income listing data entry form indicates multiple choice

REV. Aug 2021 of 10Copyright © 2021 Stellar MLS, all rights reserved.

INCOME LISTING DATA ENTRY FORM

LISTING INFORMATION

ADDRESS

Indicates Multiple Choice Indicates Single Choice * Indicates Required Field

Exclusive Agency

Listing Contract Date* List Price* Expiration Date* Special Sale Provision*

None

Short Sale

Bank-Owned/REO

Auction

Listing Type*

Exclusive Right with Exception

Exclusive Right to Sell

Exclusion/Variable Commission

Listing Service Type* RepresentationFull Service

Limited Service

Seller Represented

Seller Not Represented

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

Unit Number No Unit # City*

County* Country*

Zip* Zip + 4State*

Building Name/Number Total # of Buildings*

SOUTHWESTSW Subdv Condo Number SW Subdv Community Name

SCHOOLSElementary School

Middle School

High School

AUCTIONAuction Type

Absolute ReserveAuction Property Access Buyer’s Premium

Auction Firm/Auction Website

Yes No

FINANCIAL INFORMATIONAnnual Gross Income Annual Net Income* Est Annual Market Income Annual Expenses

Total Monthly Rent Total Monthly Expenses Lease Term

Terms of Lease

Tenant Pays

Financial Source

12 Months3 to 5 Years

24 Months6+ Years

Gross Lease Renewal OptionNet Lease Other Pass Throughs Purchase Option

Association Fees WaterElectricity Parking Fee Sewer Trash Collection

Accountant Broker Owner Tax Return

STELLAR MLS INCOME LISTING DATA ENTRY FORM



POOLPrivate Pool*

Yes NoPool Dimensions

Yes NoSpa

Spa Features

Above Ground

Heated

In Ground

Other

Swim Spa

EXTERIOR INFORMATIONProperty Style*

New Construction*

Builder Name

Builder Model

Prop Attached

Permit Number

Builder License #

Proj. Completion Date

Yes NoDuplex Five or More Quadruplex Triplex

Yes No

Studio/Efficiency

Property Description

Corner Unit

In MH Community

Stilt Home

Mid RiseElevated

Modular

End UnitOut of MH Community

High RisePenthouse

ViewCityPark

GardenPool

Golf CourseTennis Court

GreenbeltTrees/Woods

Mountain(s)Water

Patio and Porch FeaturesCoveredOtherSide Porch

DeckPatioWrap Around

EnclosedPorch

Front PorchRear Porch

NoneScreened

Exterior Construction*Asbestos

ICFs (Insulated Concrete Forms)

SIP (Structurally Insulated Panel)

Wood Frame

Block

Log

Stone

Wood Frame (FSC)

Brick

Metal Frame

Stucco

Wood Siding

Cement Siding

Metal Siding

Tilt Up Walls

Concrete

Other

Vinyl Siding

Property ConditionCompleted Fixer Pre-Construction Under-Construction

Pool Features

Above Ground

Deck

Gunite/Concrete

Infinity

Outside Bath Access

Screen enclosure

Auto Cleaner

Diving Board

Heated

Lap Pool

Pool Alarm

Self Cleaning

Child Safety Fence

Fiber Optic Lighting

In Ground

Lighting

Pool Sweep

Solar Cover

Chlorine Free

Fiberglass

Indoor

Other

Salt Water

Solar Heat

Solar Power Pump Tile Vinyl

Lot Features

Coastal Construction Control LineFlag LotHillyKey LotNear Public TransitStreet BrickStreet Unpaved

Conservation AreaFlood Insurance RequiredHistoric DistrictLevel/FlatOn Golf CourseStreet Dead-EndTip Lot

Corner LotFlood ZoneIn City LimitsMountainousOversized LotStreet One WayUnincorporated

Cul-De-SacGreenbeltIn CountyNear Golf CoursePasture/AgricultureStreet Paved

Drainage CanalHighwayIrregular LotNear MarinaSidewalksStreet Private

Zoned For Horses

Other StructuresBarn(s)

GazeboOuthouse

Boathouse

Guest HouseShed(s)

Cabana

Kennel/Dog RunStorage

Corral(s)

OtherTennis Court(s)

Finished RV Port

Outdoor Kitchen

Exterior Features*Awning(s)

Gray Water System

Outdoor Grill

Sauna

Storage

Balcony

Hurricane Shutters

Outdoor Kitchen

Shade Shutter(s)

Dog Run

Irrigation System

Outdoor Shower

Sidewalk

Fenced

Lighting

Rain Barrel/Cistern(s)

Sliding Doors

French Doors

Other

Rain Gutters

Sprinkler Metered

Tennis Court(s)

Walk-Up

Workshop



EXTERIOR INFORMATIONRoof*

Built-Up

Roof Over

Concrete

ShakeMembraneShingle

Metal

SlateOtherTile

Garage* Carport*Yes No Yes No

Attached GarageYes No

Garage Spaces Carport Spaces Garage Dimensions

LEGALTax ID (Parcel Number)* Tax Year* Taxes (Annual Amount)*

Additional Parcels*Yes No

Total Number of Parcels Additional Tax IDs (Seperate additional Tax IDs with a comma)

Year Built* Zoning*

Legal Description (1000 character limit)*

Section* Township* Range*

Plat Book/Page* Block/Parcel* Lot #* Alt Key/Folio

Subdivision # Subdivision Section #

Census Tract Census BlockComplex/Community Name/NCCB

Legal Subdivision Name*

LOT AND BUILDING INFORMATIONFlood Zone Code* Flood Zone Date Flood Zone Panel

Total Acreage*

Lot Dimensions Lot Size Square Footage* Lot Size Acres*


Foundation*Basement Crawlspace Slab Stem Wall Stilt/On Piling

Garage/Parking Features

Assigned Parking

Covered ParkingGarage Faces Rear

Guest ParkingOtherRV CarportValet

Bath in GarageCurb Parking

Garage Faces Side

NoneOversizedRV GarageWorkshop in Garage

Boat ParkingDriveway

Golf Cart Garage

Off Street ParkingParking PadTandem Parking

Circular DriveElectric Vehicle Charging Station(s)

Golf Cart Parking

On Street ParkingPorticoUnder Building

CommonGarage Door Opener

Ground Level

Open ParkingReservedUnderground

Road Surface Type*AsphaltGravel

BrickLimerock

Chip And SealOther

ConcretePaved

DirtUnimproved

0 to less than 1/45 to less than 10

1/4 to less than 1/210 to less than 20500+ Acres

1/2 to less than 120 to less than 50Non-Applicable

1 to less than 250 to less than 100

2 to less than 5100 to less than 200

200 to less than 500

Road ResponsibilityPrivate Maintained Road Public Maintained Road Road Maintenance Agreement




INTERIOR INFORMATIONSqFt Heated* SqFt Total Floors in Unit/Home

Multi/SplitThree or More

One

Two

Fireplace*Yes No

Fireplace Description

DecorativeFamily RoomGas

Master BedroomOther Room

ElectricFree StandingLiving RoomNon-Wood BurningWood Burning

SqFt Heated Source* SqFt Total SourceAppraisalMeasuredPublic Records

Builder

Owner Provided

AppraisalMeasuredPublic Records

BuilderOwner provided

Additional Rooms

Attic Bonus Room Breakfast Room Separate Den/Library/Office Family roomFlorida Room

Interior In-Law Suite

Formal Dining Room Separate

Loft

Formal Living Room Separate

Media room

Great RoomStorage Rooms

Inside Utility

Appliances Included

Bar FridgeDisposal

Gas Water Heater

None

Solar Hot Water

Washer

Wine Refrigerator

Built-In Oven

Dryer

Ice Maker

OtherSolar Hot Water Owned

Water Filtration System

Convection Oven

Electric Water Heater

Indoor Grill

RangeSolar Hot Water Rented

Water Purifier

Cooktop

Exhaust Fan

Kitchen Reverse Osmosis System

Range Hood

Tankless Water Heater

Water Softener Whole House R.O. System

Dishwasher

Freezer

Microwave

Refrigerator

Trash Compactor

Interior Features*

Furnishings

Furnished Optional Partial Turnkey Unfurnished

Laundry FeaturesCorridor AccessLaundry Closet

Upper Floor

InsideLaundry Room

In GarageNone

In KitchenOther

Laundry ChuteOutside

Floor Covering

BambooCorkLaminate

Porcelain TileTerrazzo

Recycled/Composite Flooring

Brick/StoneEngineered HardwoodLinoleumQuarry TileTile

CarpetEpoxyMarbleReclaimed WoodTravertine Vinyl

OtherForestry Stewardship CertifiedCeramic Tile Concrete

Granite

ParquetSlateWood

PARCELHomestead Other Exemptions CDD* Annual CDD Fee

Future Land Use Planned Unit DevelopmentYes No

Land Lease*Yes No

Total # of Units*

Yes No Yes No Yes No

Accessibility Features

Accessible Approach

Accessible Doors

Accessible Full BathAccessible Stairway

Exterior Wheelchair Lift

Accessible Bedroom

Accessible Elec. and Envir.Controls

Accessible Guest BathroomAccessible Washer/Dryer

Grip-Accessible Features

Accessible Living Area

Accessible Elevator Installed

Accessible Hallway(s)Ceiling Track for Lift Chair

Handicap Modified

Accessible Closets

Accessible Entrance

Accessible KitchenCentral Living Area

Accessible Common Room

Accessible for Hearing-Impairment

Accessible Kitchen AppliancesCustomized Wheelchair Accessible

Stair Lift

Attic Fan

Central Vacuum

Eating Space in Kitchen

L DiningOpen Floorplan

Solid Surface Counters

Thermostat Attic Fan

Living Room/Dining Room Combo

Attic Ventilator

Coffered Ceiling(s)

Elevator

Other

Solid Wood Cabinets

Tray Ceiling(s)

Master Bedroom Main Floor

Built-In Features

Crown Molding

High Ceiling(s)

Pest Guard System

Split Bedroom

Vaulted Ceiling(s)

Cathedral Ceiling(s)

Dry Bar

In Wall Pest System

Master Bedroom UpstairsSauna

Stone Counters

Walk-In Closet(s)

Kitchen/Family Room Combo

Ceiling Fan(s)

Dumbwaiter

NoneSkylight(s)

Thermostat

Window Treatments

Wet Bar


UNITS



INTERIOR INFORMATION

Utilities*

BB/HS Internet Available

Emergency Power

Natural Gas ConnectedPublic

Sprinkler Meter

Underground Utilities

Cable Available

Fiber OpticsOther

Sewer Available

Sprinkler Recycled

Water - Multiple Meters

Cable Connected

Fire Hydrant

Phone Available

Sewer Connected

Sprinkler Well

Water Available

Electricity Available

Mini Sewer

PrivateSewer Nearby

Street Lights

Electricity Connected

Natural Gas Available

Propane

Solar

Telephone Nearby

Sewer*

Aerobic Septic

Septic Needed

None

Septic Tank

Other Private Sewer Public Sewer

Water*

Canal/Lake for Irrigation Private Public Well

Heating and Fuel*

Air Conditioning*

Baseboard

Heat Recovery Unit

PartialSpace Heater

Central

Natural Gas

Propane

Wall Furnace

Electric

None

Radiant Ceiling

Wall/Window Unit(s)

Exhaust Fans

Oil

Reverse Cycle

Zoned

Heat Pump

Other

Solar

Central AirWall/Window Unit(s)

Humidity ControlZoned

Mini-Split Unit(s) None Other

Unit Type* # of Units # Occupied Expected Rent SqFt Heated Garage Spaces Garage Att.

Water Connected

Security Features

Closed Circuit Camera(s)Medical Alarm

Security System

Fire AlarmSecurity Fencing/Lighting/Alarms

Security System Leased

Fire Sprinkler SystemSecured Garage/ParkingSecurity System Owned

Gated CommunitySecurity Gate

Smoke Detector(s)

Key Card EntrySecurity Lights

Water Nearby

Choices for Units are:

Efficiency

3 Bed / 1 Bath

1 Bed / 1 Bath

3 Bed / 2 Bath

2 Bed / 1 Bath

4+ Bed / 1 Bath

2 Bed / 2 Bath

4+ Bed / 2+ Bath Multi-Level

Apartment

Individually Metered

Cable

Trash

Electric

Water

Gas Internet Sewer




WATER INFORMATION

Water Name(s)

Additional Water Information

Water Frontage* Water FrontageYes No

Bay/Harbor

Beach - Private

Brackish Water

Canal - Freshwater

Creek

Gulf/Ocean

Intracoastal Waterway

Lake

Marina

River

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Bayou

Beach - Public

Canal - Brackish

Canal - Saltwater

Freshwater Canal w/Lift to Saltwater Canal

Gulf/Ocean to Bay

Lagoon/Estuary

Lake - Chain of Lakes

Pond

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Footage

Water Access*Yes No Bay/Harbor

Brackish WaterFreshwater Canal w/ Lift to Saltwater CanalLake

River

Bayou

Canal - Brackish

Gulf/Ocean


Beach - Access Deeded

Canal - Freshwater

Gulf/Ocean to Bay

Limited Access

Beach - Private

Canal - Saltwater


Marina

Beach - Public

Creek

Lagoon/Estuary

Pond

Water Access

Water View*Yes No

Water View

Bay/Harbor - Full

Creek

Lagoon/Estuary

River

Bay/Harbor - Partial

Gulf/Ocean - Full

Lake

Bayou

Gulf/Ocean - Partial


Beach

Gulf/Ocean to Bay

Marina

Canal


Pond

Water Extras* Water Extras

Assigned Boat Slip

Bridges - Fixed

Dock - Covered

Dock - Wood

Fishing Pier

No Wake Zone

Seawall - Concrete

Boat Port

Bridges-No Fixed Bridges

Dock - Open

Dock w/Electric

Lift

Powerboats-None Allowed

Seawall - Other

Boat Ramp - Private

Davits

Dock - Slip 1st Come

Dock w/o Electric

Lift - Covered

Private Lake Dues Req

Boathouse

Dock - Composite

Dock-Slip Deeded Off-Site

Dock w/o Water Supply

Lock

Riprap

Boats - None Allowed

Dock - Concrete

Dock-Slip Deeded On-Site

Dock w/Water Supply

Minimum Wake Zone

Sailboat Water

Yes No

Skiing Allowed



GREEN INFORMATION

EarthCraft House

Administrator

Complete In Process

Assessor Builder Contractor or Installer Other - See Remarks

Owner Program Sponsor Program Verifier Public Records

Choices for Green Building Verification Type are below.

Choices for Green Verification Source are below

Choices for Green Verification Status are below

FGBC Green Certified Home

Florida Friendly Yard Recognition

Geothermal HVAC

LEED Neighborhood Development NAHB Certification NGBS New Construction NGBS Small Projects Remodel

NGBS Whole-Home Remodel Other - Specify in Remarks WaterSense

ENERGY STAR Certified Homes

FGBC Remodel

Florida Green Lodging

HERS Index Score

EPA Indoor Air Quality Plus

Florida Certified Yard

Florida Water Star

LEED Certified Building

FGBC Green Certified Building

Florida Friendly Landscape

FORTIFIED for Safer Living

LEED For Homes


Building Verification Type Status Year Version Body Metric Rating Source URL

Fl. Friendly/Native Landscape Non-Toxic Fertilizer/Pesticides Rain Water Harvesting Veg. (Productive) Garden Xeriscape

Green Landscaping

Conserving Methods Onsite Recycling Center Recyclable Materials Recycled Materials Regionally-Sourced Materials

Renewable Materials Salvaged Materials

Green Sustainability

Green Energy Generation

Green Energy Features

Hydro Power Solar Wind

AppliancesPool

Energy Monitoring SystemRoof

HVACThermostat

InsulationWater Heater

Lighting

Green Water Features

Drip Irrigation

Water Recycling

Irrig. System-Drip/Microheads

Whole House Water Purification

Irrig. System-Rainwater from Ponds Irrig. System-Reclaimed Water

Low-Flow Fixtures

Windows

Hurricane Shutters / Windows

Disaster Mitigation

Indoor Air Quality

Above Flood Plain Fire/Smoke Detection Integration

Safe Room

Fire Resistant Exterior Hurricane Insur. Deduction Qual.

Lightning Protection System

Air Filters MERV 10+ HVAC UV/Elec. Filtration

No/Low VOC Cabinets/Counters

Non-Toxic Pest Control

Whole House Vacuum System

HVAC Cartridge/Media Filter

Janitor Closet Neg Pressurized No/Low VOC Flooring

Sealed Combustion

HVAC Filter MERV 8+

No Smoking - Interior Bldg

No/Low VOC Paint/Finish Ventilation


ASSOCIATION INFORMATION



OWNEROwner Name

Tenant Name

Owner Phone

Tenant Phone

Ownership*Co-opFee Simple

Condo

HOA/Comm Assn*Yes No

HOA Fee RequirementNone Optional Required

HOA Fee HOA Payment ScheduleAnnually Monthly Quarterly Semi-Annually

Condo Fee ScheduleCondo FeeAnnual Monthly Quarterly Semi Annual

Association/Manager Contact Name

Association/Manager Email

Association/Manager Contact Phone

Association/Manager Website Address

COMMUNITY

Community Features

Airport/Runway

FishingHandicap Modified

None

Raquetball

Waterfront

Association Recreation - Lease

Fitness CenterHorse Stable(s)

Park

Sidewalk

Wheelchair Access

Association Recreation - Owned Buyer Approval Required

Gated CommunityHorses Allowed

Playground

Special Community Restrictions

Golf Carts OKIrrig. Reclaimed Water

Pool

Tennis Courts

Community Boat Ramp

Golf CommunityNo Truck/RV/Motorcycle Parking

Public Boat Ramp

Water Access

Association Amenities

PETSPets Allowed

Breed RestrictionsNumber Limit

Yes

NoSize Limit

Max Pet WeightNumber of Pets Allowed Pet Size

Pet Restrictions

1

5

9

2

6

10+

3

7

4

8

Extra Large (101+ Lbs.)Medium (36-60 Lbs.)Very Small (Under 15 Lbs.)

Large (61-100 Lbs.)Small (16-35 Lbs.)

Airport/Runway

Dock

Golf Course

Maintenance

Pickleball Court(s)

Recreation Facilities

Storage

Basketball Court

Elevators

Handicap Modified

Marina

Playground

Sauna

Tennis Court(s)

Boat Slip

Fence Restrictions

Horse Stable(s)

Optional Additional Fees

Pool

Security

Trails

Cable

Fitness Center

Laundry

Other

Private Boat Ramp

Shuffleboard Court

Clubhouse

Gated

Lobby Key Required

Park

Raquet Ball

Spa/Hot Tub

Vehicle Restrictions Wheelchair Access

LEASING RESTRICTIONSAvailable for Lease

Lease Restrictions

Association Approval Required

Yes No Yes No Yes No

Years of Ownership Prior to Leasing Required

Yes No

Number of Ownership Years Prior to Leasing

Minimum Lease Period

Max TimesPer Year

No Minimum 2 Weeks4 Months 8-12 Months

No Rent 1 Month5 Months 1-2 Years

1-7 Days 2 Months6 Months 2+ Years

1 Week 3 Months7 Months

Housing for Older Persons*Yes No


AGENT/OFFICE


REALTOR INFORMATION

LEASING RESTRICTIONS


Additional Lease Restrictions Approval Process

Financing Available

Assumable

Lease Option

USDA

Cash

Lease Purchase

VA

Conventional

Other

Exchange/Trade

Private Financing Available

FHA

Special Funding

As-Is

Realtor Information

3rd Party Approval Req

CDD Addendum Required

Docs Available

Floodway

Leasing Not Allowed

Other

Phase I Environ. Report

Remediation in Progress

Seller Must Build

Subject to Approval

Will Subdivide

Applications in Process

Confidentiality Letter Req

Engineering Report

Floor Plan Available

List Agent is Owner

Owner Motivated

Phase II Environ. Report

Right of First Refusal

Septic/Sewer Addm Req

Subject to Zoning

Zoning Grandfathered In

Contract for Deed

Environ. Report Available

Foreign Seller

List Agent is Related to Owner

Owner Will Assist w/Closing Costs

Potential for Zoning Change

Scrub Jay - Check w/County

Short Term Rental Allowed

Survey Available

Assoc Approval Required

Corp Owned Relo

Fannie Mae Approved Pilot

In-Foreclosure

Mtge - Owner Will Hold

Owner Will Consider Exchange

Pre-Foreclosure

See Attachments

Sign

Termite Bond/Warranty

Brochure Available

Currently Leased

Fannie Mae Secured

Lease Restrictions

No Sign

Owner Will Consider Financing

Remediation Accomplished

Seller May Build

Special Assessments

Will Sell 1 Lot

Realtor Information Confidential

Bonus to Selling Office Copy of Lease Available Go to Site In-Foreclosure Pre-Foreclosure

DisclosuresCondo Disclosure Available

None

Environmental Disclosure

Other

HOA/PUD/Condo Disclosure

PACE Loan Disclosure

Land Sales Disclosure

Seller Property Disclosure

Lead paint

List Agent ID* Agent Name and Information* Office Name and Information*

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

Team Name Interoffice Info

Superfund

SELLER’S PREFERRED CLOSING AGENTClosing Agent Name

Phone

Closing Company Name

FaxEmail

Street Name City StateStreet Number Zip

COMPENSATIONSingle Agent Comp* Non Rep Comp* Trans Broker Comp*



COMPENSATION

LISTING DISTRIBUTION

Realtor Only Remarks


SHOWING INFORMATIONCall Center Phone Number ShowingTime Secure Remarks

Showing Instructions*

MARKETING LINKS AND INFORMATION

Internet* IDX/VOW Display Comments* IDX/VOW AVM* Third Party* Show Prop Address on Internet*Yes No Yes No Yes No Yes No Yes No

Distribute To

Create Free AutomaticVirtual Tour*

Virtual Tour Link 1

Virtual Tour Link 2

Web Link 1

Web Link 2

Homes.com Homesnap Realtor.com

Yes No

Public 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 MLS DBA Stellar MLS (Stellar MLS), 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 the Owner or from any facts concerning the Property which was known or reason-ably 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 Report form, Stellar MLS will electronically transmit information about the Owner’s property to Internet web sites to aid in the marketing of the Property for sale. Stellar MLS shall retain and make available all such data and photographs to all its participants for an indefinite period. Stellar MLS assumes no responsibility or liability to Owner for errors or omissions on this Data Entry Form or in the Stellar MLS computer system. The Owner hereby authorizes Listing Broker to file this Data Entry report form with the Stellar MLS and the Owner will provide timely notice of all status changes.Owner Signature*

Owner Signature*

Broker Signature*

Date*

Date*

Date*

Bonus Dual/Variable Compensation*Bonus Amount Bonus Expiration DateYes No Yes No

Virtually Staged Listing Photos

International MLS

24 Hour Notice

Call Listing Office

Contact Call Center

Gate Key in Listing Office

Key/Agent

Lock Box No Call

Pet on Premises

Appointment Only

Call ManagerDangerous Farm Animals on Site

Gate Key in Lock Box

Listing Agent Must Accompany

Locked Gate

See Remarks

Call Agent 2

Call Owner

Do Not Contact Tenants

Go Direct

Lock Box Coded

No Call BoxUnder Construction

Call Before Showing

Call Tenant

Farm Animals on Site

Guard Dog

Lock Box ElectronicNo Sign

Use ShowingTime Button

Call Listing Agent

Combination Lock Box

Gate Code Required

Key In Office

Lock Box Elec.-CBS Code Required

Other

Occupant TypeOwner Tenant Vacant

income listing data entry form indicates multiple choice

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