ACCEPTED ON ____________, 200_
______________________________
______________________________
Print Sellers’ (Owners of Record)
Name(s) |
______________________________
Month/Day/Year Listing
Starts
______________________________
Month/Day/Year Listing
Ends
|
|
______________________________
Listing Price
______________________________
Phone for Brokers To Call
|
______________________________
Address of Home for Sale
______________________________
City, County, State, Zip Code
______________________________
___________
E-Mail
Fax
|
|
Directions to
Home_______________________________________________________
|
| Township______________ |
Subdivision___________ |
Waterfront: Yes
No |
Model_______________ |
Year Built_____
Built Before 1978: Yes
No |
Lot
Dimensions_____________________ |
| # Rooms_____ #
Bedrooms _____ # Baths ______ |
Master Bath: Yes
No |
Basement: Yes
No .
Bsmt Bath : Yes
No |
# Fireplaces _____ |
| Property Index
Number (PIN)_________________ |
Property Taxes
$_______ Year: 00
01 |
| Property Tax
Exemptions (Owner, Senior) ________ |
Special Assessment,
if any _________ |
New Construction:
Yes
No |
Monthly Assessment,
if any ________
Describe what assessment covers here
__________________________________________ |
Living Room:
Dimensions________Floor____Floor
Treatment_______ |
Master Bedroom:
Dimensions_______Floor____ FloorTreatment______ |
Dining Room:
Dimensions________Floor____Floor
Treatment_______ |
Bedroom #2:
Dimensions_______Floor____ Floor
Treatment______ |
Kitchen:
Dimensions________Floor____Floor
Treatment_______ |
Bedroom #3:
Dimensions_______Floor____ Floor
Treatment______ |
Family Room:
Dimensions________Floor____Floor
Treatment_______ |
Bedroom #4:
Dimensions_______Floor____ Floor
Treatment______ |
Additional Room #1:
Dimensions________Floor____Floor
Treatment_______ |
Additional Room #3:
Dimensions_______Floor____ Floor
Treatment______ |
Additional Room #2:
Dimensions________Floor____Floor
Treatment_______ |
Additional Room #4:
Dimensions_______Floor____ Floor
Treatment______ |
| Grammar School
________ District # _______ |
Additional Room #5:
Dimensions_______Floor____ Floor
Treatment______ |
| Jr. High
School ________ District # _______ |
Additional Room #6:
Dimensions_______Floor____ Floor
Treatment______ |
| High School
________ District # _______ |
Buyer's Broker
Commission ____ % Pls.Initial ___
(This is the commission you agree to pay to a
broker who brings you a buyer.) |
|
HIGHLIGHTS OF HOME AS YOU
WISH IT TO APPEAR ON LISTING:
_________________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
|
|
FOR FOLLOWING PLACE "X"
OR CIRCLE OR FILL IN BLANKS WHERE APPROPRIATE |
| 1. |
Air Conditioning
(central, zoned, window and how many) _____________________ |
| 2. |
Amenities
(clubhouse, park, pool, tennis court, horsebarn, pond, water
rights, lake)
|
| 3. |
Appliances: double
oven
oven/range
microwave
dishwasher
refrig
freezer
washer
dryer
disposal
compactor
outdoor grill
movable grill
|
| 4. |
Attic Information:
Attic
Full
Dormer
Unfinished
Pull-Down Door 
|
| 5. |
Basement
Information: Basement
Full
Partial
Walkout
Finished
Part Finished
Crawl Space
English Basement
Sub-Basement
Slab
Exterior Access
Basement Bath 
|
| 6. |
Bath Information:
Master Full
Master Half
Shared Master
Whirlpool
Sauna
Separate Shower
Steam Shower
Double Sink
Bidet 
|
| 7. |
Driveway
Information: Material ______________ Off Alley
Off Street
Side
Heated 
|
| 8. |
Elec. System: fuses
circuit breakers
100 amp
150 amp
200+ amp
|
| 9. |
Equipment
(intercom, humidifier, water softener, central vac, tv-cable,
tv-antenna, tv-dish, security system, CO detector, fire
sprinkler, sump pump) |
| 10. |
Exterior
Construction Materials (brick, frame, stucco, etc.)
|
| 11. |
Features (deck,
patio, screened porch, vaulted/cathedral ceiling, skylight,
balcony, porch, gazebo, storage shed, greenhouse,
underground sprinkler, dog run, boat dock, above ground pool,
in-ground pool, hot tub, sauna, dry bar, wet bar, roof deck) |
| 12. |
Type of Foundation
(brick, concrete, block)
|
| 13. |
Garage and Parking
Information: Garage
No. Cars
Elec. Opener
Heated
Attached
Detached
Permit
Off Alley
Street
Apron
Valet
Guest 
|
| 14. |
Kitchen
Information: Eat-In Breakfast
Eat-in Table
Galley
Island 
Pantry
Butler's Pantry
Walk-in Pantry
Closet Pantry  |
| 15. |
Heating System
(gas, oil, electrical, forced air, radiant, radiators) |
| 16. |
Water Source (lake,
private, well, public)
|
| 17. |
Improvements:
Sidewalks
Street lights
Paved street
Curbs/gutters
Public sewer
Private sewer 
|
| 18. |
Lot Description
(beach, corner, cul-de-sac, fenced yard, irregular, lake,
profess. landscaping, pond, river front, water view, wooded
lot) |
| 19. |
Roof Material
(asphalt shingles, asphalt, tar, rubber, stones)
|
| 20. |
Home Style _______
# Stories____________
|
| 21. |
Time of Buyer
Possession (closing) _________ |
| 22. |
Fireplace
Information:
Fireplace #1: Gas Starter
Wood Burning
Gas Logs
Location _________
Fireplace #2: Gas Starter
Wood Burning
Gas Logs
Location _________
Fireplace #3: Gas Starter
Wood Burning
Gas Logs
Location _________ |
|
FOR CONDOS/TOWNHOMES ONLY:
Total No. of Units in Bldg ____ Your % Interest ____ Your
Unit # ____ Dogs Allowed ? ____ Cats Allowed? ____
Does Price Include Parking Spaces? ____ How Many ____ If Not,
What is Separate Selling Price ________
On-Site Management? ____ Self-Management? ____ Days for Board
Approval of Sale ____ Square Feet ____
What Exposures (North, South, East, West, park, lake, water,
pond) ___________________
FOR VACANT LAND ONLY
Actual Zoning __________________ Current Use
________________________________
Frontage/Access
__________________________________________________________
Road Surface
_____________________________________________________________
Utilities to Site
____________________________________________________________
FEATURE YOUR HOME ON OUR WEBSITE
Do You Want Your Home's MLS Listing Linked to Our
Home Page? Place "X" Here 
(no obligation to you but the buyer's broker will pay us a
service charge of $100).
Do You Want Your Own Home's Website Linked to Our Home
Page? Place "X" Here
(no obligation to you but the buyer's broker will pay us a
service charge of $100).
Do You Want Your Home's Picture Featured in Our Gallery?
Place "X" Here 
(no obligation to you but the buyer's broker will pay us a
service charge of $100).
The fee for these services is $100 per
service. If a broker brings you the buyer, $100 is deducted
from its commission for each service at closing and credited
to you so that you receive the services for free. But since
the amount involved is advanced by you, it is included in your
payment.
OTHER MATTERS
This is how I found your
FSBO Service:
Internet
Friend
Referral
Repeat Customer
Call from Frankllin
Call from Frank
Call from Dick
Call from Bruce Call
from Other
Lockbox: I wish a lockbox
Cash deposit of $100, $25 refund when returned.
Premium "Showcase" Realtor.com:
If you want a premium listing on realtor.com rather than the one you get
with our service for free the charge is $199 (remember that your listing
appears on realtor.com in any event). The Premium Listing includes six photos, the “Showcase” designation, your entire property description
up to 2500 characters (not just two sentences) for the public and consumers. Without the Premium Listing
this information is not available on any website.
I want the Premium "Showcase"
Realtor.com listing and not just a couple of lines
Fee of $199.
Virtual Tours:
1. I do not want any virtual tours. 
2. I want my listing to include a virtual tour on the MLS ($100 extra)
3. I want my listing to include a virtual tour on the MLS and realtor.com ($150 extra)
The parties have
agreed to conduct this transaction via the Internet.
Type owner(s)'
name(s) HERE to confirm electronic signature to the
Listing
Agreement
appearing at Listing
Agreement
x__________________________
x__________________________
Please Complete following for Credit or Debit Card Payment.
Only Personal Accounts Are Allowed.
NO CORPORATE, GOVERNMENT
OR INTERNATIONAL ACCOUNTS
(All Payments are by Credit or Debit Card or
Check):
Type of Credit Card (MC or Visa): _______________
Exact Name as Shown on Card:
________________________
Address
Statements are Received: ________________________
Zip Code Statements are
Received:_______________________
Card Number:
_______________________
Expiration Date: Month _____________ Year
_______________
|
|