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Please complete the form below.

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*County:
*List Date:
*List Price:
*Property Type:	Single Family Condominium Patio/Garden Townhouse Mobile Home Modular
*Street Number:
*Street Name:
*City:
*Zip:
Neighborhood:
*Schools:	Elementary Junior High High
Driving Directions:
*Legal Description: (Lot/Block/Plat/Etc.) UNK if unknown
*Owner (Last, First):
*Appt. Phone:
2nd Appt. Phone:
Occupant's Name:
*Max. Seller Contribution:
*Rooms:	Breakfast Area Laundry Room Den/Family Room Kitchen/Den Dining/LR Combo Eat In Kitchen Florida Room Kitchen/Dining Combo Great Room Recreation Room Great Rm/Dining Combo Study/Office Sep. Dining Room Living Room
*Appx. Sq. Ft.:
*Source of Sq. Ft.:	Appraisal Other Owner Plans Tax Records
*# of Bedrooms:
*# of Bathrooms:
*# of 1/2 Bathrooms:
*Year Built:
*Source of Year Built:	Appraisal Other Owner Tax Records
*New Construction:	Yes No
*Flood Insurance:	Yes No
Acreage (+/-)
*Lot Dimensions (Type in UNK if Unknown)
*Assumable Mortgage:	Yes No
*Assoc/Condo/OthFee:	Yes No
FEATURES: Mark the appropriate selection(s).
*Construction:	Brick Masonite Siding Wood Siding Vinyl Siding Metal Siding Vinyl/Metal Trim Asbestos Siding Stucco Cement Fiber Board EIFS Concrete Block See Remarks Remarks:
*Foundation:	Slab Conventional Finished Basement Partially Finished Basement Unfinished Basement Mobile Home See Remarks Remarks:
*Design:	1 1/2 Story 1 Story 2 Story 3 or More Story Split Bedroom Plan Split Level See Remarks Remarks:
Building Frontage/ Lot Access:	Golf Course Water View Waterfront Corner Lot Access Easement Unpaved Road Cul de Sac
Fireplace:	1 - One 2+ - Two or More Electric Ventless Gas Lighter Gas Log Gas Ventless Masonry Prefab
Kitchen Features:	Gas Range Electric Range Gas Cooktop/Oven Electric Cooktop/Oven Self/Continueous Clean Oven Convection Oven Double Oven Indoor Grill Dishwasher Disposal Microwave Trash Compactor Refrigerator Icemaker Connect Pantry Work Island Smooth Surface
*Floors:	Wall/Wall Carpet Hardwood Parquet Hard Tile Vinyl/Linoleum Brick Terrazzo Concrete See Remarks Remarks:
Bath Features:	Garden Tub Jetted Tub Sep. Shower Walk-Through Skylight Double/Split Vanities Linen Closet
*Heating:	Heat Pump Central Gas Central Electric Floor Furnace Space Heater Wall Furnace Wood Stove 2 or More Units Solar Piggyback See Remarks Remarks:
Energy Features:	Double Paned Windows Insulated Doors Programmable Thermostat Power Roof Vents Rock Turbines Storm Doors Storm Windows Power Roof Vents
*Parking:	Attached Carport - 1 Car Carport - 2 Car Carport - 3+ Car Detached Driveway - 2 Space Wide Driveway - 3+ Space Wide Driveway - 1 Space Wide Garage - 1 Car Garage - 2 Car Garage - 3+ Car Garage Door Opener Metal Carport - 1 Car Metal Carport - 2 Car Metal Carport - 3+ Car None RV Pad See Remarks Remarks:
Interior Features:	Vaulted Ceiling(s) Tray/Box Ceiling(s) 9 ft. Ceilings or More Skylight(s) Blinds/Mini Blinds Plantation Shutters Workshop Security System Intercom Utility Room Wet Bar Central Vacuum Pull Down Stairs to Attic Handicap Equipped All Window Treatments Remain Partial Window Treatments Remain Dryer WasherConnections Tray Ceiling(s) Vaulted Ceiling(s) See Remarks Remarks:
*Cooling:	Heat Pump Central Gas Central Electric Attic Fans Window Units 2 or More Units Ceiling/Padddle Fan(s) None See Remarks Remarks:
*Water:	Community Water Public Water Well Water See Remarks Remarks:
*Sewer:	Community Sewer Public Sewer Septic System See Remarks Remarks:
Exterior:	Balcony Barn Deck Fence - Full Fence - Partial Fence - Privacy Hot Tub Mature Trees Patio Outdoor Grill Patio - Metal - Covered Patio - Covered Pond Playhouse/Treehouse Pool Equipment Pool - Above Ground Porch Pool - Inground Porch - Screened Porch - Covered Storage Attached Satellite Dish Tennis Court Storage Detached Underground Sprinker System Workshop
*Utilities:	Natural Gas Propane/Butane Gas Cable TV Available High Speed Internet Access Available See Remarks Remarks:
Condo/Community Amenities:	Golf Course Tennis Health Club Pool Country Club Hot Tub Jogging Trail Fishing Dock Laundry Room Club House Picnic Area Community Game Room Handicap Access Steam Room Boat/RV Parking
*Water Heater:	Gas Electric Solar 2 or More Units None See Remarks Remarks:
Assoc/Condo Management:	Developer Home Owner's Association Mandatory No Manager Owner Assigned Residential Manager Voluntary
*Possession:	After Closing Before Closing Specific Date See Remarks Remarks:
*Warranty:	Yes No
Assoc./Condo Fees Include:	Cable Call HOA Grounds Keeping Insurance Maintenance Management Parking Recreation Facility Security Some Utilities Trash Disposal
*Showing Instructions:	Appointment Only Security System Caution Pets Lock Box Owner-Call First-No Answer-Show Vacant
*Acceptable Terms:	AL Bond Non-Target AL Bond Target Assume with Rate Change Cash Owner Financing FHA/VA Conventional Equity Wraparound Mortgage Lease with Option Lease Back Lease Purchase Down payment Assist Available See Remarks Remarks:
Remarks:
Special Instructions:
E-Mail:
*Commission % Offered to Agent:

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