGNATURE OWNER SIGNATURE
___________________________ _______________________________________
DATE BROKer SIGNATURE Revised 11/2/2010
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