Highlighting Indicates the Field Or Section Requires Entry

MLS ENTRY FORM

INSTRUCTIONS:  Complete this form for each property. All entry fields are highlighted in grey .  Highlighting  indicates the field or section requires entry.  The [TAB] key moves you to next input field. The [SHIFT][TAB] combination moves you to the previous input field.  Do NOT use the [ENTER] key while entering data.  Clicking on any drop-down box entry will allow selection of just one item in that list. Click again to reselect another choice.  You can click as many “check box” items per group as instructed. Clicking a second time will unselect that item.  Some versions of Microsoft Word may display a security warning. Simply enable the active content as per its instructions.  Save a copy. Print a copy. Email your final version to [email protected] or fax to 804-521-5602.  If any questions or suggested improvements, please contact Gary Duda at 804-521-5601.

A. SUBMITER INFORMATION (person inputting data should complete this section): COMPANY SALES REP NAME PHONE # ( ) - EMAIL ADDRESS SUBMISSION DATE

B. PROPERTY INFORMATION (this data covers the property in question): # INFORMATION ENTER YOUR RESPONSES BELOW FORMAT

1 Subdivision

2 Property Type Select one

4 Approximate Completion Date mm/dd/yyyy

5 Floor Plan

6 Listing Date mm/dd/yyyy

7 Expiration Date mm/dd/yyyy

8 List Price In whole dollars

# INFORMATION ENTER YOUR RESPONSES BELOW FORMAT

9 County/City

10 Area

11 Full Street Address

12 Zip Code nnnnn-nnnn (zip+4)

13 Tax ID

Lot 14 Lot / Block / Section Block Section

15 Commission

16 Elementary School

17 Middle School

18 High School

19 Directions

# INFORMATION ENTER YOUR RESPONSES BELOW FORMAT

20 Lot Size

21 HOA (Y/N) Select one

29 Garage (Y/N) Select one

ROOM DIMENSIONS

Dimensions (round to nearest foot): Length X Width

33 Living Room Level: Description:

35 Kitchen Level: Description:

37 Foyer Level: Description:

39 Office/Study Level: Description:

41 Florida Room Level: Description:

43 Master Bedroom Level: Description:

45 Bedroom #3 Level: Description:

47 Bedroom #5 Level: Description:

49 Extra Room #2 Level: FB #2:

Select a Full Bath type for each one found on Level 1:

51 Level 1 FB #1: FB #3: FB #2:

Select a Full Bath type for each one found on Level 3:

53 Level 3 FB #1: FB #3: 54 Half Baths Level 1: Level 3: 13