** indicates a required field o indicates a single choice …ssgfloorduty.com/forms/res.pdf**garage...
TRANSCRIPT
o Indicates a Single Choice Field □ Indicates a Multiple Choice Field [G] = Green Fields
Office
** Indicates a Required Field
LISTING TAB - LISTING INFORMATION
**Expiration Date **List Price Range Price Y/NYes
Representation
**Listing Type
Central Pasco DeSoto East Pasco Englewood Lakeland
Orlando Osceola Other Port Charlotte Tampa Venice West Pasco
West Volusia
ADDRESS**Street Number Street Dir Pre **Street Name Street Type Street Dir Post
Unit Number **City **State **Zip Zip + 4
**County Floor NumberBuilding #
Building Name/Number Floors in Unit
Page 1
Association
SCHOOLSElementary School
Middle or Junior School
High School
AUCTION**Auction
Auction Firm / Auction WebsiteAuction Type
Yes
No
Private
Pool Dimensions
**List DateEntered Where
Rev. 010616
**Office Primary Board ID
Auction
Absolute
Reserve
Auction Property Access Y/N
Yes
No Buyer's Premium
Short Sale
**Special Listing Type Other
Bartow East Polk
EXTERIOR/POOL TAB -
Above Ground Auto Cleaner Diving Board Gunite/Concrete Heated Spa
In Ground Infinity Edge Inside Salt Water [G]
Solar Coverfor Pool [G]
Solar PoweredPool Pump [G] Vinyl
Other
Days Notice to Tenant
EXTERIOR/POOL TAB - EXTERIOR INFORMATION
½ Duplex Co-op Condo
Manufactured / Mobile Home
Farm
Townhouse Villa
Dock/Rackominium Condo - Hotel
Modular
15 days 30 days
60 days 90 days
Regional
FloorsCountry
Solar HeatedPool [G]
Other WaterFeature
Fiberglass
Outside BathAccess
Heated Pool
Spa
Exclusive Agency L.S. / Exclusive Agency
Limited Service (L.S.)
Exclusion / VariableCommissionExclusion
L.S. / ExclusiveRight To Sell
Exclusive Rightto Lease
SellerRepresented
Seller NotRepresented
NotApplicable
Bank Owned/ REO
None ofthe Above
Auction /Short Sale
Auction/ REO
Vrange List Low Price
No
Sold Data / Entry Only
Variable Commission
Lake andSumter
PinellasSuncoast
Sarasota andManatee
ExclusiveRight to Sell
**Special Sale Provision
Pool Sweep
Tile
Yes No
Community None
Pool Type (8)Child SafetyFence
Screen Enclosure
LakeWales
Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved.
End Date of Lease Monthly Rental Amount (MM/DD/YYYY) Y/N
Month to Month or Weekly
Yes Noif Not Renewing
Mobile Home Style **Property Style
SingleFamily Home
Pre-Fabrication
Mobile Home
**POOL
Existing Lease or Tenant Y/N**Existing Lease
**Property Description (4)
Detached
Bungalow Courtyard Florida
Patio TraditionalOther
Page 2
Balcony
**Location (10)
South West North East North West South East South WestEast
**Exterior Construction (5)
**Roof (3)
Built up Membrane Metal Other Roof Over Shingle Slate Tile
**Foundation (3)
Rev. 010616
Contemporary Elevated
Key West Townhouse
Basement Crawlspace
Three Story
Attached End Unit
Mid-Rise Split-Level
Two Story
One Story
Barn
**Exterior Features
French Doors
Oak Trees
Utility Shed
Oversized
Attached Detached
Guest Parking
Fenced
Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved.
Portico
Lot - Key Park View
Street Private Street Unpaved
Villa
ICF InsulatedConcrete Forms [G]
Dog Run
Greenhouse
None
Other
Workshop
Cape Cod Custom
Ranch
Tudor
Corner Unit
Flood Zone Greenbelt
Lot – Flag
Lot - Tip Sidewalk
Street Paved Unincorporated
Block Metal Frame
Tilt Up Walls [G]
DetachedIn-Law Apt Fruit Trees
Hot Tub/Spa
Other
Satellite Dish
Drive Space
None
Brick On Piling
Stem Wall Stucco
DetachedWorkshop
Gazebo
Sauna
Storage Xeriscape
Circular Drive
Open Parking
HandicapModified
Zoning PermitsHorses
1st FloorMulti-Story
2nd Floor /Multi-Story
3rd Floor+aboveMulti-Story Efficiency Elevated
Ground FloorUnit High-Rise In M / H
CommunityOut of M / HCommunity Penthouse
Townhouse2-3 Floors Tri-Level
Colonial
Historical
DutchProvincial
FrenchProvincial
Spanish /Mediterranean
Victorian
Architectural Styles (6)
Front Exposure
North
Close toBus Line
Close toCommuter
Shake
Coastal ConstrCtrl Lnn
ConservationArea Corner Lot Cul de Sac
DrainageCanal End Unit Garden View Golf Course
FrontageGolf CourseView Greenbelt View
HighwayFrontage Hilly Historic
DistrictIn CityLimits In County Level Lot –
Irregular
Lot -Oversized
Pasture/Agriculture Pool View Street Brick
StreetDead-End
StreetOne Way
Tennis CourtView Wooded View
Slab Stem Wall Stilt / Wood
Asbestos Log
Siding SIP Structurally Insulated Panel [G] Stone Wood Frame (Forestry
Stewardship Certified) [G]Wood Frame
Other
Balcony/Sun Deck
Gutters/Downspouts
HurricaneShutters
MatureLandscaping
Outdoor Grill OutdoorKitchen
OutdoorShower
Patio/Porch/ Deck Covered
Parking -RV/Boat
IrrigationSystem
Patio/Porch/ Deck Open
Patio/Porch/ Deck Screened
RentalApartment
OutdoorLights
Screen/Covered Enclosure
SlidingDoors
SprinklerMetered
Stables Tennis Court- Private
Trees/Landscaped
WheelchairAccessible
**Garage / Carport (3)1 CarCarport
1 CarGarage
2 CarCarport
2 CarGarage
3 CarCarport
3 CarGarage
4 CarCarport
4 CarGarage
5+ CarCarport
5+ CarGarage RV Carport Golf Cart
Garage RV Garage Under BuildingParking
Garage Features (10)
AssignedParking
Bath InGarage
CoveredParking
DoorOpener
GarageConversion
Golf CartParking
No StreetParking
ParkingPad
SecuredParking
Side RearEntry
StreetParking
TandemParking
Under BuildingParking
Washer/DryerHookup
Garage Dimensions
Page 3
Gas
Manager
Maintenance Includes (19)
Model / Make
MH WidthSingle Double Triple
Alt Key/Folio
**Taxes **Year BuiltZoning Compatible
No
**Section
Yes
**Tax Year
**Plat Book/Page
**Subdivision Number Subdivision Section Number**Block/Parcel **Lot #
No
**Additional Parcel
**Range
SW Subdiv Sub Condo Number SW Subdv Community Name Complex/Community Name/NCCB
Yes
**Lot Dimensions **Lot Size (Square Feet) **Lot Size (Acres)
**Total Acreage Zero Lot Line
Non-Applicable
Yes
No
Future Land Use
Completed
Projected Completion Date
Yes
No
**Total Units Land Lease Fee
**Township
**Tax ID
Rev. 010616
Millage Rate
LAND AND TAX TAB - LOT INFORMATION
Census TractCensus Block
**Full Baths **Half Baths **Square Feet Heated Total SqFtINTERIOR TAB - INTERIOR INFORMATION
**Beds
BuildingExterior Cable Community
Pool Electric FidelityBond
FloodInsurance
GroundMaintenance
EscrowReserves Fund
InsuranceBuilding Internet Maintenance
/Repairs Not Applicable Other PestControl
PrivateRoad
PublicInsurance
RecreationalFacilities Security Tennis
CourtsTrashRemovalRoof Water/
Sewer
Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved.
Yes
No
Planned UnitDevelopment Y/N
Special Tax DistrictY/N (Tampa)
Yes
No
**CDD Y/N
Yes
No
Other Exemptions Y/N
**Homestead Y/N
Yes
No
**New Construction Y/N Construction Status
1/4 Acre to21,779 Sq. Ft.
10 to lessthan 20
500+ acres
1/2 acreto 1 acre
One+ toTwo acres
50 to lessthan 100
Up to10,889 Sq. Ft.
5 to lessthan 10
200 to lessthan 500
100 to lessthan 200
Two + toFive acres
Pre-Construction
Flood Zone Code Flood Zone PanelFlood Zone Date
LAND AND TAX TAB - PARCEL
Under Construction
Annual CDD Fee
20 to lessthan 50
**Legal Description
**Zoning
Y/NY/N
**Legal Subdivision Name
LAND AND TAX TAB - LEGAL
Page 4
Breezeway Family Room
Inside Utility
Foyer
Media Room
**Air Conditioning (2) Humidistat No Air Zoned/MultipleCentral
**Heating and Fuel (6) Central Fuel - Oil Heat Pump
No Heat Other Partial Solar Space Heater
Compactor Dryer
Hot Water Gas
None
Range Hood Washer
Rev. 010616
Florida Room
Interior Layout (8)
Great Room 'L' Dining
Garden Bath
Tub w Shower
Closet Pantry Island Pantry Walk In Pantry
Concrete [G] Cork [G]
Marmoleum [G] Quarry Tile
Slate
Marble
Ceramic Tile
Laminate
Vinyl
**Fireplace Y/N
Security System
Yes No
Leased Owned
Fireplace Description (2)
Family RoomDecorative Gas FireplaceFree Standing Living Room
Other Room
Wood
Dual Sinks
Parquet
Terrazzo
Desk Built In
Additional Rooms (9)Bonus Room
Loft
Double MasterBedroom
Inlaw /Rental Apt
Den / Library/ Office
Game Room
Wall Units/Window
Fuel -Electric
Fuel - GasBottled
Fuel - GasNatural
Heat RecoveryUnit
Radiant /Baseboards
Radiant /Ceiling
Wall Units /Window Units
Zoned /Multiple
WallFurnace
Bidet
Brick/Stone
Disposal
Range
Cook Top Only
Exhaust Fan Indoor Grill
Other
Refrigerator
Freezer
Oven
Dishwasher
Microwave Oven Double
Hot Water Electric
MicrowaveHood
Solar HotWater Rented
Water AeratorRented
Water FilterOwned
Water SoftenerOwned
Water FilterRented
ConvectionOven
Kitchen ReverseOsmosis Sys
Solar HotWater Owned
Wine/BarRefrigeration
GasAppliances
TanklessWater Heater
Water AeratorOwned
Attic Ceiling Fan(s)
Dumb Waiter
MedicalAlarm
HandicappedModified
SmokeAlarms
Washer/DryerHookup
Tray Ceiling
Other
AtticVentilator
CentralVacuum
Elevator
Hot Tub/Spa
RadiantBarrier
Solid SurfaceCounters TV Antenna
Wet Bar
Blinds/Shades
CorridorAccess Fire Sprinkler
Rods
Solid WoodCabinets Unfurnished
In WallPest System
WheelchairAccessible
Built inFeatures
Crown MouldingFurnished Furnished
VideoMonitoring
Sauna
Whole HouseR.O. System
Storage Room
Cathedral/Vaulted Ceiling
Dry Bar
ThermalWindows
Walk InCloset
Skylights
Furnishing -Optional
IntercomSystem
Window Treatment
Breakfast RoomSeparate
Eating SpaceIn Kitchen
Formal DiningRoom Separate
Formal LivingRoom Separate
Kitchen/FamilyRoom Combo
Living Room/Great Room
Master BedroomDownstairs
Open FloorPlan
SplitBedroom
VolumeCeilings
Hydro Massage TubHandicappedAccessible
Shower- No Tub
Tub w SeparateShower Stall
Other – Specifyin Remarks
ElectricFireplace
MasterBedroom
Non WoodBurning
Wood BurningFireplace
**Floor Covering (6)Bamboo [G] Carpet Forestry Stewardship
Certified [G]Porcelain TileOther
ReclaimedWood [G]
Recycled/Composite Flooring [G]
SalvagingFlooring [G]
Septic Underground Well
**Utilities (10)
Electric
None
AerobicSeptic
GeneratorHookup
PublicUtilities
SprinklerRecycled
Other
BB/HSInternet Avail
IntegratedGeneratorPublicMunicipal Water
PublicWater Avail
Canal/LakeFor Irrigation
Gas
CableAvailable
PrivateMunicipal System
PrivateMunicipal Water
SprinklerWell
CountyWater
PrivateSewer
PublicSewer
StreetLights
FiberOptics
CityWater
PrivateUtilities
MiniSewer
FireHydrant
CableConnected
SprinklerMeter
Public Records
**Sq Ft Source
Builder MeasuredAppraisal Owner
Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved.
Inside Utility
Provided
**Appliances Included (13)
Built In Oven
Water Softener Rented
**Interior Features (14)
Kitchen Features (5)Breakfast Bar
Living/DiningRoom Combo
Bath w Spa/Master Bath Features (4)
Choices for Room Types are: **Living room or Great room,**Master Bedroom,**Kitchen, 2nd Bedroom, 3rd Bedroom, 4th Bedroom, 5th Bedroom, Balcony/Porch/Lanai, Bonus Room, Breezway, Den/Library/Office, Dining Room, Dinnette,Double Master Bedroom, Family Room, Florida Room, Foyer, Game Room, InLaw/Rental Apt., Inside Utility,Loft, Media Room, Study/den, Studio. Choices for Rooms Levels are: Basement, First Level,Second Level, Third Level, Fourth Level, Fifth LevelChoices for Primary Floor Coverings are: Bamboo, Brick/Stone, Carpet, Ceramic tile, Concrete, Cork, Forestry Stewardship Certified, Laminate, Marble, Marmoleum, Parquet, Other, Quarry Tile, Reclaimed Wood, Porcelain tile, Recycles/Composite Flooring, Salvaged Flooring, Slate, Terrazzo, Vinyl, Wood
Room Type Room Level Room Primary Floor Covering
**ROOMS TAB - ROOM DIMENSIONS
Room Dimensions (W x L) Width Length
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
REV 010616MYFLORIDArEGIONALMLS Copyright 2016
Page 5
Yes
No
Water Access (10)
Beach – Private Brackish Water
Lagoon
Canal – Freshwater
River
**Water View
Yes
No
Water View (10)
LagoonIntracoastal Waterway
Bay/Harbor
Lake - Chain of Lakes
Beach – Public
Canal Creek
Gulf/Ocean - Partial
Marina
Gulf/Ocean - Full
**Water Frontage
Yes
No
Bay/H r r
Gulf/Ocean
Lagoon Lake
Beach - Access Deeded
Gulf/Ocean
Limited Access
River
Creek
M r
l re er
e e
**Water Extras
Yes
No
Water Extras (10)
Water Name
Seawall - Concrete
Fishing Pier Lock
Boat Ramp - Private
Skiing Allowed
No Wake Zone
Private Lake Dues Required
Lift
Seawall - OtherPowerboats-None allowed
Minimum Wake Zone
WATER/GREEN TAB - WATER INFORMATION
Boathouse
Dock-Slip Deeded Off-Site
Boats - None Allowed Bridges-FixedBridges-NoFixed Bridges Davits
Dock-Slip Deeded On-Site
Riprap
Sailboat Water
Dock-Slip 1st Come Dock w/ElectricDock w/o Electric
Dock-Concrete
Dock-Composite
Dock-Covered Dock-Open Dock-Wood Dock w/Water Supply Dock w/o Water Supply
Beach – Public
Bayou
Gulf/Ocean to BayFreshwater Canal w/Lift over to Saltwater Canal
Brackish Water
Pond
Pond
Bayou
Gulf/Ocean to Bay
Bay/Harbor-Partial
Bay/Harbor - Full
Lake - Chain of Lakes
Beach
River
Beach-Private
Canal-Saltwater
Intercostal Waterway
Bayou**Water Access
Freshwater Canal w/Lift over to Saltwater CanalCanal-SaltwaterCanal-Brackish Water
PondMarina
Lake
Creek
Gulf/Ocean to Bay Intracoastal Waterway
Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved. Page 6 Rev. 1010616
Lift-Covered
-Water Frontage Feet -Water Frontage FeetWater Frontage (10)
Lake
- Water Frontage Feet
Canal - Brackishwater
Additional Water Information
Pages 7
Fire ResistantExterior
Above Flood Plain
Hurricane InsuranceDeduction Qual.
Hurricane Shutters/Windows
Lightning Protection System
Safe Room
Rev. 010616
Fire/Smoke Detection Integration
Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved.
WATER/GREEN TAB - GREEN INFORMATION
Green Certifications (G) (4)EarthCraftHouse
Energy StarHome
EPA Indoor AirQuality Plus
EPAWatersense
FGBC GreenCertified Home
FGBCRemodel
Florida FriendlyYard Recognition
FloridaWater Star
FORTIFIED forSafer Living
GeothermalHVAC
LEED CertifiedBuilding
LEED forHomes
LEED NeighborhoodDevelopment
NAHBCertification
Other – Specifyin Remarks
FloridaCertified Yard
Green Water Features (G) (11)
Cistern DripIrrigation
Dual FlushToilets
Grey Water Use-Whole House
High Eff.Faucet/Fixtures
High Eff. (Low Flow)Toilet
Irrigation- None
Irrigation -Reclaimed Water
Rain Barrels-Spigot/Overflow
Whole HouseWater Purification
Irrigation - Low Volume
Green Landscaping (G) (4)Fl. Friendly/NativeLandscaping
Non Toxic Fertilizer/Pesticides
Veg. (Productive)Garden
Rain WaterHarvesting
Green Energy Features (G) (9)Energy StarDishwasher
Energy StarRefrigerator
Energy StarRoof Product
Energy StarWasher
Energy StarWindows
Gas TanklessAppliances
Heat PumpWater Heater
Heat RecoveryUnit
HVACSEER 15+
HVACSEER 20+Humidistat Hydronic
Radiant HeatingOutdoor Lighting - None
OutdoorLighting - Solar
GeothermalHeat Pump
HydroPower
ReflectiveRoofing Material
Solar HydronicRadiant Heat
SprayfoamInsulation - Attic
SprayfoamInsulation - Walls
SolarPower
RadiantBarrier
Fireplace- Direct Vent
Fresh Air Ventilation System
HVAC FilterMERV 8+
No/Low VOCPaint/Finish
Non ToxicPest Control
HVAC UV/Elec. Filtration
Range Hood Vented to Outside
No/Low VOCFlooring
Bath FansVented to Outside
SealedCombustion
Whole HouseVacuum System
SolarWater Heater
HERS Index
ProgrammableThermostat
Indoor Air Quality (G) (12)
HVAC Cartridge
Disaster Mitigation (G) (7 Max)
** OWNERSHIPCo-Op Fee SimpleCondominium Condo - Hotel Land-LeaseFractional
Ownership
Fannie Mae SecuredYes No
OWNER TAB
Owner Phone
Tenant Name
Tenant Phone
Management Contact Information
Owner Name
Wind
/Media Filter
Page 8 Rev. 010616Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved.
**HOA/COMM ASSN None OptionalRequired
Annual QuarterlyMonthly Semi AnnualHOA Fee
Quarterly Semi Annual
Building Has ElevatorYes
No
Mo. Maintenance $
Condo Maintenance Fee
Other Fees Other Fees Amount Other Fees TermAnnual Monthly Quarterly Semi AnnualYes
No
Yes**Deed Restrictions
Monthly HOA Amount
Monthly Condo Fee Amount
COMMUNITY TAB - ASSOCIATION INFORMATION
No
**HOA Payment Schedule
Condo Maintenance Fee ScheduleAnnual Monthly
Community Features (25)Boat Slip Card Entry
Gated
No Truck/RV/ Motorcycle Parking
Dock
Racquet Ball
Playground
Security
Maintenance
Storage
PUDNone PrivatePark
Waterfront Complex
Special CommRestrictions
Community
Free
Boat Ramp
Fishing Pier
Water Access
Airport/Runway
AssociationRecreation - Lease
AssociationRecreation - Owned
Buyers ApprovalRequired
CommunityHot Tub/Spa
CommunityBoat Ramp Fees Required Fitness Golf
CommunityHandicapModified
Irrigation ByReclaimed Water [G]
HorseStables
LaundryFacility
Not all amenitiesincluded in HOA Fees
OptionalAdditional Fees
PublicBoat Ramp
RecreationBuilding
TenantsNo Pets
TennisCourts
COMMUNITY TAB - HOUSING FOR OLDER PERSONS FCHR Website Affidavit
Yes
No
Expire Renewal Date
COMMUNITY TAB - PETS
Yes
No
Pets AllowedYes
No
Number of Pets Pet Size Max Pet Weight
Pet Restrictions
Yes
No
Pet RestrictionsVery Small
Large(61-100 Lbs.)
(Under 15 Lbs.)Small(16-35 Lbs.)Extra Large(101+ Lbs.)
Medium(36-60 Lbs.)
Amenities w/Addnl Fees
**HOUSING FOR OLDER PERSONS (2) 55+ 62+ N/A
Maximum Times Per Year
Yes
No
Additional Lease Restrictions
Association Approval Required
Approval Process (Text)
Lease Restrictions
Minimum Lease Period1 Month
1 Year
2 Months2 Weeks 3 Months
4 Months 5 Months 6 Months No Minimum7 Months
COMMUNITY TAB - LEASING RESTRICTIONS**Can Property Be Leased
No
1-7 Days 1 Week
Years of OwnershipPrior to Leasing Number of Ownership Years Prior to Leasing
Yes
NoYes
No
Yes
REALTOR TAB – REALTOR INFORMATION
Assumable - Must Qualify FHA
Other
Conventional Exchange/TradeCash
VA
Realtor Information (Confidential) (7) In-Foreclosure
Vacant
Go To Site
Financing Available (10)Energy EfficientMortgage [G]
Assumable - Non Qualify
Flood Insurance Required
Green Financing Available [G]
LeaseOption
SellerFinancing
SpecialFunding
Bonus toSelling Office
Bonus toLease Office
Pet onPremises
Pre-Foreclosure Var RateCommission
Contractfor Deed
Copy of LeaseAvailable
OwnerOccupied
Realtor Information (25) Agent Relatedto Owner
Agent /Owner
Assoc ApprovalRequired
AssumableMortgage
Corp. OwnedRelo
BrochureAvailable
CDD AddendumRequired
Condo Discl.Available
DocsAvailable
Env. ReportAvailable
FenceRestrictions Fixer-Upper Floor Plan
AvailableForeignSeller
HOA Discl.Available
HomeWarranty
In-LawQuarters
Lead PaintDiscl.
No Sign Other Discl. - Contact Agent
Owner Will Assistw/ Closing Costs
Owner WillConsiderFinancing
Right of FirstRefusal
Scrub Jay - Check w/ County
Seller PropertyDiscl.
Septic/SewerAdden. Req.
SoldAs-Is
SpecialAssessments
Subject toApproval
SurveyAvailable
Termite Bond /Warranty
VehicleRestrictions
USDALeasePurchase
Page 9 Rev. 010616
REALTOR TAB - AGENT/OFFICE**Agent ID **Agent Name
Agent Email
List Agent 2 ID Agent 2 Name
Agent 2 Email
Team Name
Interoffice Info
**Non Rep Comp **Trans Broker Comp Bonus Amount
**Office Name and Information
Office 2 Name and Information
REALTOR TAB - COMPENSATION**Single Agent Comp Bonus Expiration Date
Yes
No
Bonus Y/N
Showing Time Showing Time Secure RemarksREALTOR TAB - SHOWING INFORMATION
Call Center Phone Number
**Showing Instructions (16)
Set Appointment
View Instructions
24 HourNotice Call Agent 2Appointment
Only
Gate CodeRequired
Key-ListingBroker Office
Lock Box -Electronic
Lock BoxCoded
Listing AgentMust Accompany
Call BeforeShowing
Call ListingAgent
ContactCall Center
Call ListingOffice
CallOwner
CallTenant
Lock Box -Combination
Use RequestShowing Button
No CallBox
Pet onPremises
SeeRemarks
Under Construction(Go to site)
**ID Y/N **Realtor.com Y/N **VOW AVM Y/N Third Party Y/NREALTOR TAB - IDX/VOW
Yes No
**Internet Y/N
Yes No Yes No Yes No Yes No
**IDX/VOW Display **Comments Y/NYes No Yes No
Virtual Tour Lin 2 Web Link 1 Web Link 2REALTOR TAB - MARKETING LINKS and INFORMATION
Yes
No
**Create Automatic Virtual Tour Virtual Tour Link 1
**Public Remarks
Realtor Only Remarks
DATE BROKER
**Driving Directions
The Owner has reviewed the foregoing information contained in this Data Entry Form and acknowledges the information to be true and correct to the best knowledge of the owner.
The Owner agrees to indemnify and hold harmless the My Florida Regional Multiple Listing Service (MFRMLS), the Originating Board, and their employees, the Listing Broker and licensees, the Selling Broker and licensees, and all other cooperating Brokers and licensees against any and all claims or liability (including attorney fees) arising from any breach of warranty by Owner or from any incorrect information supplied by Owner or from any facts concerning the Property which was known or reasonably should have been known to Owner but not disclosed by Owner.
At the request of the Listing Broker, unless otherwise properly indicated on this Data Entry form, MFRMLS will electronically transmit information about the Owner's property to Internet web sites to aid in the marketing of the Property for sale.
MFRMLS shall retain and make available all such data and photographs to all its participants for an indefinite period.
MFRMLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the MFRMLS computer system.
The Owner hereby authorizes Listing Broker to file this Data Entry form with the MFRMLS and the Owner will provide timely notice of all status changes.
Copyright © 2016 My Florida Regional Multiple Listing Service, Inc., all rights reserved.
**Show Prop **Address on Internet
OWNER SIGNATURE OWNER SIGNATUREDATE