Residential For Rent Data Input Form Connecticut Multiple Listing Service 1

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1 Connecticut Multiple Listing Service 1 Agent ID: Agent Name and Information: - - Agent Information - - Office Name and Information: Team Agent 1 Name: Team Agent 2 Name: Team Agent 1 Phone: Team Agent 2 Phone: Where My Listings Go: Homefinder Homes.com Realtors.com Trulia Zillow ne Co-List Agent ID: Agent Name and Information: Office Name and Information: Sign: Owners Name: Showing Instructions: Showing Time Showing Instructions: Listing Type (Select One) Exclusive Agency Exclusive Agency w/reserved Prospect Exclusive Agency w/variable Rate Compensation Exclusive Right to Sell/Lease Listing Agreement Exclusive Right to Sell/Lease with Reserved Prospect Exclusive Right to Sell/Lease w/variable Rate Compensation Listing Type Descriptions (Select One) Entry Only Full Service Limited Service NA Lockbox Description (Select One) CMLS CTMLS DAR GRW NC WAT ne Lockbox Type (Select One) CLB Combo Elec Other N/A Buyer Agent Comp Buyer Agent Comp Type (Select One) $ % Other - - Property Information - - Parcel Number: Street Number: Street Name: Unit Number: County: Town: Neighborhood: Zip: Zip + 4: Area: State: List Price: List Date: Expiration Date: Display Property Address on Internet: Elementary School: Middle School: Jr. High School: Senior High School:

2 Flood Zone: Residential For Rent Data Input Form Flood Zone Code: Elevation Certificate: Style: 1/2 Duplex Chalet Hi-Ranch Raised Ranch Split Level A-Frame Colonial Log Ranch Townhouse Antique Contemporary Mediterranean Rooming House Tudor Barn Cottage Mobile Home Row House Victorian Bungalow Farming House Other Saltbox Cape Cod Georgian Prefab Single Detached Connecticut Multiple Listing Service 2 Color of House: Year Built: Total SqFt: SqFt Includes Below Grade: Total Rooms: Total Beds: Full Baths: Half Baths: Adult 55: # of Fireplaces: Direct Waterfront: Gated Community: Seasonal Property: Horse Property: Home Warranty: Waterfront Description: Access Brook Mooring Sound Assoc Mandatory Dock Ocean View Assoc Optional Frontage Other Walk To Beach Harbor Pond Beach Rights Lake River Purchase Options: Lease Terms: Credit Check Restrictions Lease Required Security Deposit Potential Short Sale: Short Sale Comments: - - Additional Property Information - - Rental Agreement: Annual Month Seasonal Lease Other Weekly Security Deposit: Security Deposit Amount: Rental Terms: Academic Month-to-Month Ten Years Annual Increase One Month Three Years First Right of Refusal One Week Two Years Five Years One Year Vacate Clause Four Years Other Winter Rental Lease Purchase Available Summer Rental Seasonal Pets Allowed: Pets Allowed Info: Smoking: Tenant Pays: Cable TV Heated Other Doorman Hot Water Recreation Fees Credit Check Landscape/Lawncare Security System Electric Liability Insurance Sewer Exterior Maintenance Move-in/out Snow Removal Garage ne Trash Gas Oil Water Property Management Company: Property Management Info: Date Available:

3 Connecticut Multiple Listing Service Rooms - - **For Room Type(s), Level(s), Description(s) and their Selections, refer to the list found on Rooms Information Page** Laundry Info: Basement Common Laundry Area First Floor Lower Level ne Upper Level In Law Y/N: In Law Access: Detached Possible First Floor Second Floor Lower Level Separate Entry Over Garage

4 Connecticut Multiple Listing Service 4 Fuel Type: - - Utilities - - Above Ground Electric Kerosene Oil Solar Bottle Gas Geothermal Natural Gas Other Wood Coal In Ground Fuel Propane Fuel Tank Description: Above Ground Tank In Basement In Ground Tank In Garage n Applicable Water Source: Water Private Well Shared Well Well Required Other Public Water Available Spring Private Water System Public Water Connected Well Available Hot Water Fuel: Domestic Natural Gas Oil Propane Electric Hot Water Other Solar Assisted Sewer Annual Assess: Heat Type: Baseboard Heat Steam Gas Other Wall Unit Gas on Gas Radiant Warm Air Heat Pump Radiator Wood/Coal Stove Hot Air Solar Zoned Hydro Air Space Heat Sewer Usage Fee: Sewer Annual Fee: Sewage System: Cesspool Other Public Sewer Connected Septic Available Shared Septic Sewer Public Sewer Available Septic Septic Required Cooling System: AC Avail. In Some Units Central Air Heat Pump ne Wall Unit Zoned Attic Fan Combo Individual Unit(s) Other Window Unit Radon Mit System Air: HOA Y/N: Radon Mit System Water: - - Miscellaneous - - Association Fee Inlcudes: Accounting/Legal Hot Water Pest Control Taxes Air Conditioning Insurance Plowing Tennis Club House Lake/Beach Access Pool Service Trash Removal Flood Insurance Management Road Maintenance Water Grounds Maintenance ne Security Heat Payroll Snow

5 Attic YN: Attic : Crawl Space Floored Heated Pulldown Stairs Walkup Association Fee Amount: Park Garage Type: Finished Hatch Opening Partially Finished Storage Space Number of Garage Spaces: Assigned Car Port Lot Open RV/Boat Pad Under House Attached Covered Garage ne Parking Gar. Security Unit Garage Barn Detached On-Street Reserved Tandem Unpaved Pool YN: Pool Descripton: Residential For Rent Data Input Form Connecticut Multiple Listing Service 5 Handicap Accessible: Above Ground Above The Ground Heated In - Ground In Ground Heated Indoor Basement Type: Apartment Full Basement Interior Access Partially Finished Bulkhead Full Basement With Hatchway Liveable Space Shared Basement Concrete Floor Full Basement With Walk-Out ne Storage Cooled Fully Finished Partial Basement Sump Pump Crawl Space Garage Access Partial Basement With Hatchway Unfinished Dirt Floor Heated Partial Basement With Walk-Out Walk-out Handicap Features: 32 Min Doors Exterior Curb Cuts Low Counters Ramps 60 Turn Radius Hallways 36+ Wide Modified Range Remote Devices Appliances Low/Secure Hard/Low Nap Floors Multiple Entrances Roll-In Shower Bath Kitchen Other Roll-under Sink(s) Bath Grab Bars Lever Door Handles Parking Scald Control Faucets Chair Lift Lever Faucets Raised Dishwasher Special Needs Transport Closet Bars Low Cabinetry Raised Toilet Interior Features: Air Filter Elevator Network Smoke Detector(s) Audio System Fireplace Open Floor Plan Sprinkler System Auto Garage Door Opener Generator Other Wine Cellar Cable - Available Humidifier Roughed-in Bath Wired for Multi-Line Phones Cable - Pre-wired Intercom Satellite Dish Workshop Central Vacuum Internet - Available Sauna Dehumidifier Internet - Pre-wired Security System Appliances Included: Allowance Dryer Gas Range Other Wall Oven Compactor Electric Cooktop Hood Oven/Range Washer Counter Grill Electric Range Instant Hot Water Tap Refrigerator Wine Chiller Dishwasher Freezer Microwave Stove Top Disposal Gas Cooktop ne Subzero

6 Connecticut Multiple Listing Service 6 Public Remarks: - - Remarks Characters Please use proper case when entering in Remarks. Agent to Agent Remarks: 500 Characters Please use proper case when entering in Remarks. Office Remarks: 250 Characters Please use proper case when entering in Remarks. Directions to Property: 255 Characters REALTOR Signature Date Seller Signature Date

7 Room(s) Information Page Connecticut Multiple Listing Service Room Type: Bathroom Extra Storage In-Law Apt Nursery Bedroom Family Room Kitchen Studio Apt Bonus Room Formal Dining Room Laundry Room Other Study Breakfast Room Foyer Library Partial Bath Sun Room Breezeway Full Bath Living Room Playroom Utility Den Game Room Porch Wine Cellar Dining Area Great Room Master Bedroom Recreation Room Workshop Dining Room Greenhouse MBR Suite Sauna Eat-Inn Kitchen Half Bath Media Room Sewing Room Exercise Room Mudroom Sitting Room Level: Lower Main Other Upper Description: Combination Liv/Din Rm Floor - Laminate Galley Steam/Sauna Atrium Counters - Corian Floor - Limestone Great Room Stove - Pellet Balcony Counters- Granite Floor - Marble Half Bath Stove - Wood Bay Window Country Floor - Parquet Hot Tub Studio Beams Double-sink Floor - Plywood Hydro-tub Sunken Bedroom Suite Dressing Room Floor - Slate Interior Balcony Upper Level Book Shelves Dry Bar Island Vaulted Ceiling Breakfast Bar Eating Space Kitchen Floor - Stone L-Shaped Walk-In Closet Breakfast ok Entertainment Center Floor - Tile Lower Level Wet bar Built-In Hutch Fireplace Floor - Travertine On 3rd Floor Whirlpool Built-Ins Fireplace - Gas log Floor - Vinyl Pantry Windows - 2-Story Carpet First Floor Floor - Wide board Remodeled Windows - Palladian Cathedral Ceiling Floor - Composite Formal Skylight Cedar Closet Floor - Concrete French Door(s) Slider Ceiling Fan(s) Floor - Hardwood Full Bath Stall Shower

Residential (SF) Data Input Form Connecticut Multiple Listing Service 1

Residential (SF) Data Input Form Connecticut Multiple Listing Service 1 Connecticut Multiple Listing Service 1 Agent ID: Agent Name and Information: - - Agent Information - - Office Name and Information: Team Agent 1 Name: Team Agent 2 Name: Team Agent 1 Phone: Team Agent