MLS # Assigned by Computer County Name: Tax ID: (Enter Tax ID without hyphens, ex: 111868900036000) New Construction: Yes No If Yes, Proposed Under Construction Completed Mailing Address: Street # - Modifier: - Direction: Street Name: Suffix: Post Direction: Unit #: City: Zip Code +4: - Cross Streets: & Office ID: Agent ID: Co-Office ID: Co-Agent ID: Property Subtype: Residential: Single Family Condo/Coop Farm Area: Subarea: Municipality: Listing Price: Public Viewable: Yes No Show Address to Public: Yes No Show AVM to Public: Yes No VOW Public Comments: Yes No Sub Agcy: Buyer Agcy: Trans Coord: Variable Rate: (%/Amt) (%/Amt) (%/Amt) Yes No Comments: Exclusive Agency: Yes No Reserved Prospect: Yes No Lot Size: (acres or sq. ft.) Est. Year Built: Listing Date: Expiration Date: School District: Occupant Type: Owner Tenant Vacant Owner Name: Owner Phone: - - Showing Instructions: Possession: Taxable Value ($): SEV ($): For Tax Year: Annual Property Tax ($): Tax Year: Homestead %: Spec Assessment & Type %: Zoning:. Lot Dimensions: Road Frontage: Waterfront: Yes No OR Water Access: Yes No Water Frontage: Body of Water: Water Type: Lake River Stream/Creek Pond Water Feature Amenities: All Sports Assoc. Access Channel Deeded Access Deeded Boat Lot Dock No Wake Private Frontage Public Access Shared Frontage View High School: Middle School: Elementary School: Tour Date: Tour Time: Open House Date: Open House Time: Total Fireplaces: Income Property: Yes No Approx. Assoc. Fee: $ Assoc. Fee Includes: None Water Electric Snow Removal Cable/Satellite Lawn/Yard Care Sewer Heat Trash Other *Feature group allows a 40 character comment line for each selection in the feature group. Page 1 RESIDENTIAL 10/2012
Assoc. Buy In Fee: $ Assoc. Fee Payable: Monthly Quarterly Semi-Annual Annually Accessibility Features: Yes No Features Available: Condo Project Name: No-Step Entrance Covered Entrance Ramped Entrance Covered Ramp 36 in. Entrance Door 36 in. or + Hallway 42 in. or + Hallway Accessible Mn. Flr. Bdrm. Accessible M. Flr. Half Bath Accessible Mn. Flr. Full Bath Grab Bar Mn. Flr Bath Low Threshold Shower Lever Door Handles Accessible Elect. Controls Rocker Light Switches Accessible Kitchen Sink Total Rooms Above Grade: Accessible Bath Sink Room Dimensions: For Levels Use: B-Basement L-Lower/Walkout M-Main U-Upper Kitchen: Level Comments (40 characters) Level Comments (40 characters) x Mstr. Bdrm: x Formal Dining Room: x Mstr. Bath: x Dining Area: x Bedroom 2: x Family Room: x Bedroom 3: x Living Room: x Bedroom 4: x Recreation: x Bedroom 5: x Den/Study: x Add l Room: x Laundry: x All Fields Are Required In The Grid Enter 0 (zero) for none Above Grade Below Grade Upper Level Main Level LL/WO Level Basement Level # Bedrooms: # Full Baths: # Half Baths: Finished Sq. Ft: Total Sq. Ft: Stories: 1 1.5 2 3 or more Split Design: A Frame Bi-Level Bungalow Cabin/Cottage Cape Cod Chalet Colonial Contemporary Farm House Log Home Mobile Quad Level Ranch Traditional Tri-Level Tudor Underground Victorian Other Manufactured: Yes No Manufactured Details: Titled Untitled Title Unknown Permanently Affixed Single Section Multi Section GARAGE: * Yes No GARAGE TYPE: 1 Attached 2 Carport 3 Detached 4+ Tandem EXTERIOR MATERIAL: Aluminum Brick Concrete Block Hard/Plank/Cement Board Insulated Concrete Forms (ICF) Log Poured Concrete Shingle Structural Insulated Panels (SIP) Stone Stucco Vinyl Wood Other ROOF: Built Up Stone Wood Shingle Comp Shingle Metal Rubber Slat Tile Other * Feature group allows a 40 character comment line for each selection in the feature group. Page 2 RESIDENTIAL 08/2011
WINDOWS: Bay/Bow Insulated Low E Replacement Screens Skylight Storms BASEMENT: Yes No SUBSTRUCTURE: * Crawl Space LOT DESCRIPTION: Daylight Full Basement Michigan Basement Corner Partial Basement Slab Walk Out Other Cul-De-Sac Flag Lot Golf Course Frontage Ravine Rolling Hills Tillable Wooded Golf Community Level Recreational Sidewalk Wetland Area Adj. to Public Land SEWER: Public Septic System None WATER: Public Well None UTILITIES ATTACHED: Cable Natural Gas Extra Well Telephone Line UTILITIES AVAILABLE AT STREET: Broadband Cable Electric Natural Gas Public Sewer Public Water Storm Sewer Telephone Line KITCHEN FEATURES: Breakfast Nook Center Island Desk Built-in Eating Area Garden Window Mud Room Access Pantry Snack Bar FIREPLACE: Wood Gas Log Bathroom Den/Study Family Formal Dining Kitchen Living Master Bedroom Other Bedroom Rec Room Other ADDITIONAL ITEMS: Air Cleaner All Window Treatments Attic Fan Ceiling Fans Central Vacuum Ceramic Floor Garage Door Opener Gas/Wood Stove Generator Guest Quarters Home Warranty Hot Tub Spa Humidifier Iron Water Filter Laminate Floor Laundry Chute LP Tank Owned LP Tank Rented Satellite System Sauna Security System Stone Floor Water Softener/Owned Water Softener/Rented Wet Bar Whirlpool Tub Wood Floor APPLIANCES: Refrigerator Range Oven Built In Oven Microwave Cook Top Dishwasher Freezer Garbage Disposal Trash Compactor Dryer Washer HEAT SOURCE: Electric Natural Gas Geothermal Oil Propane Solar Wood None HEAT TYPE: Baseboard Forced Air Gravity Heat Pump Hot Water Outdoor Furnace Passive Radiant Space Heater Steam Wall Furnace Wood/Pellet Furnace None AIR CONDITIONING: Central Wall Unit Window Unit SEER 13 Water Heater: Electric Natural Gas Oil Propane Solar Tankless Other See Remarks None EXT. FEATURES: 3 Season Rm Deck(s) Fenced Back Gazebo Patio Play Equip. Porch(es) Scrn Porch Tennis Court LANDSCAPE: Décor Fence Décor Pond Flower Garden Fountain Fruit Trees Garden Area Ground Cover Shrubs/Hedges Terraced Yard Underground Sprinkler Waterfall POOL: Outdoor/Inground Outdoor/Above Indoor Cabana * Feature group allows a 40 character comment line for each selection in the feature group. Page 3 RESIDENTIAL 08/2011
OUTBUILDINGS: * Barn Hangar Other Boat House Greenhouse Guest House Pole Barn Stable Storage Shed DRIVEWAY: Easement Paved Unpaved Shared Paved Shared Unpaved STREET TYPE: Easement Paved Private Public Seasonal Unpaved ASSOCIATION AMENITIES: Airport Landing Strip Baseball Diamond Beach Area Cable TV Campground Club House Detached Unit End Unit Fitness Center Golf Membership Hot Tub Interior Unit Library Meeting Room Pets Allowed Pool Indoor Pool Outdoor Restaurant/Bar Sauna Security Skiing Storage Tennis Other MINERAL RIGHTS: Yes No Partial Available Unknown TERMS AVAILABLE: * Assumable Land Contract Rural Development Cash/Conventional Lease w/option VA Cash Only MSHDA Other FHA Purchase Money Mtg SALE CONDITIONS: REO/Bank Owned Short Sale Possible None Other GREEN FEATURES SECTION: (For a glossary of the Green terms go to www.greenresourcecouncil.org/glossary.cfm) Green Features and Seller s Green Disclosure Statement Attached to the Listing on the MLS? Yes No Green Energy Efficiency: Energy Star Appliance(s) Chemical Free Insulation Thermal Mass Construction Energy Star Rated Exterior Material(s) Energy Efficient Windows Natural Day Lighting Windows Other See Remarks Indoor Environmental Quality: Low Flow Toilet(s) Low or No VOC Finishes Recycled/locally Sourced Materials Sustainable Flooring Other See Remarks Exterior Water Conservation: Rain Water Collection Drought-resistant Landscape Renewable Heating/Cooling: Energy Star Rated Heat Energy Star Rated A/C GeoThermal In Floor Radiant Heat Programmable Thermostat Solar Electricity Windmill Active Solar Passive Solar Other See Remarks GREEN CERTIFICATION/RATING Yes No: (If Yes, it requires the Certificate of Certification/Rating Documentation to be an attached document to the listing in the MLS.) Year Certified National Green Building Standard: Bronze Silver Gold Emerald NAHB Model Green Home Building Guidelines: Bronze Silver Gold Energy Star Qualified Rating #: 1 2 3 4 5 6 All LEED for Homes: Certified Silver Gold Platinum LEED for Neighborhood Development: Certified Silver Platinum Home Energy Rating System HERS Index# Year Rated: Indoor Air Quality: Yes No Other Green Certification: *Feature group allows a 40 character comment line for each selection in the feature group. Page 4 RESIDENTIAL 08/2011
Revised 10/2012 Marketing Remarks (Maximum of 1,000 Characters) These will appear on the Internet Agent-Only Remarks (Maximum of 500 Characters) Legal Description (Maximum of 100 Characters) Directions to Property (Maximum of 250 Characters) We (I) Agree that to the best of our knowledge this represents a fair and accurate representation of the property we (I) have listed with the REALTOR below. Signature: Listing Broker Date Signature: Seller Date Signature: Listing Agent Date Signature: Seller Date