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North Texas Real Estate Information Systems, Inc. Residential Data Input Form Also includes input fields for Condominium and Townhouse Categories on last few pages INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED Fields REQUIRED for Active status denoted in BOLD BLUE WITH (). Italicized fields will be auto-filled from public records, if available.
MLS Information
Property Type Condo Single Family Farm/Ranch Townhouse Half/Duplex
Range Pricing Yes No (Defaults to No) Low Price (Above Required if answered Y to Range Pricing) List Price
Area Sub Area
County Parcel ID Map Book Dallas Ft. Worth Other Denton Parker Collin Cooke Hood/Wise Grayson Kaufman Ellis/Johnson Hunt Hill/Rockwall Rockwall Map Page Map Coord
Street/Box # Street Direction E N NE NW S SE SW W Street Name Street Type
Street Directional E N NE NW Unit # Suffix S SE SW W City Will Subdivide Yes No (Defaults to No)
Zip Code
Subdivision Lake Name
Planned Development Lot
Block Multi Parcel ID Yes No
Additional Legal MUD District Yes No
Office Information System will auto-fill Listing Office and Listing Agent information including Office Code, Office Name, Office Phone, Office Fax, Office Address, Agent ID, Agent Name, Agent Fax, Agent Email and Agent Website
Agent Other Phone
Listing Agent 2 Call for Appt Agent CSS Owner Builder Office Other Appt Phone Appt Phone Ext
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Sub Agency Buyers Agency Commission Commission
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Variable Fee Yes No Listing Type Exclusive Right to Sell/Lease Listings will Appear on Members IDX Websites
(Select One) Exclusive Agency NTREIS Translator ER w/Reservations Realtor.com EA w/Reservations Syndicate Listing Limited Service ER TexasRealEstate.com Limited Service EA Allow Internet Display Yes No Allow Address Display Yes No Allow Comments/ Allow AVM Reviews Yes No Yes No
Listing Date Expire Date
Preferred Title Company
Preferred Title Co.
Title Co. Phone Title Co. Location
Owner Permission to Video N/A Yes No For Intra Office Information
Owner Name Builder Lender/REO Owner Home Seller Type Individual(s) Relo Phone (Select One) Occupancy Owner Tenant Vacant Owner Alt. Phone
Occupant Occupant Home Phone Occupant Alt. Phone ______Showing ______Instructions ______(150 character limit) Secured Showing
Instructions ______(50 character limit)
Keybox # Combo
AEII - Gray IBox - Redisafe Shackle Code Keybox Type Blue Combo None SentriLock
CBS Code
Property Information
# Bedrooms
# Full Baths # Half Baths
# Full Baths: 1st Level # Full Baths: 2nd Level # Full Baths: Bsmt # Full Baths: 3rd Level Level # Half Baths: 1st Level # Half Baths: 2nd Level
Last Revision 01/2013 Residential Data Input Form Page 4 of 16 # Half Baths: Bsmt # Half Baths: 3rd Level Level Property Information (continued)
# Stories # Fireplaces
# Living Areas # Dining Areas
SqFt SqFt Source Appraiser Tax Building Plan Other Owner Documentation (Select One - Defaults to Tax) Handicap Amenities Yes No Appraiser’s Name (Defaults to No) (If Yes, Handicap Amenities Features Required) List$/SqFt System Calculated Year Built
Construction Status New Constr - Complete Proposed New Constr - Incomplete Unknown Preowned
(Select One - Defaults to Preowned)
Living 1 Length
Living 1 Width Living 1 Level (1 – 9, or B)
Living 2 Length
Living 2 Width Living 2 Level (1 – 9, or B)
Living 3 Length
Living 3 Width Living 3 Level (1 – 9, or B)
Formal Dining Length
Formal Dining Width Formal Dining Level (1 – 9, or B)
Breakfast Length
Breakfast Width Breakfast Level (1 – 9, or B)
Kitchen Length
Kitchen Width Kitchen Level (1 – 9, or B)
Master BR Length
Master BR Width Master BR Level (1 – 9, or B)
Bedroom 2 Length
Bedroom 2 Width Bedroom 2 Level (1 – 9, or B)
Bedroom 3 Length
Bedroom 3 Width Bedroom 3 Level (1 – 9, or B)
Bedroom 4 Length
Bedroom 4 Width Bedroom 4 Level (1 – 9, or B)
Bedroom 5 Length
Bedroom 5 Width Bedroom 5 Level (1 – 9, or B)
Study Length
Study Width Study Level (1 – 9, or B)
Utility Length
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Utility Width Utility Level (1 – 9, or B)
Property Information (continued) Other Room 1 Length
Other Room 1 Width Other Room 1 Level (1 – 9, or B)
Other Room 2 Length
Other Room 2 Width Other Room 2 Level (1 – 9, or B)
Total Covered Parking # Garage Spaces # Carport Spaces
Garage Length (Above Required if answered # Garage Spaces)
Garage Width Security System Yes No (Above Required if answered # Garage Spaces)
Pool on Property Yes No Lot Dimensions
Acres HOA Mandatory None Voluntary
HOA Dues HOA Billing Freq Annually Quarterly Other Monthly Semi-Annual (Above Required if answered HOA Mandatory) Include Slideshow Yes No
School Information
School District
School 1 Type School 1 Name Bus 1 N/A Yes No School 2 Type School 2 Name Bus 2 N/A Yes No School 3 Type School 3 Name Bus 3 N/A Yes No School 4 Type School 4 Name Bus 4 N/A Yes No
Financial Information (All fields required if Assumable Non-Qualifying and Assumable Qualifying are entered as the Loan Type) Property Also for Unexempt Taxes Lease Yes No Loan Type Assumable Non-Qualifying Treat as Clear Balance Assumable Qualifying
Equity System Calculated Mortgage Interest Rate
Payment Payment Type Principal & Principal, Int., & Ins. Interest Principal, Int., Tax, Principal, Interest Ins. & Other Taxes (Select One)
Lender Original Mtg. Date
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2nd Mortgage Yes No Possible Short Sale N/A Yes No
Remarks
______ Directions to ______Property ______(150 character limit)
Property ______Description ______
______(450 character limit) ______Excludes ______(110 character limit)
______Private Remarks ______(300 character limit)
______Intra Office ______Remarks ______(225 character limit)
Features
Housing Type Style of House Manufactured Apartment Garden/Zero Lot Line A-Frame Loft/Apartment Split Level (certificate exchanged)
Attached or ½ Duplex High Rise Resort Property Colonial Mediterranean Studio Apartment
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Single Detached Condo/Townhome Historical Contemporary/Modern Mid-Century Modern Traditional Conservation Dist. Designated Historical Interval Ownership Singlewide with Land Craftsman Oriental Tudor Doublewide with Land Lake House Underground Early American Prairie Victorian Farm/Ranch House Log Cabin Vacation Home English Ranch Other French Southwestern Geo/Dome Spanish Lot Size/Acreage (Select One) Lot Description Less than .5 Acre (not 3 Acres to 4.99 Acres Over 100 Acres Acreage Heavily Treed Park View Zero)
Condo/Townhome .5 Acre to .99 Acre 5 Acres to 9.99 Acres Adjacent to Greenbelt Horses Permitted Partially Cultivated Lot
1 Acre to 2.99 Acres 10 Acres to 100 Acres Zero Lot Line Airstrip Interior Lot Pasture Canal (Man Made) Irregular River Front Corner Lake Front Some Trees Creek Lake Front-Main Body Subdivision Cul de Sac Landscaped Tank/Pond
Cultivated Leasehold Taxi-way
Golf Course Lot Large Backyard Grass Undivided
Greenbelt No Backyard Grass Water/Lake View
Exterior Features Soil Arena Greenhouse RV/Boat Parking Black Limestone Unknown Attached Grill Guest Quarters Satellite Dish Clay Rocky/Shale Other Separate Entry Balcony Gutters Fill Sandy Loam Quarters Boat Dock w/Lift Lighting System Sport Court Boat Dock/Slip Mosquito Mist System Sprinkler System Covered Deck Outdoor Fireplace/Pit Stable/Barn Covered Porch(es) Outdoor Living Center Storage Building Deck Patio Covered Storm Cellar Equestrian Center Patio Open Tennis Court(s) Gardens Private Hangar Workshop Gazebo/Pergola Private Landing Strip Other
Construction Foundation Block Frame/Brick Trim Vinyl Siding Basement Piered Beam Slab Slab Brick Log Wood Bois D’Arc Post Pilings Other Common Wall Rock/Stone Other Pier & Beam Concrete Siding Fiber Cement Stucco
Roof Backyard Pool Features Built-Up Metal Tile/Slate Above Ground In Ground Fiber Glass Pool Perimeter Fence Composition Overlay Wood Shake Attached Spa In Ground Gunite Saltwater Pool Concrete Shake Metal Wood Shingle Cabana In Ground Vinyl Separate Spa/Hot Tub Fiber Cement Tar/Gravel Other Cleaning System Indoor Water Feature Custom Cover Infinity Edge Other
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Diving Lap Pool Heated Play Pool
Type of Fence Parking/Garage Automatic Gate Metal Rock/Stone Assigned Has Sink in Garage Swing Drive Barbed Wire Net Slick/Smooth Wire Attached None Tandem Style Brick None Vinyl Circle Drive Opener Unassigned Chain Link Partially Fenced Wood Covered Outside Entry Uncovered Cross Fenced Pipe Other Detached Oversized Workbench Dog Run Rail Front Porte-Cochere Other Garage Conversion Rear Golf Cart Garage Side
Street/Utilities Common Features Aerobic Septic Curbs Private Sewer Co. Boat Ramp Greenbelt Playground All Weather Road Dirt Private Water Co. Campground Guarded Entrance Private Lake/Pond Alley Gravel/Rock Septic Club House Horse Facilities Public Hangar Comm. Sprinkler Asphalt MUD Sewer Sidewalk Jogging /Bike Path Racquet Ball System City Sewer MUD Water Underground Utilities Common Elevator Landing Strip RV Parking City Water No City Services Unincorporated Community Dock Laundry Sauna Co-op Water Outside City Limits Well Community Pool Marina Spa Community Mailbox Overhead Utilities Other Gated Entrance Park Tennis Concrete Private Road Golf Perimeter Fencing Other
HOA Includes (Required if answered HOA Mandatory) Interior Features All Utilities Full Use of Facilities Security Bay Windows High Speed Internet Vaulted Ceilings Available Backyard Maintenance Gas Sprinkler System Built-in Wine Cooler Intercom Wainscoting Blanket Insurance Management Fees Trash Cable TV Available Loft Water Filter Electric None Water/Sewer Central Vac Multiple Staircases Water Purifier Exterior Maintenance Partial Use of Facilities Other Decorative Lighting Paneling Water Softener Front Yard Reserves Dry Bar Plantation Shutters Wet Bar Maintenance Electric Shades Skylights Window Coverings Elevator Smart Home System Other Flat Screen Wiring Sound System Wiring
Bed/Bath Features Specialty Rooms Bidet Fireplace in Master Separate Vanities Exercise Room Media Room Solarium/Sunroom Built-ins Garden Tub Shower Body Sprays Extra Storage Room Mud Room Spa/Hot Tub Room Cedar Closet Hollywood Bath Sitting Area in Master Game Room Music Room Unfinished Bonus Room Coffee Bar Jack & Jill Bath Split Bedrooms Guest Suite Sauna/Steam Room Wine Cellar Custom Closet System Jetted Tub Steam Shower Library/Study Second Master Other Double Shower Linen Closet Walk-in Closets
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Dual Master Baths Medicine Cabinet Other Dual Sinks Separate Shower
Fireplace Type Kitchen Equipment Blower Fan Freestanding Metal Box Built-in Coffee Maker Cooktop-Gas Oven-Gas Brick Gas Logs See Through Fireplace Built-in Compactor Dishwasher Plumbed for Gas in Kitchen Decorative Gas Starter Stone Built-in Icemaker Disposal Range/Oven-Gas Direct Vent Insert Wood Burning Built-in Microwave Double Oven Range/Oven-Electric Electric Masonry Box Other Built-In Drop in Range/Oven- Vent Mechanism Refrigerator/Freezer Gas Commercial Grade Dual Dishwashers Warmer Oven Range Drawer Commercial Grade Dual Fuel Range Water Line to Vent Refrigerator Convection Oven Indoor Grill Other Cooktop-Electric Oven-Electric
Kitchen Other Utility Room Breakfast Bar Farm Sink Second Sink Built-in Cabinets Laundry Chute Stacked W/D Area Butlers Pantry Galley Kitchen Tile Countertop Drip/Dry Area None Utility Closet Concrete Countertop Granite/Granite Type Walk-in Pantry Dryer Hookup-Elec Room for Freezer Utility in Garage Countertop
Corian/Corian Type Island Other Dryer Hookup-Gas Second Pantry Utility in Kitchen Countertop Dumbwaiter Pot Filler Floor Drain Separate Room Washer Hookup Eat-in Kitchen Recycle Bin Full Size W/D Area Sink in Utility Other
Alarm/Security Type Flooring Burglar Firewall(s) Smoke Detector Brick/Adobe Marble Vinyl Carbon Monoxide Leased Unknown Carpet Parquet Wood Floor Detector Exterior Security Monitored Wireless Ceramic Tile Slate Wood Under Carpet Light(s) Fire Sprinkler System Owned Other Concrete Stone Other Fire/Smoke Pre-Wired Laminate Terrazzo
Heating/Cooling (2 Required) Energy Efficiency 12 inch+ Attic Addtl Water Heater(s) Gas Jets Solar Foam Insulation Storm Door(s) Insulation Central Air-Electric Geotherm Space Heater 13-15 SEER AC Gas Water Heater Storm Window(s) High Efficiency Central Air-Gas Heat Pump Two(+) Pipe (Condo) 16+ SEER AC Tankless Water Heater Water Heater Central Heat-Electric Humidifier Window Unit 90% Efficient Furnace Insulated Doors Thermo Windows Central Heat-Gas No Air Zoned Attic Fan Low E Windows Tinted Windows Programmable Direct Vent No Heat Other Ceiling Fans Turbines Thermostat Electrostatic Air Filter Panel/Floor/Wall Dehumidifier Radiant Barrier Variable Speed HVAC Evaporation Propane Double Pane Windows Smart Electric Meter Ventilator Electric Water Heater Solar Panels Other Energy Star Solar Screens Appliances
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Green Certification Green Features Drought Tolerant Recirculating Hot Energy Star Certified HERS 101+ LEED Platinum Low Flow Commode Plants Water Energy Recovery Green Built N. TX HERS Rated LEED Silver Low Flow Fixtures Solar Electric System Ventilator NGBP-National HERS 0-85 LEED Certified Enhanced Air Filtration Mechanical Fresh Air Solar Hot Water Green HERS 86-100 LEED Gold ET Irrigation Control Rain/Freeze Sensors Wind Power Geo-thermal HVAC Rain Water Catchment
Handicap Amenities Special Notes (Required if answered Y to Handicap Amenities) Meets ADA Elevator Wide Doorways Affordable Housing Res. Service Contract Verify Flood Insurance Requirements Hand Rails Ramp Other Deed Restrictions Right of First Refusal Verify Rollback Tax Senior/Adult Living Lower Fixtures Wheelchair Access Flowage Easement Verify Tax Exemptions Community Special HUD Other Contracts/Provisions Owner/Agent Survey Available
Proposed Financing Possession Assumable Loan FHA Assumable Texas Vet Closing/Funding Negotiable Other Bond Money Fixed Trade/Exchange Lease Outstanding Specific Date Cash FMHA TX Vet Assumable Contact Agent Lease Purchase VA Conventional Not Assumable VA Assumable Conventional VA Reinstatement Owner Carry First Assumable Reqd. Escalating Owner Carry Second Other Federal Land Bank Private Assumable FHA Release Liability Reqd.
Showing Complex Approved For Agent or Owner Go Show-No Appt Combo Lockbox Fannie-Mae Approved Unknown VA Present Necessary Appointment Contact Agent Key in Office FHA (Appt Svc only) Courtesy Call Appointment Service No Lock Box (Appt Svc only) Call-Key Box Go (Appt Svc only) No Sign on Lot Centralized Showing Go-Key Box Special Service Optional Fields Used Only for Condominium and Townhouse Properties
FHA/VA Approved Complex Name Complex #
Building Number Building Stories
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Floor Location
Optional Fields Used Only for Farm and Ranch Properties
Ranch Name Ranch Type Both Livestock (Select One) Crops Other Price Per Acre System Calculated
# of Residences # of Stock Tanks
# of Lakes # of Ponds
# of Wells
Pasture Acres Cultivated Acres
Bottom Land Acres Irrigated Acres
Aerial Photo Available N/A Yes No AG Exemption N/A Yes No
Road Frontage Crop Retire Program N/A Yes No Land Leased N/A Yes No # of Barns
Barn 1 Length Barn 1 Width
Barn 2 Length Barn 2 Width
Barn 3 Length Barn 3 Width
Stalls in Barn 1 Stalls in Barn 2
Stalls in Barn 3
Features
Restrictions No Known Agriculture Deed Hi-Line No Restrict Timber Lease(s) Restriction(s) Unknown Animals Development Inland-Wetland Restr. No Livestock Pipeline Encumbrance(s) Architectural Easement(s) Mobile Home No Mobile Home Surface Lease(s) Other Building Health Department No Divide
Easements Topography Access None Utilities Bottom Level Steep Drainage Pipe Line Water Lines Flood Plain Need Fill Varied Electric Telephone Other Gullies Rolling Other Natural Gas Hilly Sloped
Crops/Grasses Road Frontage Desc Bluestem Irrigated Renner Love Grass Asphalt Gravel/Rock Road Easement Buffalo Grass Klein Grass Row Crop City Interest Sidewalk Coastal Bermuda Main Grass Small Grain Concrete Interstate State Common Bermuda Native Softwood Timber County None Storm Sewer Emmedo Love Grass Non Irrigated Unknown Curbs/Gutters Oil & Screen U.S. Highway Hardwood Timber Orchard Vineyard Dirt Private Other Improved Pasture Produce Other FM Road
Surface Rights Present Use Residential Multi- All Exist Other Agriculture Grazing Family
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Easement Mineral Easement Commercial Hunting/Fishing Residential Single Dairy Industrial Resort Equine Mobile Sheep/Goats Exotics Orchard/Vineyards Swine Planned Unit Feed Lot Truck Farm Development Fish Farm Poultry Other
Proposed Use Other Utilities Residential Multi- Agriculture Grazing Butane Gas Natural Gas Propane/Butane Lease Family Commercial Hunting/Fishing Residential Single Cable Available No Sewer Propane/Butane Own Septic System Dairy Industrial Resort City Electric No Water Required Sewer Available Off Equine Mobile Sheep/Goats Co-op Electric Other Electric Site Sewer Available On Exotics Orchard/Vineyards Swine Electric Other Utilities Site Planned Unit Electric Available Off Feed Lot Truck Farm Perc Test Sewer Tap Fee Paid Development Site Electric Available On Phone Available Off Fish Farm Poultry Other Water Tap Fee Paid Site Site Phone Available On Gas Available Off Site Site Gas Available On Site Propane Gas
Exterior Buildings Barn Information Boiler Operation None Winery Barn(s) Hay Loft Stable(s) Bunk House Silo Workshop Breeding Barn Indoor Arena Stanchion Dairy Barn Mobile Tenant House Other Electric to Barn Living Quarters Tack Room Equipment Barn Loaf Shed(s) Temperature Control Farrowing Barn Mare Motel Wash Rack Feeder Pig Barn Parlor Dairy Barn Water to Barn Goat/Sheep Barn Show Barn Other Hay Barn
Miscellaneous Fenced for Exotic Auto Feed Mill Loading Chute Birds/Game Calf Tables Fenced for Horses Outdoor Arena Cattle Guard Helipad Perm. Squeeze Chutes Cattle Working Pen Holding Pen Walker Cold Storage Facility Hot Walker Windmill Corrals Kennels Other Fenced for Cattle
Owner(s) have examined the information contained in this profile sheet and warrant that the information contained herein is true and correct to the best of their knowledge.
Owner’s Signature
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Signed the day of 20
NOTE: Any information changes and/or status changes should be made on a separate listing modification form and entered into the Multiple Listing Service within the time specified in the Multiple Listing Service Rules & Regulations. I certify that a written listing agreement has been executed on the above property and that it complies with the Rules & Regulations of the Multiple Listing Service.
Participant/Subscriber for Participant
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Notice of Change to Seller’s Internet Display Options
Addendum to Listing Input Form
The purpose of this form is to provide the seller with the option to limit internet display of his/her property listing. For each option, the MLS will automatically default to “yes” unless otherwise noted below. A detailed explanation of these options can be found on page 2 of this form.
MLS # (if applicable):______
Property Address:______
______
1. Allow Internet Display? Yes_____ No_____
If “no” is selected to option #1, consumers who conduct searches for listings on the internet will NOT see information about the property.
If “no” is selected in option #1, skip #2 through #4 and sign below. If “yes” is selected, please complete the following:
2. Allow Address Display? Yes_____ No_____
3. Allow Public Comments/Reviews? Yes_____ No_____
4. Allow AVM? Yes_____ No_____
______Seller 1 Signature Seller 2 Signature
Date: ______
______Date: ______
Listing Agent/Broker Signature
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Explanation of Seller’s Internet Display Options:
1. Allow Internet Display
If “no” is selected, your listing will be marked for no display in NTREIS MLS data feeds to internet websites that display property listing data, whether intended for advertising the property (IDX sites, Realtor.com, NTREIS Translator, etc.) or for providing online brokerage services (Virtual Office Websites “VOW”). Please note that brokers do not have the option to opt-out of VOW but are able to make selections based on their preferences for IDX, Realtor.com and NTREIS Translator. This is done in NTREIS Listings by clicking on My Tools>My Page>Office Participation.)
2. Allow Address Display
If “no” is selected, the address (street number and name) of your property will be hidden on websites receiving data feeds from NTREIS MLS that result in internet listing display, whether intended for advertising the property as noted in #1 or for providing online brokerage services (VOW).
3. Allow Public Comments/Reviews
Some websites that display MLS listing data may provide functionality that permits consumers to enter comments or reviews of the listing properties. If “no” is selected, the website may not collect or display comments or reviews of the listing or by hyperlink to such comments or reviews. Please note that the broker displaying the listing on his/her VOW may add commentary representing his/her professional judgment regarding the listing’s value, etc.
4. Allow AVM
Some websites that display MLS listing data may provide an automated valuation model (AVM) function or service. An AVM uses statistical calculations to estimate the value of a listed property based on data from available public records, the MLS, and other sources and incorporating certain assumptions. The seller(s), by selecting “no,” may prohibit display of an AVM of his/her listing adjacent to the listing display.
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Last Revision 01/2013