RIN DATA INPUT FORM Residential Income
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- Ethel Dickerson
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1 SOUTHEAST FLOIDA IN DATA INPUT FOM esidential Income INSTUCTIONS: Indicates a required field. All required fields must be completed to add a listing. PID will automatically fill (if available from Broward, Miami-Dade, and Palm Beach Counties): Street Number, Compass Point, Street Name, Street Type, Unit, County, Legal, Year Built, Living SF, Total SF, Taxes and Tax Year. Fields with Asterisk * represents numerical fields. Style Codes I02 Duplex I03 Triplex I04 Fourplex Area: * Street Number: * CP : Compass Point Street Name: County: Select One Broward Hendry Martin Monroe Other St. Lucie Glades Indian iver Miami-Dade Okeechobee Palm Beach Folio # : Auto-Pop only from Miami-Dade, Broward, Palm Beach City: See Table State: FL Zip Code * Zip4 * Legal Zoning Municip Code : * Township/ange: * Section: * Subdivision Code Parcel Number: * Map Coordinates: Development Name: Subdivision Name : Model Name : Geo Area: See Table General Information Short Sale: EO: ange Price: ange Price Lower List Price: $ * equired if ange Price Listing List Price: $ * Short Sale Addendum : Lender Approval : Approved req d if Short Sale = Yes Unapproved Style: I02 Duplex Select One I03 Triplex I04 Fourplex Type: Duplex Triplex Total Units : * # of Stories : * County Land Use : * Fourplex SEF IN Page: 1 evised 10/2017
2 Property Type Info (Style 2): Select Up To 3 SQFT (adjusted area): * Attached Other Detached anch Elevator Substantially emodeled Old Spanish Stairs SQFT (living area): * SQFT (total area ): * Year Built : * Year Built Description: Select One New Construction esale Under Construction Unknown Auction : Select One Auction Type : Select One ABS Absolute MIN Minimum Bid ND Non Disclose eserve Building Area/Agent: * Building Area/Source: Select Up To 1 Appraisal Architect. Building Plan Developer Owner Boat Services : 0 to 20 Ft Boat Full Service Subject to Lease Attended Hoist/Davit Up to 100 Ft Boat Beach Lift Up to 30 Ft Boat Beach Access Live Aboard Up to 40 Ft Boat Boat Lock Marina Up to 50 Ft Boat Boathouse No Wake Zone Up to 60 Ft Boat Common Dock Other Wtr Acc Up to 70 Ft Boat Community Marina Over 101 Ft Boat Up to 80 Ft Boat Community amp Overnight Up to 90 Ft Boat Dock Available Parking Wake Zone Dock Owned Included Private Dock Water Available Electric Available amp Wi-Fi Available Exclusive Use estroom Yacht Club Fishing Pier Sew Pump Available Fuel SEF IN Page: 2 evised 10/2017
3 UNITS Unit 1 Hotel m : Efficiency : # Beds * # FB * # HB * SQFT * Monthly Income : $ * Furnished : Select One Furnished Partially Furnished Furniture for Sale Unfurnished Lease Ends : Select One Leased Month to Month Owner Vacant Equipment/Appliances : Select Up To 8 Air Conditioning Unit Fuse Box Smoke Detector Automatic Garage Door Gas Tank Leased Solar Hot Water Heater Circuit Breaker Microwave Trash Chute Dishwasher Other Equip/Appliance Washer/Dryer Hookup Disposal ange Washer Dryer efrigerator Window Coverings included Electric Meter Security Grill Work Water Softener/Filter Own Fire Sprinklers Security System Leased Water Softener/Filter ent ooms : Select Up To 3 Den Patio/Porch Family Screen Porch Florida Separate Dining Kitchen Utility oom Laundry oom Parking : Select One Carport Elec Vehicles Chrg Station Garage Open Parking Other Parking Space On Street #Units : * Unit 2 Hotel m : Efficiency : # Beds * # FB * # HB * SQFT * Monthly Income : $ * Furnished : Select One Furnished Partially Furnished Furniture for Sale Unfurnished Lease Ends :Select One Leased Month to Month Owner Vacant ooms : Select Up To 3 Den Patio/Porch Family Screen Porch Florida Separate Dining Kitchen Utility oom Laundry oom Equipment/Appliances : Select Up To 8 Air Conditioning Unit Fuse Box Smoke Detector Automatic Garage Door Gas Tank Leased Solar Hot Water Heater Circuit Breaker Microwave Trash Chute Dishwasher Other Equip/Appliance Washer/Dryer Hookup Disposal ange Washer Dryer efrigerator Window Coverings included Electric Meter Security Grill Work Water Softener/Filter Own Fire Sprinklers Security System Leased Water Softener/Filter ent Parking : Select One Carport Elec Vehicles Chrg Station Garage Open Parking Other Parking Space On Street #Units : * SEF IN Page: 3 evised 10/2017
4 UNITS Unit 3 Hotel m : Efficiency : # Beds * # FB * # HB * SQFT * Monthly Income : $ * Furnished : Select One Furnished Partially Furnished Furniture for Sale Unfurnished Lease Ends : Select One Leased Month to Month Owner Vacant ooms : Select Up To 3 Den Patio/Porch Family Screen Porch Florida Separate Dining Kitchen Utility oom Laundry oom Equipment/Appliances : Select Up To 8 Air Conditioning Unit Fuse Box Smoke Detector Automatic Garage Door Gas Tank Leased Solar Hot Water Heater Circuit Breaker Microwave Trash Chute Dishwasher Other Equip/Appliance Washer/Dryer Hookup Disposal ange Washer Dryer efrigerator Window Coverings included Electric Meter Security Grill Work Water Softener/Filter Own Fire Sprinklers Security System Leased Water Softener/Filter ent Parking : Select One Carport Elec Vehicles Chrg Station Garage Open Parking Other Parking Space On Street #Units : * Unit 4 Hotel m : Efficiency : # Beds * # FB * # HB * SQFT * Monthly Income : $ * Furnished : Select One Furnished Partially Furnished Furniture for Sale Unfurnished Lease Ends :Select One Leased Month to Month Owner Vacant ooms : Select Up To 3 Den Patio/Porch Family Screen Porch Florida Separate Dining Kitchen Utility oom Laundry oom Equipment/Appliances : Select Up To 8 Air Conditioning Unit Fuse Box Smoke Detector Automatic Garage Door Gas Tank Leased Solar Hot Water Heater Circuit Breaker Microwave Trash Chute Dishwasher Other Equip/Appliance Washer/Dryer Hookup Disposal ange Washer Dryer efrigerator Window Coverings included Electric Meter Security Grill Work Water Softener/Filter Own Fire Sprinklers Security System Leased Water Softener/Filter ent Parking : Select One Carport Elec Vehicles Chrg Station Garage Open Parking Other Parking Space On Street #Units : * SEF IN Page: 4 evised 10/2017
5 emarks emarks : 800 Characters _ Directions : 255 Characters SEF IN Page: 5 evised 10/2017
6 emarks Con t Broker emarks : 150 Characters _ Internet emarks : 150 Characters Office emarks : 200 Characters SEF IN Page: 6 evised 10/2017
7 Supplemental Listings 10,000 Characters: SEF IN Page: 7 evised 10/2017
8 Additional Information # Parking Spaces : * Lot Description: Select Up To 3 0 to 1/4 Acr 5 to 10 Acr Interior Lot Approx Lot Size: * 1/4 to 1/2 Acr 10+ Acr Irregular Lot 1/2 to 3/4 Acr Corner Other Lot Descript. 3/4 to 1 Acr Cul-De-Sac Lot Oversized Lot 1 to 2 Acr East of US 1 egular 2 to 3 Acr Flood Zone Lot West of US 1 3 to 4 Acr Golf Course Lot Zero Lot Line Lot 4 to 5 Acr Water Access : req d if Waterfront = Yes Select Up To 3 Deeded Beach Access Boat Hoists/Davits Boatift None Boatlock Other Community Boat Dock Private Dock Community Boat amp estricted Salt Water Access Deeded Dock Unrestricted Salt Water Access Dock Available Waterfront : Waterfront Description: req d if Waterfront = Yes Select Up To 4 Bay Intracoastal Front Ocean Front Canal Front Lagoon Front One Fixed Bridge Creek Front Lake Front Other Waterfront Canal Wdth1-80 Lake Access Point Lot Canal Width 121 Mangrove Front Pond Front Canal Wdth Navigable ip ap Fixed Bridge(s) No Fixed Bridges iver Front Intersecting Canal Ocean Access Seawall Waterfront Frontage : * Construction : Select Up To 4 Aluminum Siding Metal Construction Concrete Block Construct. Modular Construction Brick Exterior Construct. New Construction Brick Veneer Other Construction Concrete Block with Brick Piling Construction CBS Construction Pre-Fab Construction Composition Shingle Siding Asbestos Pre-Cast Concrete Constr. Slab Construction Elevated Construction Stone Exterior Construction Frame Construction Stucco Exterior Construction Frame with Stucco Under Construction Manufactured/Mobile Home Wood Siding Pool : Spa YN: Pool Description: req d if Pool = Yes Select Up To 2 Above Ground Fiberglass Pool Bath Auto Chlorination Free Form Screened Auto Pool Clean Gunite Solar Below Ground Heated Vinyl Child Gate Fence Pool Heater Lsed Whirlpool in Pool Concrete Indoor Equipment Stays Other oof : Select Up To 3 Aluminum oof Flat Tile oof Curved/S-Tile oof Bahama oof Flat oof w/ Façade Front Wood Shaker oof Barrel oof Manufactured/Mobile Home Shingle oof Built-Up oof Metal oof Slate oof Composition oll Other oof Tar/Gravel oof Concrete oof oof Over Wood Shingle oof Fiberglass oof Window Treatments : Select Up To 4 Arched Windows Drapes & ods ods Only Awning High Impact Windows Single Hung Metal Bay Window Impact Glass Single Hung Wood Blinds /Shades Jalousie Sliding Casement Other Windows Solar Film / Tinted Double Hung Metal Picture Window Thermal Windows Double Hung Wood Plantation Shutters Verticals SEF IN Page: 8 evised 10/2017
9 Additional Information Con t Exterior Features : Select Up To 7 Balconies Fence Open Porch Screen Porch Barbeque Fruit Trees Other Electric Shutters Barn &/or Stalls Greenhouse Outdoor Shower Hurricane Shutters Built In Grill High Impact Doors Patio Skylights Exterior Cat Walk Laundry Facility oom For Pool Stables Deck Exterior Lighting Satellite Dish Tennis Courts Extra Building/Shed Open Balcony Screened Balcony TV Antenna Wraparound Porch #Ceiling Fans : Floor: Select Up To 4 Carpet Floors Parquet Floors Ceramic Floors Slate Floors Clay Floors Terrazzo Floors Concrete Floors Tile Floors Marble Floors Vinyl Floors Other Floors Wood Floors Utility Info Heating Description : Select Up To 4 Cooling Description : Select Up To 4 Water Description : Select Up To 2 Central Heat No Heat Solar Heat Air Purifier Gas Cooling idge Vent/Turbines Lake Drain Other Electric Heat Oil Heat Space Heater Attic Fan Humidistat Thermal Attic Fan Municipal Water Well Gas Heat Other Wall Furnace Ceiling Fans No Cooling Wall/Window Cooling Unit Heat Strip adiant Heat Window/Wall Central Cooling Other Zoned Cooling Heat Pump/everse Cycle everse Cycle Unit Zoned Heat Electric Cooling Paddle Fans Sewer Description : Select Up To 2 Municipal Sewer Other Sewer Septic Tank Sprinkler Description : Select Up To 2 Auto Sprinkler City Sprinkler System Manual Sprinkler Other Sprinkler Well Sprinkler Gas : Select One Bottle Gas Natural Gas Separate Meters : ent Includes : Select Up To 4 Cable TV Lawn Care Pool Maintenance Electric None Sewer Gas Other ent Incl Trash emoval Hot Water Pest Control Water Cable Available : Storm Protection : Clear Impact Glass Curr Owner Wind Mit Partial Impact Glass Complete Accordian Shutters Curr Owner Wind Mitin Cert Avail Partial Other Protection Complete. Eclectic Power Shutters Elec Panel for Portable Power Partial Panel Shutters/Awnings Complete Impact Glass Generator Hookup Partial Permanent Generator Complete Other Protection High Impact Door Partial oll Down Shutters Complete Panel Shutters/Awnings Partial Accordian Shutters Safe oom Complete oll Down Shutters Partial Electric Power Shutters Whole House Permanent Generator Green Energy Efficient : Appliances Lighting Construction oof Doors Thermostat Energy Generation Ventilation Exposure/Shade Water Heater HVAC WattWise Incentives Windows Insulation SEF IN Page: 9 evised 10/2017
10 Financial/Office Information Terms Considered : Select Up To 4 Assumption FHA 203K Owner Financing Less 20K Down Cash Only Lease Option Owner Hold 2nd Mortgage Conventional Lease Purchase Owtb Wrap Exchange No Terms Seller Will Pay Closing Cost FHA Other Terms VA FHA-VA Approved Owner Financing Will ent Assumable : Dade Assess/Save Our Home Val : $ * Dade MKT $ / Assessed Value : $ Type of Assoc. : Select One Condo None Home Owners Other Assoc. Fee : $ * Property Accessed Clean Energy (PACE) : Special Assessment : Hardship Package : Complete Incomplete Submitted Total Mortgage : $ * Association Fee Paid Per : Select One Monthly Semi-Annually Quarterly Yearly Tax Amount : $ * Tax Year : * Tax Information : Select Up To 3 Tax eflects Agriculture Exemption New Construction Tax eflects City and County Tax Tax eflects No Exemption Owner Agent : Flood Zone : Tax eflects County Only Tax Tax eflects No Homestead Exemption Tax eflects Disability Exemption Tax eflects Other Tax Exemption Tax eflects Homestead Tax Tax eflects Widow Exemption Gross ent Income : $ * Annual Net Oper. Income : $ * Annual Total Expenses : $ * Special Information : Select Up To 3 Abstract Available Foreign Seller As Is Handyman Special Bank Owned Property Home Warranty Bonus Institution Owned Property Corp. Owned Property estrictions on Pets Deed estrictions ec Owned Disclosure Survey Available Documents Available Title Insurance Policy Available Easement Wheelchair Designed Flood Zone Completely enovated Foreclosure Possession Information : Select Up To 2 Before Closing Funding Long Closing Preferred Negotiable Other Subject To Lease Owner Agent : Flood Zone : Information Available : Select Up To 8 Accounting Statements Inventory Appraisal Copy of Lease(s) Deposit Held None Deposit-Last Month ent Other Available Information Deposit Security Personal Property Inventory Equipment List ent olls Financial Statement Security Contracts Investment Analysis Existing Survey Expenses Include E Tax : Water/Sewer : Insurance : Mgmt. : Electric : Trash : PP Tax : Acct/Legal : Adv/Lic/Prm: Janitor : Pool Svc: Lawn Mnt : Extermin : Maint&epair : eplac esrv : Gas/Oil : Supplies : Miscell : SEF IN Page: 10 evised 10/2017
11 Financial/Office Information con t Agent & Office Information List Agent MLS ID : Agent Name : Office Name : Office ID : Preferred Contact Phone : List Agent Alt Phone : * Agent Co Agent Name : Co List Agent MLS ID : Co-List Agent Co Agent Phone : * Office Phone / Ext. : * Co Office Name : Co Office Phone : * Office Fax : * Co Office ID : Co Office Fax : * Compensation and Misc. Information Multiple Offers Accepted : IDX : Internet : AVM : Blogging : Address on Internet : Listing Type : Select up to 1 Exclusive Agency Exclusive With Exceptions List Date : Exclusive ight To Sell/ent Exclusive Variable Limited Service Owners Name : / / * MM DD YYYY Expiration Date : / / * MM DD YYYY Owners Phone : * Compensation Trans Broker : $ or % Only one Compensation is required Compensation Non ep : $ or % Only one Compensation is required Compensation Buyers Agent : $ or % Only one Compensation is required Variable/Dual ate : Joint Agency : MLS Offers : Disabled Enabled Virtual Tour / Web Link / Photo Information Occupancy Information : Select one Call Listing Agent Owner Occupied Tenant Occupied Vacant Showing Instruction : Select Up To 3 Call Listing Agent Other Showing Instructions Call Listing Office Showing Assist Call Tenant Sign On Property Go Directly See Broker emarks No Sign UL : Bonus : Virtual Tour : Photo Instructions : ealtor to Upload Images 1 35 Listing Agent Signature: Owners Name : Date : SEF IN Page: 11 evised 10/2017
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