North Central West Virginia Real Estate Information Network Inc

Multiple Listing Service for

(1) Class North Central West Virginia Real Estate Information Network Inc.

SF Single Family Detached Input Form

*All fields marked with an asterisk (*) and Bold Text are required.

*TYPE
q Detached
q Patio Home
q Farm 10 Acres +
q Other
q Manufactured- Single Wide
q Manufactured-Multi Wide / *Area:
*County Code: *Subdivision:
*Address:
St. # St. Dir. *Street Name
Address2: (50)
*City:
*State: (2) *ZIP+4: / *MLS #
(System Assigned)
*List Price
$
*Idx
q Yes
q No / Minimum Deposit
$
AGENT/OFFICE / *List Agent: Phone:
*Office: Phone:
Co-List Agent: Phone:
Co-Office: Phone:
*List Date: ______/______/______*Expire Date: ______/______/______List Type: q Exclusive Agency q Exclusive Right to Sell q Other
*Seller Agent Comp: (5) *Buyer Agent Comp: (5) Other Comp: (10)
*Lockbox Description: (12)
Virtual Tour: http:// (100)
LEGAL INFO / *Owner Name: (25) *Property ID No: (30)
* District: *Zoning: Map Page: (10)
Parcel #: (10) * Deed Book: ______(5) *Deed Page: ______(10)
Addt’l Deed Page: (10)
*Legal Description:
(255)
*Year Built: New Construction: q C-Completed (Never Occupied) q M-Model q P-Proposed q U-Under Construction
UNIT INFORMATION / *Keywords : * #Rooms: * #Bedrooms: * #Bedrooms Above Grade:
* #Full Baths: * #Half Baths: * #Other Baths: * #Fireplaces: * #Stories:
*Finished SQFT: Finished SQFT Below Grade: Unfinished SQFT Below Grade:
*Lot Dimension: (25) Lot SQFT: # of Acres:
Occupied: q Owner q Tenant q Vacant Warranty: q N-No q Y-Yes Handicap Modified: q N-No q Y-Yes
Rooms / Dimension (10) / Level (1) / Features
(see Feature Code ZA) / Rooms / Dimension (10) / Level (1) / Features
(see Feature Code ZA)
Living Room / Dining Room
Family Room / Den
Kitchen / Master Bedroom
Bedroom #2 / Bedroom #3
Bedroom #4 / Bedroom #5
Rooms / Name / Dimension (10) / Level (1) / Features
(see Feature Code ZA)
Other Room #1
Other Room #2
Other Room #3
Other Room Names: Bathroom, Bedroom, Bonus Room, Breakfast Nook, Den, Foyer, Game Room, In-Law Apartment, Kitchen, Laundry, Library, Loft, Media Room, Office,
Play Room, Second Kitchen, Sunroom, Workshop, Other
SCHOOLS / * School County:
Elementary: Middle: High:
Other School: (25)
REMARKS / * Directions:
(255)
Disclosure:
(100)
Possession: (10) * Remarks (512 Characters Only):
Agent Remarks (4000 Characters Only) (attach separate document if necessary):
EXPENSES / HOA: q N-No q Y-Yes HOA Fee $: HOA Fee per: q Monthly q Quarterly q Yearly
* Tax Amount $: Tax YR:
Gas Avg $ Electric Avg $: Annual Fire Tax $:

The information contained herein is deemed reliable but not guaranteed.

Confidential Page 1 of 1 Revised 5/22/03

Multiple Listing Service for

(1) Class North Central West Virginia Real Estate Information Network Inc.

SF Single Family Detached Input Form

*Listing Address:

Features: select all that apply.

A. PROPERTY DISCLOSURE

1. Seller’s Disclosure

2. Deed Restriction

3. Pest Inspection Report

4. Property Inspection

5. Appraisal

6. As Is

7. Lead-Based Paint

8. Owner Financing

COMMUNITY AMMENITIES

1. Park

2. Playground

3. Pool

4. Tennis Courts

5. Golf Course

6. Shopping/Mall

7. Health Club

8. Library

9. Medical Facility

10. Public Transportation

11. Gated Community

12. Club House

13. Elevator

14. Other

APPLIANCES

1. Range

2. Countertop Range

3. Wall Oven

4. Indoor Grill

5. Microwave

6. Dishwasher

7. Disposal

8. Compactor

9. Refrigerator

10. Freezer

11. Ice Machine

12. Washer

13. Dryer

14. Water Softener

15. None

16. Other

BASEMENT

1. Full

2. Partial

3. Crawl Space

4. Finished

5. Partially Finished

6. Unfinished

7. Walk-Out

8. Interior Access

9. Exterior Access

10. Garage Access

11. Sump Pump

12. Dirt Floor

13. Concrete Floor

14. Drop Ceiling

15. None

CONSTRUCTION

1. Frame

2. Log

3. Block

4. Wood

5. Brick

6. Stone

7. Metal

8. Concrete

9. Modular

10. Single Wide

11. Double Wide

12. Other

COOLING

1. Heat Pump

2. Central Air

3. Window Unit(s)

4. Attic Fan

5. Ceiling Fan(s)

6. Zoned

7. Wall Unit(s)

8. Electric

9. Gas

10. None

11. Other

ELECTRICITY

1. Fuses

2. Circuit Breakers

3. 60 Amps or Less

4. 100 Amps

5. 150 Amps

6. 200 Amps

7. 200+ Amps

8. Other

EQUIPMENT

1. Central Vacuum

2. Smoke Detectors

3. Whirlpool

4. Security System

5. Sauna / Steam Room

6. Humidifier

7. Garage Door Opener

8. Intercom

9. Water Filter

10. Roof Ventilation Fan

11. Radon Mitigation System

12. Air Filter

13. Cable-Ready

14. Cable Available

15. Hot Water Heater – Gas

16. Hot Water Heater – Electric

17. Hot Tub

18. Other

EXTERIOR

1. Aluminum

2. Asbestos Siding

3. Block

4. Brick

5. Cedar

6. Wood

7. Hardboard

8. Shakes

9. Stucco

10. Vinyl

11. Stone

12. Brick / Aluminum

13. Brick / Vinyl

14. Log

15. Masonite

16. T-111

17. Other

EXTERIOR FEATURES

1. Porch

2. Patio

3. Deck

4. Balcony

5. Storm Windows

6. Storm Doors

7. Gas / Propane Grill

8. In-ground Pool

9. Above-ground Pool

10. Private Yard

11. Sprinkler System

12. Storage Shed / Outbuilding

13. Barn

14. Landscaped

15. Gazebo

16. Cabana

17. Outside Lighting

18. Double Thermo Windows

19. Screen Porch

20. Other

FENCE

1. Chain Link

2. Wood

3. Split Rail

4. Full

5. Partial

6. Privacy

7. Vinyl

8. None

9. Other

FLOORING

1. Wall-to-Wall Carpet

2. Wood

3. Parquet

4. Ceramic Tile

5. Vinyl

6. Tile

7. Slate

8. Concrete

9. Plywood

10. Laminate

11. Other

FOUNDATION

1. Slab

2. Piling

3. Footing

4. Wood

5. Stone

6. Concrete

7. Metal

8. Brick

9. Block

10. Masonry

11. Insulated Concrete

12. Other

HEATING

1. Heat Pump

2. Central Heat

3. Forced Air

4. Radiators

5. Wall Unit(s)

6. Baseboards

7. Space Heater(s)

8. Zoned

9. Gravity

10. Radiant

11. Floor Heaters

12. Geothermal

13. Electric

14. Gas

15. Hot Water

16. Oil

17. Propane

18. Wood

19. Solar

20. Steam

21. None

22. Other

INTERIOR FEATURES

1. Wet Bar

2. Walk-in Closets

3. Beamed Ceilings

4. Skylight(s)

5. All Window Treatments

6. Some Window Treatments

7. Vaulted Ceilings

8. 9ft+ Ceiling

9. Master Bath

10. Rough-in Bath

11. Walk-up Attic

12. Gas Stove Connection

13. Electric Stove Connection

14. Washer Connection

15. Gas Dryer Connection

16. Electric Dryer Connection

17. Icemaker Connection

18. Newly Decorated

19. Garden Tub

20. Other

PROPERTY DESCRIPTION

1. Corner

2. Wooded

3. Easements

4. Water Frontage

5. Golf Course Frontage

6. Level

7. Sloping

8. Rolling

9. Steep

10. Addt’l Land Available

11. Flood Plain

12. Views

13. Zero Lot Line

14. Cul-de-sac

15. No Outlet Street

16. Commons

17. Rural

18. Horse Property

19. Cleared Lot

20. Other

OTHER ROOMS

1. Great Room

2. Family Room

3. Loft

4. Library / Study

5. Office / Computer Room

6. Rec / Play Room

7. Foyer

8. Formal Dining Room

9. Breakfast Nook

10. Pantry

11. Laundry / Utility

12. Breezeway

13. Florida Room

14. Sun Room

15. Workshop

16. In-Law

17. Den

18. Game Room

19. Media Room

20. Second Kitchen

21. Bonus Room

22. Other

PARKING

1. Carport

2. 1 Car

3. 2 Cars

4. 3+ Cars

5. RV / Boat Pad

6. Street Parking

7. Off-Street Parking

8. Other

GARAGE

1. Attached

2. Detached

3. Integral

4. 1 Car

5. 2 Cars

6. 3+ Cars

7. None

8. Other

ROOF

1. Shingles

2. Metal

3. Rolled

4. Slate

5. Tile

6. Shake

7. Tar/Gravel

8. Flat

9. Rubber

10. Wood Shakes

11. Other

STYLE

1. Split Level

2. Colonial

3. Contemporary

4. Ranch

5. Traditional

6. Bungalow

7. Victorian

8. Tudor

9. Split Entry

10. Raised Ranch

11. A-Frame

12. Barn

13. Cape Cod

14. Saltbox

15. Chalet

16. Georgian

17. Dutch Colonial

18. Farmhouse

19. Mediterranean

20. Two Story

21. Patio Home

22. Historical

23. Log

24. Other

VIEW DESCRIPTION

1. Whitewater

2. Golf Course

3. Mountain

4. Canyon / Valley

5. City Lights

6. Panoramic

7. Lake or River

8. Park-Like

9. Neighborhood

10. Other

WATER/SEWER

1. City Sewer

2. Private Sewer

3. Septic

4. City Water

5. Private Water

6. Well

7. Retaining Pond

8. Aeration System

9. Private Treatment Plant

10. None

11. Other

WATERFRONT

1. Lake

2. Pond

3. River

4. Frontage

5. View

6. Walk To

7. Access

8. Dock/Mooring

9. Beach

10. Stream/Creek

11. None

12. Other

ATTIC

1. Access Only

2. Storage Only

3. Expandable

4. Finished

5. Floor

6. Partially Finished

7. Permanent Stairs

8. Pull-Down Stairs

9. Scuttle

10. None

11. Other

FIREPLACE

1. Masonry

2. Pre-fab

3. Wood-Burning Stove

4. Stove Insert

5. Heatilator

6. Gas Logs

7. Gas Starter

8. Blower

9. Pellet Stove

10. None

11. Other

ZA. ROOM DESCRIPTION

(Complete for each room on page one)

1. Fireplace

2. Wood/Coal Stove

3. Skylight

4. Ceiling Fan(s)

5. Walk-in Closet

6. Cedar-Lined Closet

7. Wood Floor

8. Tile Floor

9. Vinyl Flooring

10. Window Treatment

11. Wall-to-Wall Carpet

12. Bay / Bow Windows

13. Cathedral / Vaulted Ceiling

14. Dining Area

15. Balcony / Deck

16. Interior Balcony

17. Whirlpool

18. Pantry

19. Steam / Sauna

20. Master Bath

21. Laminate Flooring

ZB. ASSOC. FEE INCLUDES

1. Insurance

2. Accounting / Legal

3. Management

4. Salaries / Payroll

5. Pool Service

6. Grounds

7. Pest Control

8. Security

9. Taxes

10. MH Park Fees

11. Snow Removal

12. Road Maintenance Agreement

13. Grass Cutting

14. Other

ZC. SHOWING INSTR. (SUB AGENT)

1. Lockbox

2. Call List Office

3. Call List Agent

4. Key in Office

5. Show Anytime

6. Accompany Show

7. Appointment Required

8. Sign-in Sheet Required

9. Pet on Premises

ZD. SHOWING INSTR. (BUY AGENT)

1. Lockbox

2. Call List Office

3. Call List Agent

4. Key in Office

5. Show Anytime

6. Accompany Show

7. Appointment Required

8. Sign-in Sheet Required

9. Pet on Premises

The information contained herein is deemed reliable but not guaranteed. This form must be submitted within 72 hours.

Confidential Page 2 of 2 Revised 5/22/03