SINGLE FAMILY LISTING SHEET LEASED LAND: Yes No (When Leased Land = Yes - Bold and * will not be a required field - Ex: BOOK *) LOCATION INFORMATION STATE COUNTY TOWN ZIP ZIP+4 STREET # Pre Direction STREET NAME Street Type Street Direction Unit# BOOK * PAGE * MAP * Block LOT * ZONING ZONING OVERLAY Yes No SITE Agriculture Farm Level Pasture/Field Sidewalks Corner Lot Ground Lease Open Right of Way Well Landscaped Cul-de-sac Harvestable Crops Other Site Rolling/Sloping Wooded LOCATION Abuts Conservations Interior Lot Near Golf Course Near Turnpike/Interstate Other Location Ski Resort Business District Intown Near Public Beach Near Town Retail Strip Subdivision Historic District Industrial Park Mobile Home Park Near Country Club Near Railroad Near Shopping Neighborhood Office Park Rural Shopping Mall Suburban TAX ID (NOTE: If you do not know the Tax ID, enter Street Number, Street Name, Town and Zip Code (enter without spaces.) Neighborhood/Association Association Fee Fee Frequency Paid Annually Bi-annually Monthly Quarterly (Required if a value is entered in the Association Fee field.) Entrance Fee School District ROADS Association Gravel/Dirt Road Paved Public Right of Way Dead End Other Road Private Public Not Maintained Seasonal Transportation Deep Water Access Near Airport Rail Available Major Road Access Public Transport Access Rail Spur/Siding PROPERTY INFORMATION LIST DATE / / EXPIRATION DATE / / (Note: Dates are MM/DD/YYYY) LIST PRICE SURVEYED * Yes No Unknown SEASONAL Yes No Unknown LOT SIZE ACRES *. ± SOURCE OF ACREAGE * Appraisal Deed Other Public Record Seller Survey Acreage Other Source * (Required only if Other is selected in the Source of Acreage field.) FULL TAX AMOUNT TAX YEAR - Revised 4.4.2018 Page 1 of 10
Road Frontage ± Source of Road Frontage * (Required when a value is entered in the Road Frontage field) Appraisal Deed Other Public Record Seller Survey Road Front Other Source * (Required only if Other is selected in the Source of Road Frontage field.) Deed/Conveyance Type Offered Bill of Sale Personal Rep. Quit Claim Quit Claim w/covenant Trustee Warranty Other Other Deed/Conveyance Type Offered (Required only if Other is selected in the Deed/Conveyance Type Offered field.) Deed All Partial Deed Restrictions Yes Unknown Bank Owned / REO Yes No 2 Detached Houses on 1 Lot Yes No WATER INFORMATION WATER FRONTAGE Yes No (If Yes, then all Water information is required except Recreational Water.) Water Front Amount ± Water Frontage Owned ± Water Frontage Shared ± Water Body Name Water View Seasonal Yes No Water Body Type Bay Brook Cove Harbor Lake Ocean Pond River Stream Source of Water Frontage Appraisal Deed Other Public Record Seller Survey Water Front Other Source (Required only if Other is selected in the Source of Water Frontage field.) Island Yes No Recreational Water Beach Rights Common Lake/Fresh Water Public Waterfront Deep Boat Mooring Deeded Nearby River/Brook/Stream Waterfront Tidal Boat Slip Dock Oceanfront ROW to Water View Fields Mountain Scenic Woods ROOMS # ROOMS # BEDROOMS FIREPLACES TOTAL # FULL BATHS BASEMENT # 1/2 BATHS BASEMENT # FULL BATHS LEVEL 1 # 1/2 BATHS LEVEL 1 # FULL BATHS LEVEL 2 # 1/2 BATHS LEVEL 2 # FULL BATHS LEVEL 3 # 1/2 BATHS LEVEL 3 Appliances Included Cooktop Disposal Microwave Range-Electric Refrigerator Wall Oven Dishwasher Dryer Other Range-Gas Trash Compactor Washer Other Appliances (Required only if Other is selected in the Appliances Included field.) Kitchen Countertop Butcher Block Formica Marble Quartz Cement Granite Other Solid Surface Fixture Exclusions Revised 4.4.2018 Page 2 of 10
ROOM TYPE Bedroom Level B 1 2 3+ Dimensions X Bedroom Level B 1 2 3+ Dimensions X Bedroom Level B 1 2 3+ Dimensions X Bedroom Level B 1 2 3+ Dimensions X Bedroom Level B 1 2 3+ Dimensions X Bonus Room Level B 1 2 3+ Dimensions X Above Garage Coffered Ceiling Heat Stove Hookup Tray Ceiling Built-ins Gas Fireplace Skylight Vaulted Ceiling Cathedral Ceiling Heat Stove Sunken/Raised Wood Burning Fireplace Den Level B 1 2 3+ Dimensions X Built-ins Coffered Ceiling Heat Stove Hookup Tray Ceiling Cathedral Ceiling Gas Fireplace Skylight Vaulted Ceiling Closet Heat Stove Sunken/Raised Wood Burning Fireplace Dining Room Level B 1 2 3+ Dimensions X Built-ins Formal Informal Vaulted Ceiling Cathedral Ceiling Gas Fireplace Skylight Wood Burning Fireplace Coffered Ceiling Heat Stove Sunken/Raised e Dining Area Heat Stove Hookup Tray Ceiling Exercise Room Level B 1 2 3+ Dimensions X Above Garage Full Bath Heat Stove Hookup Vaulted Ceiling Built-ins Gas Fireplace Skylight Wood Burning Fireplace Cathedral Ceiling Half Bath Sunken/Raised e Coffered Ceiling Heat Stove Tray Ceiling Family Room Level B 1 2 3+ Dimensions X Built-ins Gas Fireplace Skylight Vaulted Ceiling Cathedral Ceiling Heat Stove Sunken/Raised Wood Burning Fireplace Coffered Ceiling Heat Stove Hookup Tray Ceiling Great Room Level B 1 2 3+ Dimensions X Built-ins Gas Fireplace Skylight Vaulted Ceiling Cathedral Ceiling Heat Stove Sunken/Raised Wood Burning Fireplace Coffered Ceiling Heat Stove Hookup Tray Ceiling Kitchen Level B 1 2 3+ Dimensions X Breakfast Nook Eat In Kitchen Heat Stove Hookup Skylight Tray Ceiling Cathedral Ceiling Gas Fireplace Island Solar Tube Vaulted Ceiling Coffered Ceiling Heat Stove Pantry Sunken/Raised Wood Burning Fireplace Revised 4.4.2018 Page 3 of 10
Laundry Room Level B 1 2 3+ Dimensions X Built-ins Skylight Utility Sink Library Level B 1 2 3+ Dimensions X Built-ins Gas Fireplace Skylight Vaulted Ceiling Cathedral Ceiling Heat Stove Sunken/Raised Wood Burning Fireplace Coffered Ceiling Heat Stove Hookup Tray Ceiling Living Room Level B 1 2 3+ Dimensions X Built-ins Formal Heat Stove Hookup Sunken/Raised Vaulted Ceiling Cathedral Ceiling Gas Fireplace Informal Tray Ceiling Wood Burning Fireplace Coffered Ceiling Heat Stove Skylight e Loft Level B 1 2 3+ Dimensions X Built-ins Ladder Skylight Sleeping Stairway Storage Master Bedroom Level B 1 2 3+ Dimensions X Media Room Level B 1 2 3+ Dimensions X Built-ins Gas Fireplace Skylight Vaulted Ceiling Cathedral Ceiling Heat Stove Sunken/Raised Wood Burning Fireplace Coffered Ceiling Heat Stove Hookup Tray Ceiling Mud Room Level B 1 2 3+ Dimensions X Built-ins Closet Skylight Solar Tube Office Level B 1 2 3+ Dimensions X Built-ins Coffered Ceiling Heat Stove Hookup Tray Ceiling Cathedral Ceiling Gas Fireplace Skylight Vaulted Ceiling Closet Heat Stove Sunken/Raised Wood Burning Fireplace Other Room Level B 1 2 3+ Dimensions X Above Garage Indoor Pool Rec Room Workshop Greenhouse Parlor Utility Room Sunroom Level B 1 2 3+ Dimensions X Cathedral Ceiling Gas Fireplace Heated Three-Season Vaulted Ceiling Coffered Ceiling Heat Stove Skylight Tray Ceiling Wood Burning Fireplace Four-Season Heat Stove Hookup Sunken/Raised Unheated BUILDING FEATURES STYLE A Frame Colonial Federal Mansard Rooming Home Split Entry Bed & Breakfast Contemporary Gambrel Multi-Level Row-End Townhouse Bungalow Cottage Garden New Englander Row-Inside Victorian Camp Double Wide Garrison Other Style Saltbox Cape Duplex Greek-Revival Raised Ranch Shingle Style Chalet Farmhouse High Rise Ranch Single Wide CONSTRUCTION Earth Berm Masonry Modular Other Construction Steel Frame To Be Built Log Mobile New Construction Post & Beam Structural Insulated Panels Wood Frame BASEMENT Bulkhead Dirt No Basement Slab Walk-Out Crawl Space Finished Other Basement Sump Pump Duplex Daylight Full Partial Unfinished Greek Revival BASEMENT ENTRY TYPE Bulkhead Doghouse Exterior Only Interior Walk-Out Not Applicable Foundation Materials Block Concrete Slab Granite Other Poured Concrete Brick Fieldstone Gravel/Pad Pier/Column/Posts Revised 4.4.2018 Page 4 of 10
EXTERIOR Aluminum Siding Brick Concrete Metal Clad Vertical Siding Asbestos Brick Veneer Fiber Cement Other Exterior Vinyl Siding Asphalt Clapboard Glass Shingle Wood Siding Block Composition Log Siding Stucco ROOF Composition Flat Metal Pitched Shingle Tar & Gravel Fiberglass Membrane Other Roof Rolled Slate Tile Wood Shingle HEAT SYSTEM Baseboard External Heating Plant Heat Pump No Heat System Space Heater Blowers Forced Hot Air Other Heat System Steam Direct Vent Furnace Geothermal Hot Water Radiant Stove Direct Vent Heater Gravity Multi-Zones Radiators HEAT FUEL Coal Gas-Bottled K-1/Kerosene No Heat Fuel Other Heat Fuel Electric Gas-Natural Multi-Fuel System Oil Pellets WATER HEATER Electric None On Demand Separate Booster Tankless Gas Off Heating System Other Water Heater Solar Heat Pump Oil Rented Tank COOLING A/C Units Central Air Heat Pump No Cooling Other Cooling FLOORS Brick Composition Heavy Duty Metal Tile Wood Carpet Concrete Laminate Other Flooring Vinyl Propane Solar Wood Amenities 1st Floor Bedroom Elevator Freight Hot Tub One-floor Living Porch 1st Floor Master BR w/bath Elevator Passenger In-Law Apartment Other Amenities Porch-Screened Animal Containment System Escalator-Stair Irrigation System Out Building Security System Attic Fence Laundry-1st Floor Outhouse/Privy Shed Bathtub Fire System Laundry-2nd Floor Pantry Shower Clubhouse Furniture Included Laundry-Coin Patio Sprinkler Compost Toilet Glassed-in Porch Laundry-Hookup Pool-Above Ground Storage Deck Home Warranty Master Bedroom w/bath Pool-In Ground Tennis Court Walk-in Closet Accessibility Amenities 32-36 Inch Doors 48 Inch+ Halls Level Entry Ramped Main level 36 Inch+ Doors Elevator/Chair Lift Other Accessibilities Roll-in Shower 36-48 Inch Halls Kitchen Modifications Other Bath Modifications Color YEAR BUILT ± SQFT FINISHED ABOVE GRADE ± SQFT FINISHED BELOW GRADE ± SOURCE OF SQUARE FOOTAGE Appraisal Measured Other Seller Builder Measured (per ANSI Guidelines) Public Record Other Source of Square Footage (Required only if Other is selected in the Source of Square Footage field.) Equipment Air Radon Mitigation System Central Vacuum DSL Home Battery Storage System Other Equipment Cable Dial-up Generator Internet Access Available Satellite Dish Water Radon Mitigation System GREEN BUILDING FEATURES Green Certification Energy Star Certified LEED Certified LEED Platinum Other/See Internal Remarks Home Energy Audit Available LEED Gold LEED Silver Passivhaus Revised 4.4.2018 Page 5 of 10
Green Features Air Exchanger Low Flow Fixture Rain Water Catchment Low Flow Commode Other/See Internal Remarks Whole House Fan HERS Rating Year of HERS Rating (Required if a value is entered in the HERS Rating field.) Energy Efficiency 13-15 SEER AX Double Wall (12 +) Construction Other/See Internal Remarks Storm Windows 16+ SEER AC Energy Star Appliances Programmable Thermostat Tankless Water Heater 90% Efficient Furnace High Efficiency Water Heater Radiant Barrier Triple Glaze Windows Ceiling Fans Insulated Foundation Recirculating Hot Water Variable Speed HVAC Dehumidifier LED Light Fixtures Smart Electric Meter Double Pane Windows Low E Windows Storm Doors PARKING AND RESTRICTIONS DRIVEWAY Common Gravel Other Reclaimed Concrete No Driveway Paved Parking 1-4 Spaces 11-20 Spaces Leased Off Site Other Parking Reserved 5-10 Spaces 21+ Spaces No Parking On Site Paved VEHICLE STORAGE 1 Car Attached Detached Off Street Parking Under 2 Car Auto Door Opener Direct Entry to Living Other Vehicle Storage 3 Car Barn Heated Storage Above 4+ Car Carport No Vehicle Storage Tandem Garage Yes No Restrictions 1 Pet 3+ Pets Breed Restrictions No Dogs Allowed Other Restrictions Pet Weight Limit 2 Pets Age No Cats Allowed No Restrictions Pet UTILITIES ELECTRIC Circuit Breakers Generator Hookup Other Electric Underground Combination No Electric Solar Unknown Fuses On Site Three Phase Wind Utilities On Yes No Pole GAS Bottled Natural-On Site Other Gas Unknown Natural-At Street No Gas Underground WASTE WATER DISPOSAL None Private Quasi-Public Septic Existing On Site Soil Test Available Other Public Septic Design Available Septic Needed On Site Unknown WATER Lake Drawn Other Public Unknown Well Needed On Site None Private Seasonal Well Existing On Site AGENT AND OFFICE INFORMATION LIST AGENT MLS ID Co-List Agent MLS ID COMPENSATION AND MISC INFORMATION Owner Name KICKOUT Yes No Internal List # Short Sale Continue to Show Yes PUBLIC ADDRESS Yes No Revised 4.4.2018 Page 6 of 10
EXCLUSIVE RIGHT, EXCLUSIVE AGENT, OR COMPARABLE SALE ER EA CS VARIABLE RATE COMMISSION Yes No Percentage BUYER AGENCY SUB AGENCY TRANSACTION BROKER Fee Percentage OR OR OR % $ % $ % $ Fee Percentage AT LEAST ONE OF THESE FIELDS MUST OFFER COMPENSATION Virtual Tour/Video: Virtual Tour 2/Video: Branded Virtual Tour: SHOWING INSTRUCTIONS Call Listing Broker Email Listing Broker Listing Office Must Accompany ShowingTime Call Listing Office Email Listing Office Mechanical Lockbox Show Without Notice Call Owner Key at Listing Office Notice Required Sign on Property Call Tenant Leave Card/Sign In Other Showing Text Listing Agent Electronic Lockbox Listing Agent Must Accompany Pet on Premises INTERNET DISPLAY INTERNET Yes No AVM Yes No COMMENTS Yes No Fee Revised 4.4.2018 Page 7 of 10
REMARKS Directions: Remarks: Advertising Remarks: Revised 4.4.2018 Page 8 of 10
Internal Remarks/Contingency Showing Remarks: Revised 4.4.2018 Page 9 of 10
Mortgage Remarks: Revised 4.4.2018 Page 10 of 10