bright realty...water aerator rented **interior features (14) cook top only exhaust fan indoor grill...

** Indicates a Required Field o Indicates a Single Choice Field □ Indicates a Multiple Choice Field [G] = Green Fields

Office

LISTING TAB-STATUS AND LISTING INFORMATION

**Expiration Date **List Price Range Price Y/NYes

No

Representation

**Listing Type Exclusive Right to Lease

L.S. / Exclusive Right To Sell

Central Pasco DeSoto East Pasco Englewood Interealty Usage

Lake and Sumter Lake Wales Lakeland ManateeOrlando

Osceola Other

Pinellas Suncoast Port Charlotte Sarasota Tampa Venice West Pasco West Volusia

**Special Sale Provision

**Special Listing Type

ADDRESS

**Street Number Street Dir Pre **Street Name Street Type Street Dir Post

Unit Number **City **State **Zip Zip + 4

**County Floor Number Building # Floors Building Name/Number Floors in Unit

Seller Not Represented

L.S. / Exclusive Agency

Association

SCHOOLS

Elementary School Middle or Junior School High School

AUCTION

**Auction

Auction Firm / Auction WebsiteAuction Type

Yes

No

EXTERIOR/POOL TAB - **POOL

Private

Pool Dimensions

Pool Type (8)

**List DateEntered Where

Rev. 0622215-2

**Office Primary Board ID

Auction

Auction / REO

Auction / Short Sale

Absolute

Reserve

Auction Property Access Y/N

Yes

No Buyer's Premium

Sold Data / Entry Only

Seller Represented

Exclusive Right to Sell

Limited Service (L.S.)

Bank Owned / REO

Short Sale

None of the Above

Exclusive Agency

Exclusion Exclusion / Variable Commission Not Applicable Other Variable Commission

Bartow East Polk

Community None

Above Ground Auto Cleaner Child Safety Fence Diving Board Fiberglass Gunite/Concrete Heated Pool

Heated Spa In Ground Infinity Edge Inside Other Water Feature Outside Bath Access

Pool Sweep Salt Water [G] Screen Enclosure Solar Cover for Pool [G]

Solar Powered Pool Pump [G]

Spa

Tile Vinyl

Solar Heated Pool [G]

Other

Existing Lease Existing Lease or Tenant Y/N

Yes NoEnd Date of Lease (format: xx/xx/xxxx) Monthly Rental Amount Month to Month or Weekly Y/N

Yes No

Days Notice to Tenant if Not Renewing

EXTERIOR/POOL TAB - EXTERIOR INFORMATION

½ Duplex Co-op Condo

Manufactured / Mobile Home

Farm

Townhouse Villa

Dock/Rackominium

Single Family Home

**Property Syle Condo - Hotel

Modular

Mobile Home Style

Pre-Fabrication

Mobile Home

15 days 30 days

60 days 90 days

Vrange List Low Price

Regional

**Property Description (4)

1st Floor Multi-Story

Detached

Ground Floor Unitl

3rd Floor+above Multi-Story

Elevated

In M / H Community

Penthouse

Tri-Level

Architectural Styles (6)

Bungalow

Courtyard

Florida

Patio

Traditional

Other

Balcony

Corner Lot

End Unit

Golf Course View

Hilly

Level

Lot – Oversized

Pool View

Street One Way

Tennis Court View

Close to Bus Line

Corner Unit

Flood Zone

Greenbelt

Historic District

Lot – Flag

Lot - Tip

Sidewalk

Street Paved

Unincorporated

**Location (10)

E

W

NE

NW

SE

SW

N

S

Front Exposure

**Exterior Construction

(5) Asbestos Brick

Log On Piling

Siding Stem Wall

Stucco Wood Frame

Block

Metal Frame

ICF Insulated Concrete Forms [G]

Stone

Wood Frame (Forestry Stewardship Certified) [G]

**Roof (3)

Built up

Membrane

Metal

Other

Roof Over

Shake

Shingle

Slate

Tile

**Foundation (3)

Stilt / Wood

Rev. 0622215-2

Cape Cod

Custom

French Provincial

Ranch

Tudor

Colonial

Dutch Provincial

Historical

Spanish / Mediterranean

Victorian

Contemporary

Elevated

Key West

Townhouse

Villa

Coastal Constr Ctrl Lnn

Cul de Sac

Garden View

Greenbelt View

In City Limits

Lot - Irregular

Pasture/Agriculture

Street Brick

Street Private

Wooded View

Conservation Area

Drainage Canal

Golf Course Frontage

Highway Frontage

In County

Lot - Key

Park View

Street Dead-End

Street Unpaved

Zoning Permits Horses

SIP Structurally InsulatedPanel [G]

Tilt Up Walls [G]

Other

Basement

Crawlspace

Slab

Stem Wall

2nd Floor / Multi Story

Efficiency

High-Rise

Out of M / H Community

Townhouse 2-3 FloorsThree Story

Attached

End Unit

Mid-Rise

Split-Level

Two Story

One Story

Barn

**Exterior Features

French Doors

Handicap Modified

Oak Trees

Patio/Porch/Deck Covered

Outdoor Lights

Sprinkler Metered

Utility Shed

Balcony/Sun Deck

Fenced

Gutters/Downspouts

Mature Landscaping

Outdoor Shower

Rental Apartment

Sliding Doors

Trees/Landscaped

Detached In-Law Apt

Fruit Trees

Hot Tub/Spa

Other

Parking - RV/Boat

Satellite Dish

Stables

Wheelchair Accessible

Detached Workshop

Gazebo

Hurricane Shutters

Outdoor Grill

Patio/Porch/Deck Open

Sauna

Storage

Xeriscape

Dog Run

Greenhouse

Irrigation System

Outdoor Kitchen

Patio/Porch/Deck Screened

Screen/Covered Enclosure

Tennis Court - Private

2 Car Carport 3 Car Carport

4 Car Carport 4 Car Garage

1 Car Garage

**Garage / Carport (3)

5+ Car Garage

1 Car Carport

3 Car Garage

2 Car Garage

5+ Car Carport

Under Building parkingGolf Cart Garage NoneRV Carport RV Garage

Assigned Parking

Door Opener Golf Cart Parking

Oversized

Tandem Parking Workshop

Attached Covered Parking

Detached

Guest Parking No Street Parking Other

Parking Pad Side Rear Entry

Street Parking

Bath In Garage

Drive Space

None

Circular Drive

Garage Conversion

Garage Features (10)

Open Parking

Secured Parking

Washer/Dryer Hookup

Portico

Under Building Parking

Fidelity Bond

Public Insurance

Building Exterior Community Pool

Gas

Internet Manager

Pest Control

Security Trash Removal

Garage Dimensions

Maintenance Includes (19)

Model / MakeMH Width

Single Double Triple

Alt Key/Folio **Taxes **Tax Year **Year Built

**Zoning Zoning Compatible Y/N

No

**Section

Yes *

**Legal Subdivision Name

**Plat Book/Page

**Subdivision Number Subdivision Section Number**Block/Parcel **Lot #

No

**Additional Parcel Y/N**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

5 to less than 10

Zero Lot Line Up to 10,889 Sq. Ft. 1/2 acre to 1 acre One+ to Two acres

Two + to Five acres 20 to less than 50 50 to less than 100

200 to less than 500 Non-Applicable100 to less than 200

**Homestead Y/NYes No

**CDD Y/NAnnual CDD Fee

Yes NoOther Exemptions Y/N

Yes No

Future Land Use

Completed Pre-Construction

Construction StatusUnder Construction

Projected Completion Date

Yes No

**New Construction

Yes No

**Total Units Land Lease Fee

Yes No

**Township

**Legal Description

LAND AND TAX TAB - LEGAL **Tax ID

Rev. 0622215-2

Millage Rate

Development Planned Unit

Special Tax District Y/N (Tampa)

LAND AND TAX TAB - PARCEL

LAND AND TAX TAB - LOT INFORMATION Flood Zone Code

Census TractCensus Block

Cable

Flood Insurance

Maintenance/Repairs

Private Road

Tennis Courts

Electric

Ground Maintenance

Not Applicable

Recreational Facilities

Water/Sewer

Escrow Reserves Fund

Insurance Building

Other

Roof

1/4 Acre to 21,779 Sq. Ft.

10 to less than 20

500+ acres

**Full Baths **Half Baths **Square Feet Heated Total SqFtINTERIOR TAB - INTERIOR INFORMATION

Builder Measured Owner Provided Public Records**Sq Ft Source

Septic Sprinkler Meter

City Water Cable Connected

Fiber Optics Fire Hydrant

Private Sewer Private Utilities

Public Sewer Mini Sewer

Street Lights Underground

Well

**Bed

Appraisal

**Utilities (10)

Aerobic Septic

Electric

None

Generator Hookup

Public Utilities

Sprinkler Recycled

BB/HS Internet Avail

Canal/Lake For Irrigation

Other

Integrated Generator

Public Municipal Water

Public Water Avail

Cable Available

County Water

Gas

Private Municipal System

Private Municipal Water

Sprinkler Well

Additional Rooms (9) Breezeway Family Room

Inside Utility

Loft

Foyer

Media Room

**Air Conditioning (2)

Humidistat No Air Wall Units/Window Zoned/MultipleCentral

**Heating and Fuel (6)

Fuel - Gas BottledCentral Fuel - Electic Fuel - Gas Natural Fuel - Oil

Heat Pump Heat Recovery Unit No Heat Other Partial

Radiant / Baseboards Radiant / Ceiling Solar Space Heater Wall Furnace

Wall Units / Window Units Zoned / Multiple

**Appliances Included (13)

Compactor Convection Oven

Dryer Freezer

Hot Water Electric Hot Water Gas

Microwave Hood None

Range Range Hood Solar Hot Water Ownded

Solar Hot Water Rented Washer Water Softener Rented

Water Filter Owned Wine/Bar Refrigeration

Rev. 0622215-2

Bonus Room

Florida Room

Den / Library / Office

Game Room

Double Master Bedroom

Inlaw / Rental Apt

Built In Oven

Disposal

Water Aerator Rented

**Interior Features (14)

Cook Top Only

Exhaust Fan

Indoor Grill

Other

Refrigerator

Water Softener Owned

Water Filter Rented

Dishwasher

Gas Appliances

Microwave

Oven Double

Tankless Water Heater

Water Aerator Owned

Kitchen Reverse OsmosisSys

Oven

Attic

Ceiling Fan(s)

Dumb Waiter

Handicapped Modified

Medical Alarm

Smoke Alarms

Tray Ceiling

Washer/Dryer Hookup

Other

Attic Ventilator

Central Vacuum

Elevator

Hot Tub/Spa

Radiant Barrier

Solid Surface Counters

TV Antenna

Wet Bar

Blinds/Shades

Corridor Access

Fire Sprinkler

In Wall Pest System

Rods

Solid Wood Cabinets

Unfurnished

Wheelchair Accessible

Built in Features

Crown Moulding

Furnished

Inside Utility

Sauna

Storage Room

Video Monitoring

Whole House R.O. System

Cathedral/Vaulted Ceiling

Dry Bar

Furnishing - Optional

Intercom System

Skylights

Thermal Windows

Walk In Closet

Window Treatment

Interior Layout (8)

Eating Space In Kitchen Formal Dining Room Separate

Formal Living Room Separate

Living/Dining Room Combo

Living Room/Great Room Master Bedroom Downstairs Open Floor Plan

Breakfast Room Separate

Great Room Kitchen/Family Room Combo 'L' Dining

Split Bedroom

Volume Ceilings

Master Bath Features (4)

Bath w Spa/Hydro Massage Tub

Bidet Garden Bath

Handicapped Accessible Shower - No Tub

Dual Sinks

Tub w Separate Shower Stall

Tub w Shower

Closet Pantry

Island

Pantry Walk In Pantry

Bamboo [G]

Concrete [G]

Other

Brick/Stone

Cork [G]

Marmoleum [G]

Quarry Tile

Slate

Carpet

Marble

Forestry Stewardship Certified [G]

Parquet

Recycled/Composite Flooring [G]

Terrazzo

Ceramic Tile

Laminate

Porcelain Tile Other

Vinyl

**Fireplace Y/N

Security System

Yes No

Leased Owned

Fireplace Description (2)

Family Room

Decorative

Gas Fireplace

Master Bedroom

Wood Burning FP

Free Standing

Electric Fireplace

Living Room

Non Wood BurningFire Place

Other Room

Other – Specify in Remarks

**Floor Covering (6)

Wood

Salvaging Flooring [G]

Reclaimed Wood [G]

Kitchen Features (5)

Breakfast Bar

Desk Built In

ROOMS TAB - ROOM DIMENSIONS

Choices for Room Types are: 2nd Bedroom, 3rd Bedroom, 4th Bedroom, 5th Bedroom, Balcony/Porch/Lanai, Bonus Room, Breezeway, Den/Library/Office, Dinette, Dining Room, Double Master Bedroom, Family Room, Florida Room, Foyer, Game Room, Great Room, Inlaw/Rental Apartment, Inside Utility, Kitchen, Living Room, Loft, Master Bedroom, Media Room, Study/Den, Studio

Choices for Rooms Level are: Basement, Fifth Level, First Level, Fourth Level, Second Level, Third Level

Choices for Primary Floor Covering are: Bamboo, Brick/Stone, Carpet, Ceramic Tile, Concrete, Cork, Forestry Stewardship Certified, Laminate, Marble, Marmoleum,Other, Parquet, Porcelain Tile, Quarry Tile, Reclaimed Wood, Recycled/Composite Flooring, Salvaging Flooring, Slate, Terrazzo, Vinyl, Wood

Room Type Room Level Room Dimensions ( WxL) Room Primary Floor Covering1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

Rev. 0622215-2

REQUIRED ROOMS: LIVING ROOM or GREAT ROOM, KITCHEN, MASTER BEDROOM

19

20

21

22

23

24

25

Water Access (10)

Beach – PublicBeach – Private

Canal – Saltwater

Intracoastal Waterway

Limited Access

Creek

Lagoon

Marina

Beach – Access Deeded

Gulf/Ocean

Lake

Pond

Bay/Harbor

Canal – Freshwater

Gulf/Ocean to Bay

Lake – Chain of Lakes

River

Yes No

WATER/GREEN TAB - WATER ACCESS

**Water Access Y/N

**Water View Y/N

Yes No

Water View (10)

Bay/Harbor – Full Bay/Harbor – Partial

Gulf/Ocean – Full

Lagoon

Pond

Beach

Gulf/Ocean – Partial

Lake

River

Water Frontage (10)

Beach – Private

Creek

Lagoon

Pond

Beach – Public

Gulf/Ocean

Lake

River

Yes No

**Water Extras Y/N

Yes No

Water Extras (10)

Davits

Fishing Pier

Boats-None Allowed

Seawall – Concrete

Water Name Waterfront Feet

WATER/GREEN TAB - GREEN INFORMATION

Green Certifications (G) (4) EarthCraft House

FGBC Remodel

Geothermal HVAC

Other – Specify in Remarks

LEED for Homes

EPA Watersense

Green Water Features (G) (15)Cistern Dual Flush Toilets

High Eff. (Low Flow) Toilet Irrigation - None

Non Toxic Fertilizer/Pesticides Veg. (Productive) GardenFl. Friendly/Native Landscape Rain Water Harvesting

Rev. 0622215-2

**Water Frontage Y/N

Creek


Marina

Canal

Gulf/Ocean to Bay


Bay/Harbor

Canal – Saltwater


Marina

Canal – Freshwater

Gulf/Ocean to Bay


Boathouse

Dock – Slip Deeded Off-Site

Private Lake Dues Required

Riprap

Skiing Allowed

Boat Ramp – Private

Dock – Slip Deeded On-Site

Lock

Sailboat Water

Dock – Slip 1st Come

Lift

Bridges – No Fixed Bridges

Seawall – Other

Drip Irrigation

Whole House Water Purification

Energy Star Home

Florida Certified Yard

LEED Certified Building

EPA Indoor Air Quality Plus

Florida Friendly Yard Recognition

Florida Water Star

LEED Neighborhood Development

FGBC Green Certified Home

FORTIFIED for Safer Living

NAHB Certification

Irrigation – Low Volume

High Eff. Faucet/Fixtures

Rain Barrels-Spigot/Overflow

Grey Water Use-Whole House

Irrigation – Reclaimed Water

Green Landscaping (G) (4)

Green Energy Features (G) (9) Energy Star Dishwasher

Gas Tankless Appliances

HVAC SEER 15+

Outdoor Lighting – Solar

Solar Power

Energy Star Refrigerator

Geothermal Heat Pump

HVAC SEER 20+

Programmable Thermostat

Solar Water Heater

Hydro Power

Radiant Barrier

Sprayfoam Insulation – Attic

Indoor Air Quality (G) (15) Bath Fans Vented to Outside

No/Low VOC Paint/Finish

Fresh Air Ventilation System

Non Toxic Pest Control

Sealed Combustion

HVAC Filter MERV 8+

HVAC Cartridge/Media Filter

Whole House Vacuum System

Disaster Mitigation (G) (7)Above Flood Plain Hurricane Insurance Fire Resistant Exterior

Lightning Protection System

Fire/Smoke Detection Integration

Safe Room

Co-Op Fee Simple

Condominium Condo - Hotel

Land-Lease Fractional Ownership

HERS Index Fireplace - Direct Vent

No/Low VOC Flooring

Range Hood Vented to Outside

Energy Star Qualified Roof ProductHeat Pump Water Heater

Energy Star Windows

Humidistat

Outdoor Lighting – None

Solar Hydronic Radiant Heat

Wind

Energy Start Washer

Heat Recovery Unit

Hydronic Radiant Heating

Reflective Roofing Material

Sprayfoam Insulation – Walls

Hurricane Shutters/Windows

HVAC UV/Elec. Filtration

Owner Phone

Tenant Name Tenant Phone

Fannie Mae Secured

Yes No

**HOA/COMM ASSN

None Optional

Required

HOA Fee

Monthly

Semi Annual

Management Contact Information

Annual

Condo Maintenance FeeCondo Maintenance Fee ScheduleAnnual Monthly

Quarterly Semi Annual

Mo. Maintenance $

Owner Name

Quarterly

OWNER TAB - OWNER

HOA Payment Schedule

COMMUNITY TAB -ASSOCIATION INFORMATION

** OWNERSHIP

Deduction Qual.

Building Has Elevator Y/NYes No

Buyer Approval RequiredAssociation

Handicap Modified

Boat Slip

Community Hot

Association Recreation

Fitness

Card Entry

Fees Required

Gated Horse Stables

No Truck/RV/ Motorcycle Parking

Dock

Golf Community

Public Boat Ramp

Tennis Courts

Racquet Ball

Laundry Facility

Optional Additional Fees Playground

Recreation Building Security

Maintenance

Storage

PUD

Water Access

None

Private Boat

Park

Tub/SpaCommunity Boat Ramp

Waterfront Special Comm Tenants No Pets ComplexRestrictions

Other Fees Y/N Yes No

Other Fees Amount

Other Fees Term

Annual Monthly

Quarterly Semi Annual

Monthly HOA Amount

Monthly Condo Fee Amount

55+ 62+ N/A

COMMUNITY TAB - HOUSING FOR OLDER PERSONS

**HOUSING FOR OLDER PERSONS (2) FCHR Website

Yes No

Affidavit

Yes No

**Deed Restrictions Y/N

Yes No

Expire Renewal Date

PETSPets Allowed Y/N

Yes NoPet Restrictions Y/N

Yes No

Number of Pets Pet Size

Max Pet Weight Pet Restrictions

REALTOR INFORMATION TAB – REALTOR INFORMATIONFinancing Available (10)

Energy Efficient Mortgage [G]

Assumable - Must Qualify

FHA Flood Insurance Other

Seller Financing Special Funding

Conventional Exchange/TradeCash

Green Financing Available [G] Lease PurchaseRequiredVA

Realtor Info (Confidential) (7)

Bonus to Selling Bonus to Lease In Foreclosure Lease Available

Pet on Premises Tenant Occupied Vacant

Go To Site

Tenant Approval

Office Office

Rev. 0622215-2

Owner Occupied

Variable Rate Commission

Recreation - Lease

CommunityIrrigation ByReclaimed Water [G]

Free

Airport/Runway

Community Features (25)

Ramp

Fishing PierOwned

Maximum Times Per Year

Number of Ownership YearsPrior to Leasing

Years of Ownership Prior to Leasing Y/N

Yes No

Additional Lease Restrictions

Association Approval Required Y/N Approval Process (Text)

Yes No

Lease Restrictions Y/N

Yes No

Realtor Information (25) Agent Related to Agent / Owner Brochure Available

Condominium Corporate Owned Fence Restrictions

Floor PlanAvailable

Foreign Seller In-Law Quarters

Lease Leasing Not

Right Of First Scrub Jay-check

CDD Addendum Required

Fixer-Upper

Lead Paint Disclosure Owner

Will Consider Financing

Special Assessments

Subject ToApproval

Assumable - Non Qualify

Lease Option

USDA

Contract for Deed

Pre-Foreclosure

Assoc Approval Required

Docs Available

HOA Disclosure Available

No Sign

Seller Property Disclosure

Termite Bond / Warranty

Owner

Disclosure Avail Relo

Restrictions Allowed

Refusal with county

Assumable Mortgage

Environmental Report Available

Other Disclosures-Contact Agent

Septic Sewer Addendum Req.

Vehicle Restrictions

Owner Will Assist w/ Closing CostsSold As-Is

AGENT/OFFICE**Agent ID Agent Name Agent Email Office Name and Information

List Agent 2 ID Agent 2 name Agent 2 Email Office 2 Name and Information

Team Name Interoffice Info

COMPENSATION **Non Rep Comp **Trans Broker Comp Bonus Amount**Single Agent Comp

Leasing Restrictions

Can Property Be Leased Y/N Minimum Lease Period

1-7 Days 1 Week 1 Month 1 Year 2 Months

2 Weeks 3 Months 4 Months 5 Months 6 Months

No Minimum7 Months

Yes No

Survey Available

Home Warranty

Bonus Expiration DateBonus Yes

SHOWING INFORMATION

Call Center Phone Number Showing Time Showing Time Secure Remarks

**Showing Instructions (16) 24 Hour Notice Appointment Only Call Before Showing Call Listing Agent

Call Listing Office Call Owner Call Tenant Gate Code Required

Lock Box - Use RequestLock Box Coded

See Remarks Under Construction (Go to site)

Call Agent 2

Key-Listing Broker Office

Pet on Premises

Contact Call Center

Listing Agent Must Accompany

No Call BoxElectronic Showing ButtonLock Box -Combination

IDX/VOW**Internet Y/N

Yes No

**Show Prop on Address on Internet

Yes No

**ID Y/N

Yes No

**Realtor.com Y/N **VOW AVM Y/N **IDX/VOW Display Comments Y/N Third Party Y/N

Yes No No

MARKETING LINKS and INFORMATION **Create Automatic Virtual Tour Link Virtual Tour

Yes No

Virtual Tour Lin 2

**Public Remarks

Realtor Only Remarks

**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. DATE OWNER SIGNATURE OWNER SIGNATURE

DATE BROKER

No

Yes No Yes No Yes

Web Link 1 Web Link 2

Rev. 0622215-2

bright realty...water aerator rented **interior features (14) cook top only exhaust fan indoor grill...

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