GEORGIA MLS Page 1 of 4 TypeRSD SINGLE FAMILY DETACHED (SD) INPUT SHEET Property Address __________________________________ Listing Number _____________________________ __________________________________ List Date/Expire Date ________________________ City State Zip Office Name _________________________________ Agent Name ________________________________ Office Name (2) _________________________________ Agent Name (2)_____________________________ Location StateR_ _ CountyR______________________________ AreaR____ Street NumberR______ Street NameR________________________________________ Quadrant _ _ (NE,NW,SE,SW) R Unit/Lot Number _ _ _ _ _ _ _ _ _ _ _ _ City ______________________________ ZipR_____-____ (Zip 4) SubdivisionR__________________________________________________ Subdivision or complex name. If no subdivision enter NONE Terms R R Listing Agreement Type List DateR__/__/____ Expire DateR__/__/____ List Price $___________ - Exclusive Agency (mm/dd/yyyy) (mm/dd/yyyy) - Exclusive Right to Sell List Agent IDR____________ R List Broker ________ Listing broker code List Agent 2 ID_ _ _ _ _ _ _ _ _ _ _ _ Co-listing Agent. Must be valid Georgia MLS agent ID Owner Name _____________________________ Owner of record Owner Phone _ _ _ -___-____ Variable Rate CommissionR_ R $ Commission ______.__ Is the commission variable? (Y/N) % Tax/Legal Tax IDR________________________ TaxesR_______ Tax YearR____ Tax ID number assigned by county. Also known as Parcel ID or PIN Total taxes (County & City) Year of taxes shown Land Lot ____ District ____ Section _ _ _ _ Block _ _ _ _ Lot _ _ _ _ Unit _ _ Plat Book _ _ _ _ _ _ _ _ Plat Page _ _ _ _ _ _ _ _ Deed Book _ _ _ _ _ _ _ _ Deed Page _ _ _ _ _ _ _ _ R Construction StatusR_ Year Built ____ Acreage_ _ _ _ _ _ _ _ Acreage_SourceR Actual year built - see seller’s statement New Construction To Be Built - Acreage not entered Estimated total acres Resale Under Construction - Agent OwnershipR - Appraiser - Fee Simple - Other (see remarks) Lot Dimensions __________________ - Owner / Seller - Leased Land Start with street frontage and move clockwise separating dimensions with an ‘X’ - Public Record Schools ESR______________ MSR______________ HSR______________ ES Bus _ MS Bus _ HS Bus _ Is property on ES bus route? (Y/N) Is property on MS bus route? (Y/N) Is property on HS bus route? (Y/N) R denotes required field R21-032316 Address_____________________________________________________ Page 2 of 4 Bed/Bath Bedrooms LowerR _ _ Bedrooms MainR _ _ Bedrooms UpperR _ _ Full Baths LowerR _ _ Full Baths MainR _ _ Full Baths UpperR _ _ System will calculate totals Half Baths LowerR _ _ Half Baths MainR _ _ Half Baths UpperR _ _ Interior Energy Related R (continued) Heating TypeR Kitchen Equipment R Accessibility - Insulation - Floors - Baseboard - Convection Oven - 32” Doors - LEED Certified - Ceiling Electric - Cooktop - Separate - Bath Access Wheelchair - None - Central - Dishwasher - Elevator Access Wheelchair - Programmable Thermostat - Floor Furnace - Double Oven - Garage Van Access - Roof Vent Fans - Floor Radiant - Garbage Disposal - Low Door Handles - Storm Doors - Forced Air - Icemaker Line - Low Kitchen Counters - Storm Windows - Heat Pump - Indoor Grill - Low Switches - Tankless Water Heater - No Heating - Microwave - Built In - Other (See Remarks) - Water Heater - Electric - Other (See Remarks) - None - Ramps - Water Heater - Gas - Space Heater - Other (See Remarks) - Shower Access Wheelchair - Water Heater - Solar - Steam / Hot Water - Oven - Wall - Stepless Entry - Zoned / Dual - Range / Oven - Wide Hall - Refrigerator R Equipment Interior - Stainless Steel Appliances - Attic Expandable R - Alarm - Burglar - Trash Compactor Basement - Bookcases - Alarm - Carbon Monoxide - Bath Finished - Cable In Street - Alarm - Smoke / Fire - Bath Stubbed - Cable TV Connection Laundry Location - Central Vacuum - Block - Carpet - Basement - Dryer - Boat Door - Ceilings 9' Plus - Garage - Electric Air Filter - Concrete - Ceilings - Trey - Hall - Fire Sprinkler - Crawlspace - Ceilings - Vaulted - Kitchen Area - Generator - Daylight - Double Vanity - Mud Room - Intercom / Radio - Earthen - Elevator - Other (See Remarks) - Entrance - Inside - Satellite Dish - Exposed Beams - Upstairs - Entrance - Outside - Washer - Foyer - 2 Story - Finished Rooms - Water Softener - Foyer - Entrance - Full Laundry Type - Garden Tub - Closet - Partial - Gas Logs - No Laundry - Pier R - Handicap Access Fireplaces __ - Other (See Remarks) - Slab / None - Hardwood Floors Total number of fireplaces - Room - Laminate Flooring R Cooling Source Fireplace Location - Other (See Remarks) - Electric - In Basement - Pull Down Attic Stairs - Gas R - In Great / Family Room - Rear Stairs Rooms - Other (See Remarks) - Bonus Room - In Living Room - Recently Renovated - Solar - Den - In Master Bedroom - Sauna - Dining Rm / Living Rm Combo - Other (See Remarks) - Separate Shower - Dining Rm - L Shaped Cooling TypeR - Outside - Skylight - Dining Room Seats 12+ - Ceiling Fan - Tile Bath - DR-Separate - Central - Tile Floors - Exercise Room - Heat Pump Fireplace Type - Walk-in Closet - Family Room - No Cooling - Factory Built - Wet Bar - Great Room - Other (See Remarks) - Gas Starter - Whirlpool Bath - In-Law Suite or Apartment - Whole House Fan - Masonry - Library / Office - Window Units - Metal Kitchen / Breakfast - Loft - Zoned / Dual - Wood Stove - Breakfast Area - LR Separate R - Breakfast Bar - Master on Main Level Energy Related R - Certified Earthcraft Heating Source - Breakfast Room - Other (See Remarks) - Certified Energy Wise - Electric - Country Kitchen - Rec Room - Certified EnergyStar - Gas - Island - Roommate Plan - Certified Good Cents - Oil - Keeping Room - Solarium / Sun Room - Double Pane / Thermo - Other (See Remarks) - Pantry - Split Bedroom Plan - Geothermal - Propane - Second Kitchen - Stubbed Bath - HERS Rated - Solar - Solid Surface Counters - Theater / Media Room - Insulation - Ceiling - Wood - Walk-in Pantry - Wine Cellar Water Feature Name Boathouse/Dock Water Description - Boathouse - 1 Slip ______________________________ - Corps of Engineers Controlled - Boathouse - 2 Slip - Deep Water Access - Boathouse - 3 plus Name of lake/river/other - Lagoon - Covered Dock - 1 Slip - Covered Dock - 2 Slip - Lake Access - Marsh - Covered Dock - 3 plus Waterfront FT - Dock Approval Required _____ - Pond - Dock Rights Estimated length - Private - Floating Dock - Stream / Creek / River - No Dock or Boathouse Property Setting - Tidal - No Dock Rights - Borders US / State Park - Utility Company Controlled - Seawall - Creek - Water View - Shared Dock - Lake - Waterfront - Stationary Dock - Mountain - Uncovered - No Slip - Ocean / Gulf - Verbal Appr Dock Permit - River R denotes required field R21-032316 Address_____________________________________________________ Page 3 of 4 Exterior R Construction R Exterior (continued) Parking R Style - Aluminum / Vinyl - Screen Porch - 1 Car - A-Frame - Brick / Frame - Sprinkler System - 2 Car - Adirondack - Brick 3 Sided - Stables - 3 Car or More - Bungalow / Cottage - Brick 4 Sided - Tennis Court - Assigned Space - Cabin - Brick Front - Veranda - Attached - Cape Cod - Concrete Siding - Water Feature - Auto Garage Door - Cluster - Log - Workshop - Carport - Colonial - Other (See Remarks) - Detached - Contemporary - Press Board Siding R - Drive Under / Basement - Country / Rustic - Rough-Sawn Siding Lot Description - Craftsman - City View - Garage - Steel Frame - European - Corner - Guest Parking - French Provincial - Stone - Cul De Sac - Kitchen Level Entry - Stone / Frame - Golf Course - None - Mediterranean - Stucco EIFS - Greenbelt - Off Street - Mobile Home - Stucco Real - Level Lot - Parking Pad - Modular Home - Stucco Unspecified - Mountain View - Parking Shed Must be permanently attached to - Tabby - None - RV / Boat Parking land and sold as real estate - Wood Siding - Open Land - Side / Rear Entrance - Other (See Remarks) - Private Backyard - Storage - Ranch - Seasonal View - Traditional Exterior - Sloping Roof Type - Tudor - Balcony - Valley View - Composition - Victorian - Barn - Wooded - Concrete - Deck / Patio - Copper - Dog Run / Pen - Metal / Steel Water/Sewer R - Fenced Yard - Other (See Remarks) - Community Well R - Garden Area Lot Size - Slate - Low Flow Fixtures - Gas Grill - Less than 1/3 Acre - Tar / Gravel - Private Sewer - Gazebo 1/3 - 1/2 Acre - Tile - Private Water - Green House - - Tin - Public Water - 1/2 - 1 Acre - Hot Tub - Septic Tank - Wood Shingle - Other (See Remarks) - 1 - 2 Acres - Sewer Connected - Out Building StoriesR - 2 - 5 Acres - Sewer in Street - Outdoor Kitchen - 1 Story 5 - 10 Acres - Well - Pool - Above Ground - - 1.5 Stories - Pool - In Ground - 10 - 20 Acres - 2 Stories Owner Initials __________ - Pool House - 20 - 50 Acres - Over 2 Stories - Pool Screened / Enclosed - 50 - 100 Acres - Multi-Level - Porch - Split Foyer - 100 Plus Acres - Split Level Other Possible Financing (continued) R (continued) Special Conditions Date of Possession R Neighborhood Amenities - FHA - None - Agent Owned - 3-7 Days after Closing - FNMA Apprv - Park - Agent/Seller Relationship - At Closing - FNMC Apprv