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Rental * Denotes Required Field MLS Information ML Number *County Rental * Denotes Required Field MLS Information ML Number *County Name (system generated) (Please use COUNTY code list) *Tax ID# *Property Class Homes and/or Acreage (check 1) Mid/Hi-rise Condominium Multi-Family Detached Residential Lot/Land Single Family Detached Townhouse Condominium *Area Building Stories (#) (Please use AREA code list) *Key Map Page *Location (Please use LOCATION code list) and Grid *List Price Also for Sale NA Yes No Sale ML Number Street Directional East South (check 1) North Southeast Northeast Southwest Northwest West Price For Sale *Street Number *Street Name Unit Number *City *Zip Code Zip Code Extension *State *Country *Subdivision *Legal Subdivision To be determined by zip code Section Number Building Name *Legal Description (Required if Highrise Condominium) (Please use BUILDING NAME list) Floor Location *Market Area SqFt Source Appraisal Builder Building Square Feet (check 1) Appraisal District Seller Assessor Year Built Source Appraisal Builder *Year Built (check 1) Appraisal District Seller Assessor *School District School - Elementary (Please use SCHOOL DISTRICT code list) 5/10/2011 Address____________________________________ Landlord's Initials ______ ______ 1 of 8 School - Middle School - High Office Information *Listing Agent Listing Broker System Generated Public ID Alternate Number Alternate Agent Home Office Alternate Phone Description Assistant Sales Office (check 1) Direct Line Night Phone Office Phone *Appointment Desk Office Phone Extension Phone *Appointment # Agent Other Fax Number Description Office Owner On-Site Sales Showing Service Agent Mobile Phone Description and Room Dimensions Rental Type *Loft Apartment Historic Yes No (check 1) Condo Other Duplex Patio Home Efficiency Town House Fourplex Triplex Freestanding *New Construction New Construction Yes No Never Lived In Description (if yes, selection required) To Be Built/ Under Construction East South Apprx Completion Date Front Door Faces North West Number of Unit Stories Unit Level Total Number of Units Living Room Dimensions Den Gameroom Dimensions Dimensions Study Dining Room Dimensions Dimensions Kitchen Breakfast Room Dimensions Dimensions 1st Bedroom 2nd Bedroom Dimensions Dimensions 3rd Bedroom 4th Bedroom Dimensions Dimensions 5th Bedroom Extra Room Dimensions Dimensions Bedrooms - Maximum *Bedrooms - Number Number 5/10/2011 Address____________________________________ Landlord's Initials ______ ______ 2 of 8 *Bathrooms - *Bathrooms - Half Full Parking Desc. Additional Parking Golf Cart (check up to 4) Assigned Parking RV Parking Auto Garage Door Unassigned Parking Operner Furnished NA Yes No Boat Parking Underground Connecting Valet Parking Controlled Entrance *Garage - Garage Description Attached/Detached Garage Number of (check 1) Spaces Attached Garage Detached Garage Tandem Complex Garage/ Carport Automatic Driveway Gate Access Desc. Additional Parking Driveway Gate (check 1) Card/Code Access (check up to 2) Auto Driveway Gate Golf Cart Garage Door Person Auto Garage Door Opener Porte-Cochere Driveway Gate Boat Parking RV Parking Intercom Manned Gate Circle Driveway Workshop Receptionist Converted Driveway Carport Description Attached/Detached Carport Number of (check 1) Carport Attached Carport Spaces Detached Carport Lot Size Source Appraisal District Unknown Lot Size (check 1) Survey Other Acreage 0 Up to 1/4 Acre 1 Up to 2 Acres (check 1) Lot Dimensions 1/4 Up to 1/2 Acre 2 Up to 5 Acres 1/ 2 Up to 1 Acre 5 Up to 10 Acres Remarks/Directions Private Agent Remarks (500 max. characters) 5/10/2011 Address____________________________________ Landlord's Initials ______ ______ 3 of 8 Accompany Lockbox Left Side Appointment Required Lockbox Right Side Call Occupant No Appointment Required *Showing Lockbox Instructions Controlled Access No Supra Keybox Number (check up to 4) Leave Business Card Supra Keybox Lockbox Back Temporarily No Showings Lockbox Front *Directions to Property (250 max. characters) Property Description - Public (500 max. characters) Interior, Exterior, Utilities and Additional Info Microwave NA Yes No Dishwasher NA Yes No Compactor NA Yes No Disposal NA Yes No Oven Type Range Type Convection Oven Freestanding Electric Range Gas Range (check up to 2) (check up to 2) Double Oven Gas Oven Freestanding Range Grill Electric Oven Single Oven Appliances Separate Ice Maker Dryer Included Refrigerator NA Yes No (check up to 6) Electric Dryer Stacked Connections Full Size Washer Connections Gas Dryer Washer Included Connections Washer Utility Room Electric Dryer Connection Utility Room in Garage Dryer Description Connections Gas Dryer Connections (check 1) Utility Room in House (check up to 3) Washer Connections 5/10/2011 Address____________________________________ Landlord's Initials ______ ______ 4 of 8 Energy Interior Insulation - Blown Attic Fan 2 Staircases Hollywood Bath Features Fiberglass Features (check up to 14) (check up to 8) Alarm System - Intercom to Front Desk Attic Vents Insulation - Rigid Foam Leased Ceiling Fans Insulation - Spray-Foam Alarm System - Intercom System Digital Program Insulation - Other Owned Thermostat Atrium Interior Storage Closet Energy Star/CFL/LED North/South Exposure Bedroom With Lights Island Kitchen Sitting Area Energy Star Appliances Other Energy Features Breakfast Bar Maid Service Energy Star/Reflective Radiant Attic Barrier Roof Brick Walls MultiLevel Bedroom Geothermal System Solar H2O Heater Central Vacuum Opening Ceiling High-Efficiency HVAC Solar PV Electric Panels Chilled Water System Pressurized Stairwell HVAC>13 SEER Solar Screens Country Kitchen Prewired for Alarm System Insuated Doors Storm Windows Concrete Walls Private Elevator Insulated/Low-E Windows Structural Insulated Panels Drapes/Curtains/ Partially Sprinklered Insulation - Batt Tankless/On-Demand H2O Window Cover Heater Dry Bar Refrigerator Included Insulation - Blown Cellulose Wind Turbine Dryer Included Spa/Hot Tub Elevator Split Level Fire/Smoke Alarm Steel Beams Fully Sprinklered Tile Handicap Access Washer Included High Ceiling Wet Bar Green/ Flooring Energy Star Qualified National Green Bldg Cert (check up to 5) Brick Stone Energy Home (NAHB) Certifications Carpet Terrazo (check up to 7) Environments For Living Other Energy Report Concrete Tile Home Energy Rating/HERS Other Green Certification LEED for Homes (USGBC) Laminate Vinyl Marble Wood Slate *Bedroom 1 Bedroom Down, Description Master Bed - 1st floor Not Master BR (check up to 2) 2 Bedrooms Down Master Bed - 2nd floor Countertops 2 Master Bedrooms Master Bed - 3rd floor All Bedrooms Down Master Bed - 4th floor All Bedrooms Up Split Plan Master Room Desc. Bidet Master With Tub Kitchen/Dining Bath Desc. (check up to 5) 1 Living Area Combo (check up to 3) Double Sinks No Master Breakfast Room Living/Dining Combo Half Bath Tub with Shower Den Loft Master Bath + Two Master Baths Separate Shower Formal Dining Media Master Bath Formal Living Quarters/Guest House Whirlpool/Tub Shower Only Gameroom Down Study/Library Gameroom Up Sun Room Garage Apt. 5/10/2011 Address____________________________________ Landlord's Initials ______ ______ 5 of 8 Fireplace Description Freestanding Mock Fireplace Fireplaces (check up to 1) (Number of) Gas Connections Stove Gaslog Fireplace Wood Burning Fireplace *Pool - Private *Pool - Area Yes No Yes No Private Pool Waterfront Above Ground Heated Bay Front Bulkhead Description Features (check up to 2) Enclosed In Ground (check up to 10) Bay View Canal Front Fiberglass Vinyl Lined Bayou Frontage Gulf View Gunite Bayou View Lake View Beach Front Lakefront Beach Side Pier Beach View Pond Boat House River View Boat Lift Riverfront Boat Ramp Boat Slip Recreational Exterior Not Paid Tenant Pays Area Tennis Courts Racquet Ball Court Facilities Fees Description (check 1) Owner Pays Yes Paid (check up to 6) Balcony Satellite Dish Balcony/Terrace Screened Porch Barn/Stable Screens Clubhouse Service Elevator Controlled Subdivision Spa Access Cross Fenced Spa/Hot Tub Dry Sauna Sprinkler System Exercise Room Steam Room Fenced Storage Room Full Fenced Storage Shed Greenhouse Storm Windows Guest Room Available Tennis Jogging Track Subdivision Tennis Court Partially Fenced Trash Chute Patio/Deck Trash Pick Up Party Room Wheelchair Access Play Area Workshop Private Tennis Court *Lot Description *Heating Cleared Over Pool Butane Propane (check up to 3) System Corner Over Tennis Court(s) Description Central Electric Solar Assisted (check up to 2) Court Yard Patio Lot Central Gas Space Heater Cul-De-Sac Street Heat Pump Wall Heater Greenbelt Subdivision Lot No Heating Zoned In Golf Course Water View Other Heating Community On Golf Course Waterfront Other Wooded 5/10/2011 Address____________________________________ Landlord's Initials ______ ______ 6 of 8 Golf Course Name *Cooling Attic Fan Other Cooling System (Please use GOLF code list) Description Central Electric Solar Assisted (check up to 2) Central Gas Window Units Heat Pump Zoned No Cooling/Vent *Water Sewer Utility District No Sewer Public Water NA Yes No Description (check up to 3) No Water Septic Tank Other Water/Sewer Water District Public Sewer Well Cable Available Utilities Paid Available Not Available Cable Pool Maintenance (check up to 9) Electricity Trash Pickup Gas Water/Sewer None Provided Yard Maintenance Phone *Disclosures Approved Seniors Project Mud (check up to 5) Corporate Listing No Disclosures Exclusions Other Disclosures Foreclosure Owner/Agent Home Protection Plan Sellers Disclosure Levee District Short Sale Mi/Lenders Approval Special Addendum
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