Single Family Data Entry Form

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Single Family Data Entry Form
Listing Number __ __ __ __ __ __ __ __ __
* = Required Data Entry
ADDRESS PAGE
*Street Number __ __ __ __ __ __ __ __
*Street Name __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Select Street Type
o
o
o
o
o
o
o
o
o
Avenue
Blvd
Circle
Court
Drive
Highway
Lane
Other
Path
o
o
o
o
o
o
Place
Road
Route
Square
Street
Way
*City/Town __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ *County __ __ __ __ __ __ __ __ _ _ __ __ __ __
*Village __ __ __ __ __ __ __ *Zip Code __ __ __ __ __ Subdivision __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Street Description
o
o
o
o
o
o
o
Public
Private
Paved
Unpaved
Town Maintained
Assn Maintained
Private Maintained
o
o
o
Cul-de-Sac
Dead End St.
Paper Road
LISTING PAGE
*Listing Type
o Exclusive Right to Sell o Exclusive Agency
*List Price __ __ __ __ __ __ __ __ *Owners Name __ __ __ __ __ __ __ __ __ __ __ __ *Listing Office __ __ __ __ __ __
*Listing Agent __ __ __ __ __ __ *List Date __ __ __ __ __ __ __ __ *Expiration Date __ __ __ __ __ __ __ __
*Sub Agent Comm. __ __ __ %/$ *Buyer Agent Comm. __ __ __ %/$ *Dis. Dual Agent Comm.__ __ __ %/$
*Showing Instructions
o Temp Unavailable o Appointment Only o Call Listing Office o Go Direct o Leave Card/Sign
o Pet (remarks) o Tenant o Yard Sign o Electric Lock Box o Lock Box
GENERAL PAGE
*Zoning __ __ __ __ *Acres __ __ __ __ .__ __ *Year Built __ __ __ __
*Year Built Description
o Actual o Approx. o Cer. Historic o New o Renovated o To be built o Under Constr. o Unknown/mxd
*Total Living Square Feet
o Less than 800 o 801 to 1000 o 1001 to 1200 o 1201 to 1500 o 1501 to 1800 o 1801 to 2200
o2201 to 2700 o 2701 to 3200 o 3201 to 3700 o 3701 to 4200 o 4201 or More
*Total Rooms __ __ *Levels __ __ *Bedrooms __ __ *Total Full Baths __ __ *Total Half Baths __ __
Basement Baths __ __ Level 1 Baths __ __ Level 2 Baths __ __ Level 3 Baths __ __
*Basement o YES o NO
*Basement Description
o Full o Partial o Cape Cod o Crawl Space o Slab o Finished o Walk out
o Bulkhead Access o Interior Access o Garage Access o Other-Remarks o No Basement
Foundation
o Concrete o Block o Brick o Stone
*Foundation *Main Width __ __ * Main Depth __ __ Foundation Wing Width __ __ Wing Depth __ __
*Irregular o Yes o No
Road Frontage ___________
Lot Depth _______________
Topography/Lot Description
o Wooded o Level o Sloping o Steep Slope o Corner o Interior o View o Cleared
o Marsh o Pond o Stream o Fenced Enclosed o Fill Needed
*Association o YES o NO o Unknown
Membership Required o YES o NO o Unknown
Annual Association Fee __ __ __ __ __ __ Fee Year __ __ __ __
Association Fee Includes/Amenities
o Beach o Dock o Golf Course o Pool o Tennis o Road Maintenance o Child Play Area/Playground
o Clubhouse o Common Area o Community Room o Elevator o Exercise Room o Extra Storage
o Security o Landscaping o Laundry Facility o Lifeguard o Putting Green o Rubbish Removal
o Sauna o Shuffle Board o Snow Removal o Basic Cable
Optional Services
o Beach o Dock o Golf Course o Pool o Tennis o Road Maintenance o Child Play Area/Playground
o Clubhouse o Common Area o Community Room o Elevator o Exercise Room o Extra Storage
o Security o Landscaping o Laundry Facility o Lifeguard o Putting Green o Rubbish Removal
o Sauna o Shuffle Board o Snow Removal o Basic Cable
*Garage o YES o NO
*# Of Cars _____
Garage/Carport Description/Type
o No Garage o Attached o Detached o Under o Heated o Direct Entry o Door Opener o Storage Above
o Carport o Carriage Shed o Imp Drvwy o Paved Drvwy o Unpaved Drvwy o Shell o Stone/Gravel
*Year Round o YES o NO
*Separate Living Quarters o YES o NO
Separate Living Quarters Description
o None o Basement o 1
Floor o 2
Floor o 3
Floor o Detached
st
nd
rd

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