Residential Data Input Form Page 1 of 9

North Texas Real Estate Information Systems, Inc.

Residential Data Input Form

Also includes input fields for Condominium and Townhouse Categories on last few pages

INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED

Fields REQUIRED for Active status denoted in BOLD BLUE WITH (). Italicized fields will be autofilled from public records, if available.

MLS Information

MLS # / System Assigned /  Property Type / Condo Farm/Ranch
Half/Duplex / Single Family
Townhouse
(Assigned when Saved As Active)
 Status / Active Pending Sold
 Range Pricing / Yes No / Low Price
 List Price / (Above Required if answered Y to Range Pricing)
Area /  Sub Area
County /  Parcel ID
Map Book / Dallas / Ft.Worth / Other
Denton
Cooke / Parker
Hood / Collin
Grayson
Kaufman / Ellis
Hunt / Johnson
Rockwall / Hill
Navarro
Map Page / Map Coord
Street/Box # /
Street Direction
/ East North South / Northeast Northwest Southwest / West Southeast
Street Name
Unit #
City / Street Type
Zip Code /  Will Subdivide / Yes No (Defaults to No)
Subdivision / Planned Development
Block
/
Lot
Additional Legal
/ Multi Parcel ID / Yes No
 MUD District / Yes No

Office Information

Listing Office Code / Autofilled / Listing Office Name / Autofilled
List Office Phone / Autofilled / Listing Office Fax / Autofilled
List Office Address / Autofilled / List Office Address 2 / Autofilled
ListingOfficeCity / Autofilled / ListingOfficeState / Autofilled
List Office Zip Code / Autofilled / List Office Zip + 4 / Autofilled
Listing Agent ID / Autofilled / List Agent Full Name / Autofilled
Agent Other Phone / Listing Agent Fax / Autofilled

Office Information (continued)

Call for Appt / Agent CSS / Other /
Appt Phone
Builder / Office / Owner
Appt Phone Ext
List Agent Email
/ Autofilled /
List Agent Website
/
Autofilled
 Sub Agency
Commission /  Buyers Agency
Commission
 Variable Fee / Yes No /  Listing Type / Exclusive Right to Sell/Lease
(Select One) / Exclusive Agency
ER w/Reservations
EA w/Reservations
Listings will / NTREIS Translator Realtor.com / Limited Service ER
Appear on / Other Member Websites / Limited Service EA
 Listing Date /  Expire Date

Preferred Title Company

Preferred Title Co.
Title Co. Phone / Title Co. Location
Owner Permission to Video / N/A Yes No

For Intra Office Information

Owner Name / Builder Owner / Foreclosure
Relo
Owner Home
Phone /  Seller Type
(Select One)
Occupancy / Owner / Tenant / Vacant / Owner Alt. Phone
Occupant / Occupant Home
Phone
Occupant Alt. Phone
Showing
Instructions / ______
______
______
(150 character limit)
Secured Showing
Instructions
______
(50 character limit)
 Keybox # / Combo
Shackle Code / CBS Code

Property Information

 # Bedrooms
 # Full Baths /  # Half Baths
# Full Baths/1st Level / # Full Baths/2nd Level
# Full Baths/3rd Level / # Full Baths Bsmt Level
# Half Baths/1st Level / # Half Baths/2nd Level
# Half Baths/3rd Level / # Half Baths Bsmt Level
 # Stories /  # Fireplaces
 # Living Areas /  # Dining Areas
 SqFt /  SqFt Source / Appraiser
Building Plan / Tax
OtherDocumentation
(Select One -Defaults to Tax)
 Handicap Amenities / Yes No / List$/SqFt / System Calculated
(Defaults to No) (If Yes, Handicap Amenities Features Required)
 Year Built /  Construction Status / New Constr - Complete
New Constr - Incomplete
Unknown / Preowned
Proposed
(Select One)
 Living 1 Length /  Living 1 Width
 Living 1 Level / (1 – 9, or B)
Living 2 Length / Living 2 Width
Living 2 Level / (1 – 9, or B)
Living 3 Length / Living 3 Width
Living 3 Level / (1 – 9, or B)
Formal Dining Length / Formal Dining Width
Formal Dining Level / (1 – 9, or B)
Breakfast Length / Breakfast Width
Breakfast Level / (1 – 9, or B)
 Kitchen Length /  Kitchen Width
 Kitchen Level / (1 – 9, or B)
 Master BR Length /  Master BR Width
 Master BR Level / (1 – 9, or B)
Bedroom 2 Length / Bedroom 2 Width
Bedroom 2 Level / (1 – 9, or B)
Bedroom 3 Length / Bedroom 3 Width
Bedroom 3 Level / (1 – 9, or B)
Bedroom 4 Length / Bedroom 4 Width
Bedroom 4 Level / (1 – 9, or B)
Bedroom 5 Length / Bedroom 5 Width
Bedroom 5 Level / (1 – 9, or B)
Study Length / Study Width

Property Information (continued)

Study Level / (1 – 9, or B)
Utility Length / Utility Width
Utility Level / (1 – 9, or B)
Other Room 1 Length / Other Room 1 Width
Other Room 1 Level / (1 – 9, or B)
Other Room 2 Length / Other Room 2 Width
Other Room 2 Level / (1 – 9, or B)
Total Covered Parking /  # Garage Spaces
 # Carport Spaces
Garage Length / Garage Width
(Above Required if answered # Garage Spaces) (Above Required if answered # Garage Spaces)
 Security System / Yes No /  Pool on Property / Yes No
Lot Dimensions /
Acres
 HOA / Mandatory / None / Voluntary /
HOA Dues
HOA Billing Freq / Annually / Monthly / Semi-Annual / Quarterly /
Other
(Above Required if answered HOA Mandatory)

School Information

School District
 School 1 Type /  School 1 Name
Bus 1 / N/A Yes No
 School 2 Type /  School 2 Name
Bus 2 / N/A Yes No
 School 3 Type /  School 3 Name
Bus 3 / N/A Yes No
School 4 Type / School 4 Name
Bus 4 / N/A Yes No

Financial Information

(All fields required if Assumable Non-Qualifying and Assumable Qualifying are entered as the Loan Type)

Property Also for Lease / Yes No /
Unexempt Taxes
 Loan Type / Assumable Non-Qualifying / Treat as Clear / Balance
Assumable Qualifying
Equity / System Calculated / Mortgage Interest Rate
Payment / Payment Type / Principal & Interest
Principal, Interest &
Taxes / Principal, Int., & Ins.
Principal, Int., Tax, Ins.
Other
(Select One)
Lender / Original Mtg. Date
 2nd Mortgage / Yes No

Remarks

Directions to
Property / ______
______
(150 character limit)
Property
Description / ______
______
(450 character limit)
Excludes
Private
Remarks / ______
______
(110 character limit)
______
______
(300 character limit)
Intra Office
Remarks / ______
______
(225 character limit)

Features

 Housing Type / Style of House
Apartment / Garden/Zero Lot Line / Resort Property / A-Frame / Geo/Dome / Spanish
Attached / ½ Duplex / High Rise / Single Detached / Colonial / Loft/Appt. / Split Level
Condo/Townhome / Historical
Conservation Dist. / Singlewide w/Land / Contemporary/Modern / Mediterranean / Studio Apartment
Designated Historical / LakeHouse / Underground / Early American / Oriental / Traditional
Doublewide w/Land / Log Cabin / Vacation Home / English / Prairie / Tudor
Farm/Ranch House / Manufactured
(certificate exchanged) / Flat / Ranch / Victorian
French / Southwestern / Other
Lot Size/Acreage(Select One) / Lot Description
Less than .5 Acre
(not Zero) / 3 Acres to 4.99 Acres / Over 100 Acres / Acreage / Heavily Treed / River Front
.5 Acre to .99 Acre / 5 Acres to 9.99 Acres / Condo/Townhome Lot / Adjacent to Greenbelt / Horses Permitted / Some Trees
1 Acre to 2.99Acres / 10 Acres to100 Acres / Zero Lot Line / Canal (Man Made) / Interior Lot / Subdivision
Corner / Irregular / Tank/Pond
Creek / Landscaped / Undivided
Cul de Sac / Large Backyard Grass / Water/Lake Front
Cultivated / No Backyard Grass / Water/Lake View
Golf Course Lot / Partially Cultivated / Other
Green Belt / Pasture
Exterior Features / Soil
Arena / Gutters / Sprinkler System / Black / Limestone / Unknown
Balcony / Lighting System / Stable/Barn / Clay / Rocky/Shale / Other
Boat Dock/Slip / Patio Covered / StorageBuilding / Fill / Sandy Loam
Covered Porch(es) / Patio Open / Tennis Court(s)
EquestrianCenter / Private Hangar / Wood Deck
Gazebo / Private Landing Slip / Workshop
Greenhouse / RV/Boat Parking / Other
Grill / Satellite Dish
Guest Quarters / Separate Entry Quarters
Sport Court
 Construction
Brick / Log / Stucco
Common Wall / Rock/Stone / Wood
Fiber Cement / Siding / Other
 Foundation /  Roof
Basement / Piered Beam Slab / Slab / Built-Up / Metal / Tile/Slate
Bois D’Arc Post / Pilings / Other / Composition / Overlay / Wood Shake
Pier & Beam / Concrete / Shake Metal / Wood Shingle
Fiber Cement / Tar/Gravel / Other
Backyard Pool Features / Type of Fence
Above Ground / Heated / Lap Pool / Automatic Gate / Iron / Rock/Stone
Attached Spa / In Ground Fiber Glass / Play Pool / Barbed Wire / None / Slick/Smooth Wire
Cabana / In Ground Gunite / Pool Perimeter Fence / Brick / Partially Fenced / Vinyl
Cleaning System / In Ground Vinyl / Separate Spa/Hot Tub / Chain Link / Pipe / Wood
Custom Cover / Indoor / Other / Cross Fenced / Rail / Other
Diving / Dog Run
 Parking/Garage /  Street/Utilities
Assigned / Has Sink in Garage / Side / Aerobic Septic / Concrete / Private Road
Attached / None / Swing Drive / All Weather Road / Curbs / Private Sewer Co.
Circle Drive / Opener / Tandem Style / Alley / Dirt / Private Water Co.
Covered / Outside Entry / Unassigned / Asphalt / Gravel/Rock / Septic
Detached / Oversized / Uncovered / City Sewer / MUD Sewer / Sidewalk
Front / Porte-Cochere / Workbench / City Water / MUD Water / Underground Utilities
Garage Conversion / Rear / Other / Co-op Water / No City Services / Unincorporated
Golf Cart Garage / Community Mailbox / Outside City Limits / Well
/ / Overhead Utilities / Other
Common Features / HOA Includes (Required if answered HOA Mandatory)
Boat Ramp / Guarded Entrance / Private Lake/Pond / All Utilities / Full Use of Facilities / Security
Campground / Horse Facilities / Public Hangar / Back Yard Maintenance / Gas / Sprinkler System
Club House / Jogging /Bike Path / Racquet Ball / Blanket Insurance / Management Fees / Trash
Comm. Sprinkler System / Landing Strip / RV Parking / Electric / None / Water/Sewer
Common Elevator / Laundry / Sauna / Exterior Maintenance / Partial Use of Facilities / Other
Community Pool / Marina / Spa / Front Yard Maintenance / Reserves
Gated Entrance / Park / Tennis
Golf / Perimeter Fence / Other
Greenbelt / Playground
 Interior Features /  Bed/Bath Features
Bay Windows / Multiple Staircases / Wainscoting / Bidet / Jack/Jill Bath / Separate Vanities
Cable TV Available / Paneling / Water Filter / Built-ins / Jetted Tub / Sitting Area in Master
Central Vac / Plantation Shutters / Water Purifier / Double Shower / Linen Closet / Split Bedrooms
Decorative Lighting / Skylights / Water Softener / Fireplace in Master / Medicine Cabinet / Steam Shower
Dry Bar / Smart Home Features / Wet Bar / Garden Tub / Murphy Bed / Walk-in Closets
Elevator / Sound System Wiring / Window Coverings / Hollywood Bath / Separate Shower / Other
High Speed Internet
Available / Vaulted Ceilings / Other
Intercom
Loft
Specialty Rooms / Fireplace Type
Dark Room / Media Room / Solarium/Sunroom / Blower Fan / Freestanding / Metal Box
Exercise Room / Mud Room / Spa/Hot Tub Room / Brick / Gas Logs / See Through Fireplace
Extra Storage Room / Music Room / Unfinished Bonus Room / Decorative / Gas Starter / Stone
Game Room / Sauna/Steam Room / Wine Cellar / Direct Vent / Insert / Wood Burning
Library/Study / Second Master / Other / Electric / Masonry / Other
 Kitchen Equipment / Kitchen Other
Built-in Compactor / Disposal / Oven-Electric / Breakfast Bar / Eat-in Kitchen / Tile Countertop
Built-in Icemaker / Double Oven / Oven-Gas / Butlers Pantry / Galley Kitchen / Walk-in Pantry
Built-in Microwave / Drop in Range/Oven-
Electric / Plumbed for Gas in
Kitchen / Corian/Corian Type
Countertop / Granite/Granite Type
Countertop / Other
Built-In
Refrigerator/Freezer / Drop in Range/Oven-Gas / Self Clean / Dumb Waiter / Island
Built-in Wine Cooler / DualFuelRange / Vent Mechanism
Convection Oven / Freestanding Range-
Electric / Warmer Oven Drawer
Cooktop-Electric / Freestanding Range-
Gas / Water Line to Refrigerator
Cooktop-Gas / Indoor Grill / Other
Dishwasher
 Utility Room / Alarm/Security Type
Drip/Dry Area / None / Utility Closet / Burglar / Firewall(s) / Pre-Wired
Dryer Hookup-Elec / Room for Freezer / Utility in Garage / Carbon Monoxide
Detector / Leased / Smoke Detector
Dryer Hookup-Gas / Second Pantry / Utility in Kitchen / Exterior Security Light(s) / Monitored / Unknown
Floor Drain / Separate Utility Room / Washer Hookup / Fire/Smoke / Owned / Other
Full Size W/D Area / Sink in Utility / Other / Fire Sprinkler System
Laundry Chute / Stacked W/D Area
 Flooring /  Heating/Cooling (2 Required)
Brick/Adobe / Marble / Vinyl / Addtl Water Heater(s) / Gas Jets / Propane
Carpet / Parquet / Wood / Central Air-Electric / Geotherm / Solar
Ceramic Tile / Slate / Wood Under Carpet / Central Air-Gas / Heat Pump / Space Heater
Concrete / Stone / Other / Central Heat-Electric / Humidifier / Two(+) Pipe (Condo)
Laminate / Terrazzo / Central Heat-Gas / No Air / Window Unit
Direct Vent / No Heat / Zoned
Electrostatic Air Filter / Panel/Floor/Wall / Other
Energy Features / Handicap Amenities (Required if answered Y to Handicap Amenities)
Attic Fan / Solar Panels / Tinted Windows / Elevator / Meets ADA Requirements / Wide Doorways
Ceiling Fans / Solar Screens / Turbines / Hand Rails / Ramp / Other
Gas Water Heater / Storm Door(s) / Ventilator / Lower Fixtures / Wheelchair Access
Insulated Doors / Storm Window(s) / Other
None / Thermo Windows
Special Notes /  Assumption Info
1st Right of Refusal / Owner/Agent / Verify Rollback Tax / Balloon / Escrow to be Prorated / Private Assumable
Affordable Housing / Res. Service Contract / Verify Tax Exemptions / Bond / FHA Assumable / Release Liability Req.
Deed Restrictions / Senior/Adult Living
Community / Virtual Tour / Buydown / Fixed / Texas Vet Assumable
Flowage Easement / Special
Contracts/Provisions / Other / Conventional Assumable / Graduated/Adjusted / VA Assumable
HUD/VA / Verify Flood Insurance / Credit Report Req. / Not Assumable / VA Reinstatement Req.
Escalating
Proposed Financing /  Possession
Assumption of Equity / FHA / Texas Vet / Closing/Funding / Negotiable / Other
Bond Money / FMHA / Trade/Exchange / Lease Outstanding / Specific Date
Cash / Lease Purchase / VA
Conventional / Owner Carry First / Other
Federal Land Bank / Owner Carry Second /
 Showing / Complex Approved For
Agent or Owner Present / Combo Lockbox / Key in Office / Fannie-Mae Approved / FHA/VA / VA
Appointment
(Appt Svc only) / Courtesy Call
(Appt Svc only) / No Lock Box / FHA / Unknown
Appointment Service / Go (Appt Svc only) / Sign on Lot
Call-Key Box / Go-Key Box / Special
Centralized Showing
Service

Owner(s) have examined the information contained in this profile sheet and warrant that the information contained herein is true and correct to the best of their knowledge.

Owner’s Signature

Owner’s Signature

Signed the day of 20

NOTE: Any information changes and/or status changes should be made on a separate listing modification form and entered into the Multiple Listing Service within the time specified in the Multiple Listing Service Rules & Regulations. I certify that a written listing agreement has been executed on the above property and that it complies with the Rules & Regulations of the Multiple Listing Service.

Participant/Subscriber for Participant

10/21/2018