INITIALS: _________________________________ ____________________________________ ___________________________________ Seller Date Seller Date Broker Date

NWMLS Form 5 Rev. 3/20 Copyright 2020Northwest Multiple Listing ServiceAll Rights Reservedd

LISTING #

PROPERTYTYPE 4VACANT LAND LISTING INPUT SHEET (page 1 of 2)

Lot Number Block Plat/Subdivision/Building Name

LISTING

PROPERTY INFORMATION

LOCATION

• Lot Size (Square Feet)

Listing Firm - ID#

BROKER INFORMATION

• LAG Listing Broker ID#

Broker Name and Phone Firm Name and Phone

Co Broker - ID# Co Broker Name and Phone Co Firm - ID# Co Firm Name and Phone

• 3rd Party Approval Required (2) None Short Sale Other - See Remarks

• Indicates Required information ( ) Indicates Maximum Choice *Indicates “Yes” By Default

• Owner’s Name • Owner’s Phone • Owner’s City and State

• Listing Date • Expiration Date • Tax ID#• Listing Price$

(page 1 of 4)

• Lot Size Source

Owner’s Name 2

• Offers (1) Seller intends to review offers upon receipt Seller to review offers on Offer Review Date (may review/accept sooner) Offer Review Date

(required if 2nd “Offers” option is selected)

ADDRESS

• SOC (Selling Office Com.) Selling Office Commission Comments (40 characters maximum)

Virtual Tour URL (Please include http:// or https://) Add’l Tax ID# Add’l Tax ID# Add’l Tax ID#(Additional Tax IDs to be listed on attached sheets)

• County • City • ZIP Code + 4

• Community/District• Area

• Street Name

Unit #

• Street # (HSN) Modifier

Suffix Post Direction

Direction

• Preliminary Title Ordered

FIRPTA withholding required?

Map Page Top Map Coord.

Side Map Coord.

MAP BOOK

• Bank Owned/REO • Auction

• Prohibit Blogging • Allow Automated Valuation • Show Map Link • Internet Advertising • Show Address to Public

INITIALS: _________________________________ ____________________________________ ___________________________________Seller Date Seller Date Broker Date

NWMLS Form 5 Rev. 3/20 Copyright 2020Northwest Multiple Listing ServiceAll Rights Reservedd

LAG #Listing Address:

PROPERTYTYPE 4VACANT LAND LISTING INPUT SHEET (page 2 of 2)

SITE INFORMATION

Quarter (Sec/Twn/Rng) Lot Dimensions (Feet)

River See Remarks Sound Strait Territorial

View (5) Bay Canal City Golf Course Jetty Lake Mountain Ocean Partial

Lot Details (8) Adjacent to Public Land Alley Corner Lot Cul-de-sac Curbs Dead End Street High Voltage Line Open Space

Paved Street Secluded Sidewalk

Reports/Documents Completed (9) CCRs Drainage Geotech Road Agreement Septic “As Built” Topographical Well Agreement Wetland Delineation See Remarks

Waterfront Footage (Feet)

Waterfront (5) Bank-High Bank-Low Bank-Medium Bay Bulkhead Canal Creek Jetty Lake

No Bank Ocean River Saltwater Sound Strait Tideland Rights

Improvements (10) Barn Boat House Cabana/Gazebo Cabin Cable TV Available Dock Dwelling Fenced-Fully

Fenced-Partially Garage Outbuilding(s) Shop Stable

Property Features (12) Brush Comm. Grade Timber Corners Flagged Dune Grasses Evergreens Garden/Fruit Trees Heavily Forested Irrigation

Lightly Treed ORV Trails Partially Cleared Pasture Land Pond Recreational Riding Trails Stream/Creek

(page 2 of 4)

LISTING INFORMATION

Tax Year

Zoning Code

Term Remarks (40 characters maximum)

Annual Taxes(whole dollars)

$

Industrial-Light Multi-Family Office Residential Retail See Remarks

General Zoning Classification (6) Agricultural Business Commercial Farm & Ranch Forestry Industrial

Assessment Fees (6) Electric Gas Parks Road

School Sewer Water See Remarks

Road on Which Side of Property

Topography (5) Cliffs Fill Needed Gullies Level Rolling See Remarks

Sloped Swale

• Road Information (5) Access Easement County Maintained County Right of Way Dirt Gravel Paved

Privately Maintained Recorded Maint. Agrm See Remarks Trail Permit

Slopes Down to The (40 characters maximum) Level (40 characters maximum)

Restrictions (4) CC&R NO Manufactured Homes Manufactured Homes OK No Restrictions

Timber Clause Unknown See Remarks

• Potential Terms (10) Assumable Cash Out Conventional Farm Home Loan

FHA Lease/Purchase Owner Financing Rehab Loan

See Remarks State Bond VA

• Possession (3) Closing Negotiable

See Remarks Sub. Tenant’s Rights

• Style Code

Right of First Refusal

• Sketch Submitted Senior Exemption

• Form 17

• Common Interest Cmty (RCW 64.90)

• Zoning Jurisdiction

INITIALS: _________________________________ ____________________________________ ___________________________________Seller Date Seller Date Broker Date

NWMLS Form 5 Rev. 3/20 Copyright 2020Northwest Multiple Listing ServiceAll Rights Reservedd

LAG #Listing Address:

PROPERTYTYPE 4VACANT LAND LISTING INPUT SHEET (page 2 of 2) (page 3 of 4)

• School District Elementary School Junior High/Middle School Senior High School

SCHOOL & COMMUNITY

Community Features (9) Age Restriction Airfield Boat Launch CCRs Clubhouse Community Waterfront/Pvt Beach Gated Entry Golf Course Tennis Courts

Water Jurisdiction

• Sewer (2) Available In Street

Not Available On Property

• Water (5) Available Community Well Drilled Well In Street Lake Not Available On Property Private Well See Remarks

Share Available Shared Well Unknown Water Rights Well Needed Well Site Approved

Septic System Type Survey InformationSeptic Design Exp. Date

Easements

Homeowner Dues Included (4) Common Area Maintenance Concierge Lawn Service Natural Gas Road Maintenance

Security Services See Remarks Snow Removal

Monthly Homeowners Dues$

Soil Test Date Septic Design Apprv. Date

Septic Approved for # of Bedrooms

Irrigation Source (5) Bureau Community Drainage Pond Well Drilled Well Shared Well Private Additional Well(s) Water Rights Cert. Water Use Permit See Irrigation Comm

Irrigation Type (5) Circle Drip Line Dry Land Hand Lines Pivot Pressure/Undergrnd Wheel Lines See Irrigation Comm None

UTILITY

Irrigation Comments (40 characters maximum)

• Gas • Electricity

Septic System Installed Soil Feasibility Test Available

Septic Design Applied For

INITIALS: _________________________________ ____________________________________ ___________________________________ Seller Date Seller Date Broker Date

NWMLS Form 5 Rev. 3/20 Copyright 2020Northwest Multiple Listing ServiceAll Rights Reservedd

LAG #Listing Address:

PROPERTYTYPE 4VACANT LAND LISTING INPUT SHEET (page 2 of 2)

REMARKS

Marketing Remarks. CAUTION! The comments you make in the following lines are limited to descriptions of the land and improvements only. These remarks will appear in the client handouts and websites. (500)

Confidential Broker-Only Remarks. Comments in this category are for broker’s use only. (250)

• Driving Directions to Property (200)

(page 4 of 4)