Highlighting Indicates the Field Or Section Requires Entry

MLS ENTRY FORMINSTRUCTIONS:  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 FORMAT1 Subdivision 2 Property Type <select one from drop-down> Select one3 Spec or TBB <select one from drop-down> Select one4 Approximate Completion Date mm/dd/yyyy5 Floor Plan 6 Listing Date mm/dd/yyyy7 Expiration Date mm/dd/yyyy8 List Price In whole dollars© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 1 of 13 MLS ENTRY FORM# INFORMATION ENTER YOUR RESPONSES BELOW FORMAT9 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 © 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 2 of 13 MLS ENTRY FORM# INFORMATION ENTER YOUR RESPONSES BELOW FORMAT20 Lot Size 21 HOA (Y/N) <select one from drop-down> Select one22 Monthly Fee In whole dollars23 Finished Square Footage In whole square feet24 Unfinished Square Footage In whole square feet25 # of Rooms 26 # of Bedrooms 27 # of Levels 28 Basement (Y/N) <select one from drop-down> Select one29 Garage (Y/N) <select one from drop-down> Select one30 Garage # of Cars Include decimal31 # of Fireplaces 32 Pool (Y/N) <select one from drop-down> Select oneROOM DIMENSIONSDimensions (round to nearest foot): Length X Width 33 Living Room Level: <select one from drop-down> Description:© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 3 of 13 MLS ENTRY FORM# INFORMATION ENTER YOUR RESPONSES BELOW FORMATDimensions (round to nearest foot): Length X Width 34 Dining Room Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 35 Kitchen Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 36 Family Room Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 37 Foyer Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 38 Great Room Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 39 Office/Study Level: <select one from drop-down> Description:© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 4 of 13 MLS ENTRY FORM# INFORMATION ENTER YOUR RESPONSES BELOW FORMATDimensions (round to nearest foot): Length X Width 40 Rec Room Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 41 Florida Room Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 42 Laundry/Utility Room Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 43 Master Bedroom Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 44 Bedroom #2 Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 45 Bedroom #3 Level: <select one from drop-down> Description:© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 5 of 13 MLS ENTRY FORM# INFORMATION ENTER YOUR RESPONSES BELOW FORMATDimensions (round to nearest foot): Length X Width 46 Bedroom #4 Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 47 Bedroom #5 Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 48 Extra Room #1 Level: <select one from drop-down> Description:Dimensions (round to nearest foot): Length X Width 49 Extra Room #2 Level: <select one from drop-down> Description:FULL BATHS (REQUIRED)Select a Full Bath type for each one found on the Basement level:50 Basement FB #1: <select one from drop-down> FB #2: <select one from drop-down> FB #3: <select one from drop-down> Select a Full Bath type for each one found on Level 1:51 Level 1 FB #1: <select one from drop-down> FB #2: <select one from drop-down> FB #3: <select one from drop-down>© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 6 of 13 MLS ENTRY FORM# INFORMATION ENTER YOUR RESPONSES BELOW FORMATSelect a Full Bath type for each one found on Level 2:52 Level 2 FB #1: <select one from drop-down> FB #2: <select one from drop-down> FB #3: <select one from drop-down> Select a Full Bath type for each one found on Level 3:53 Level 3 FB #1: <select one from drop-down> FB #2: <select one from drop-down> FB #3: <select one from drop-down> HALF BATHS (REQUIRED)Select how many Half Baths are found on each level:Level B: <select one from drop-down> 54 Half Baths Level 1: <select one from drop-down> Level 2: <select one from drop-down> Level 3: <select one from drop-down>55 Year Built yyyy© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 7 of 13 MLS ENTRY FORM# INFORMATION ENTER YOUR RESPONSES BELOW FORMATPublic Remarks 56 (permits as much data to be input as MLS will allow)Agent Remarks 57 (permits as much data to be input as MLS will allow)© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 8 of 13 MLS ENTRY FORMC. PROPERTY FEATURES (see each feature for selection instructions; highlighting  indicates required):58. LOT 60. WATER TYPE 63. STYLE 66. BASEMENT DESCRIPTION (select 0 to 5 choices) (select 1 to 3 choices) (select 1 to 3 choices) (select 0 to 3 choices) BAY FRONTAGE 2-STORY BASEMENT - FULL CORNER BEACH CAPE BASEMENT - PART CUL-DE-SAC CREEK FRONTAGE COLONIAL CRAWL SPACE DEAD END STREET HARBOR FRONT CONTEMPORARY DIRT LEVEL LAKE COTTAGE / BUNGALOW FINISHED - COMPLETE ON GOLF COURSE LAKE FRONTAGE CUSTOM FINISHED - PARTIAL PARK LIKE OCEAN/BAY FRONTAGE GREEN CERTIFIED HOME FLOORED SLOPING POND MEDITERRANEAN / SPANISH HEATED STEEP SLOPES RIVER OTHER LOCKED STORAGE STREET LIGHTS RIVER FRONTAGE PATIO HOME OTHER WATERFRONT WALK TO WATER RANCH SLAB WATERVIEW WATER ACCESS ROWHOUSE UNFINISHED WOODED SALT BOX WALK - OUT ZERO LOT LINE 61. ROOF TRANSITIONAL WORKSHOP (select 1 to 3 choices) 59. SIDING ASPHALT 64. FLOORING 67. APPL/EQP (select 1 to 2 choices) COMPOSITION (select 0 to 4 choices) (select 0 to 15 choices) BRICK DIMENSIONAL CARPET - PART ATTIC FAN BRICK VENEER METAL CARPET - W - W CENTRAL VAC CEDAR SHINGLED LAMINATE COMPACTOR CEDAR SHAKE SLOPED LINOLEUM COUNTERTOP RANGE CEMENT LAPBOX SLATE DISHWASHER CLAPBOARD 62. ATTIC TILE - CERAMIC DISPOSAL VINYL GLASS (select 1 to 3 choices) DOUBLE OVEN WOOD HARDBOARD ACCESS PANEL DOWNDRAFT RANGE WOOD - PART HARDIPLANK EXPANDABLE DROP - IN RANGE SHINGLE FINISHED DRYER STONE NO ATTIC 65. FIREPLACE ELECTRIC AIR CLN STUCCO PART FINISHED (select 0 to 4 choices) ELECTRIC COOKING SYNTH STUCCO PULL DOWN BRICK EXHAUST FAN VINYL WALK-IN DIRECT VENT GAS COOKING WOOD WALK-UP GAS INTERCOM NON-VENTED MICROWAVE STONE OVEN WOOD BURNING REFRIGERATOR SELF / CON CLEAN SMOKE ALARM STACK WASHER / DRYER STOVE© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 9 of 13 MLS ENTRY FORMSTOVE HOOD SUMP PUMP WALLOVEN WASHER© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 10 of 13 MLS ENTRY FORM68. INTERIOR 69. EXTERIOR SAUNA 71. POOL (select 0 to 10 choices) (select 0 to 10 choices) SECURITY GUARD (select 0 to 5 choices) 1ST FLOOR BEDROOM INSULATED DOORS TENNIS COURT COMMUNITY / OFF-SITE 1ST FLOOR MASTER IRRIGATION SYSTEM CONCRETE BEDROOM OUT BUILDING COVERED 1ST FLR BDRM W/ FULL BATH OUTDOOR LIGHTING FENCED 9’+ CEILINGS PALLADIAN WINDOWS HOT TUB BAY / BOW WINDOW PRIVATE STORAGE IN GROUND BEAMED CEILING PUBLIC PARK INDOOR BREAKFAST NOOK SCREENS LAP POOL BREEZEWAY SLIDING DOOR MEMBERSHIP REQUIRED BUILT-IN CABINET / BOOKCASES STORAGE SHED ATTACHED OTHER BUTLER’S PANTRY TENNIS COURT OUTDOOR CABLE TV THERMAL WINDOWS POOL EQUIPMENT CATHEDRAL CEILING POOL HOUSE CEILING FAN 70. AMENITY WITH SPA DINING AREA (select 0 to 10 choices) WITHIN YARD DOUBLE VANITY ASSOCIATION DRYER HOOKUP BASKETBALL 72. FENCED EAT-IN KITCHEN CLUBHOUSE (select 0 to 3 choices) FIRE SPRINKLER COMMON AREA ALL FENCED FORMAL DINING ROOM COMMON LAUNDRY COMBINATION FRENCH DOORS COMMUNITY ROOM DECORATIVE ISLAND CONTROLLED ACCESS FRONT ONLY JETTED TUB DOCK NO FENCING LOFT ELEVATOR PART FENCED MBR BATH EXERCISE ROOM PRIVACY PANTRY EXTRA STORAGE REAR ONLY RECESSED LIGHTING GATED COMMUNITY WALL ROUGHIN BATH GOLF COURSE WROUGHT IRON SECURITY SYSTEM HOT TUB STACK WASHER/DRYER HOOKUP JOGGING PATH SUNKEN TUB 73. PORCH KIDDIE POOL TRAY CEILING (select 0 to 2 choices) LANDSCAPING WALK-IN CLOSET BALCONY LIFEGUARD WASHER HOOKUP DECK MARINA WET BAR FRONT MAINTENANCE FREE FRONT COUNTRY ON BUS LINE FRONT FULL PLAYGROUND GLASS PROFESS MGMT PATIO PUTTING GREEN REAR RESIDENT MANAGER SCREENED ROAD MAINT SIDE© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 11 of 13 MLS ENTRY FORMSLEEPING PORCH 74. HEAT FUEL 78. WATER / SEWER 81. DISABILITY STOOP (select 1 to 3 choices) (select 1 to 2 choices) EQUIP WRAP AROUND ELECTRIC COMMUNITY WELL (select 0 to 5 choices) MULTI-FUEL SYSTEM OTHER ADAPTED NATURAL GAS PUBLIC SEWER BARRIER FREE NONE PUBLIC WATER ELEVATOR OTHER SEPTIC ENTRY RAMPPROPANE GAS WELL GRAB BARS LOWER CABINET / COUNTER 75. HEATING 79. PARKING OTHER (select 1 to 3 choices) (select 0 to 3 choices) RAMP 2 ZONED HEAT ASSIGNED ROLL IN SHOWER3 OR MORE ZONES CARPORT SENSORY BASEBOARD CIRCULAR DRIVE SHOWER SEAT ELECTRIC COMMON DRIVE STAIR LIFT FORCED HOTAIR DOUBLE WIDTH WHEELCHAIR ADAPTED HEAT PUMP NO PARKING WIDE DOORWAYS HOT WATER OFF STREET HOT WATER COIL OTHER ON STREET 82. FEE RADIANT OPEN LOT (select 0 to 2 choices) TIMER THERMOSTAT PAVED DRIVEWAY COMMUNITY ASSOCIATION UNDERGROUND CONDO ASSOCIATION76. COOLING UNPAVED DRIVEWAY COOPERATIVE OWNERS ASSOCIATION (select 1 to 3 choices) ROAD MAINTENANCE 2 ZONED AC 80. GARAGE 3 OR MORE ZONES (select 1 to 6 choices) CENTRAL AIR APARTMENT 83. RESTRICTIONS ELECTRIC ATTACHED (select 0 to 5 choices) GAS A/C AUTO DOOR OPENER AGE-RESTRICTED COMMUNITY GEOTHERMAL DETACHED ARCHITEC DEC HEAT PUMP DIRECT ENTRY ASSOC RESTRC WHOLE HOUSE FAN FINISHED BLDG MORATOR HEATED BLDG RESTRICTION 77. WATER HEATER NO GARAGE FLOOD INSURANCE (select 0 to 2 choices) OTHER FLOOD PLAIN ELECTRIC OVERSIZED SUBDIV RESTR INSTANT HOT STORAGE ABOVE WATERFRONT REST INSULATED UNFINISHED WETLANDS NATURAL GAS WORKSHOP ZONING RESTRICTED OFF FURNACE PROPANE GAS TANK TANKLESS© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 12 of 13 MLS ENTRY FORM84. SALE TERMS VA EXTERIOR MAINTENANCE TRASH REMOVAL (select 1 to 7 choices) VHDA INSURANCE WATER CASH MGMT FEES WATER ACCESS CONVENTIONAL 85. FEE INCLUDES POOL YARD MAINTENANCE FARM HOME ADM (select 0 to 10 choices) RECREATIONAL FACILITIES FED MTG HSAD CLUBHOUSE SECURITY FEDERAL LAND COMM AR MNT SEWER FHA COMMUNITY UTILITIES SNOW REMOVAL© 2010 RE/MAX Action Real Estate (v1.1 – Richmond Tempo) Page 13 of 13

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