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FOR SALE BY OWNER MLS LISTING SERVICE
PROPERTY PROFILE INPUT FORM AND LISTING AGREEMENT

Step 1. Complete the following information and send it to us directly by clicking "Submit" at the end.

Step 2. Return here to obtain a copy of the Listing Agreement in Pdf format or in Word format. Then print it, complete it and either scan and email to us at fsbo@4salemls.com or fax it to 206-202-2573.

Step 3. E-mail to fsbo@4salemls.com a picture of your home. If you need to mail it, send us an email and we will provide you with the mailing address.

KEEP A COPY OF THE LISTING AGREEMENT

General Information

Owners Names

Month/Day/Year Listing Starts

Month/Day/Year Listing Ends

Listing Price

Address of Home for Sale

City, State, Zip Code

County

Phone #s for Broker Calls

Other Phone #s

E-mail

Directions to Home

Township

Subdivision

Model

Waterfront: Yes or No Built Before 1978 Yes or No Year Built
# Rooms (exclude baths) # Bedrooms   # Bathrooms Master Bath: Yes or No
# Fireplaces    Basement: Yes or No    Basement Bath: Yes or No

Property Tax Information

Permanent (Property) Index Number     New Construction: Yes or No

Real Estate Taxes Tax Year

Tax Exemptions (homeowner, senior):

Special Assess, if any Regular Assess, if any Frequency (monthly, etc):

What Does Monthly Assess Cover Lot Dimensions

Complete Following for Condos and Townhomes

No. of Units in Bldg. Your Unit No. Your Floor No.

% Ownership   Dogs OK: Yes or No    Cats OK: Yes or No

On-Site Management: Yes or No        Self-Management: Yes or No

Days Required for Board Approval of Unit Sales

Does Price Include Parking Spaces: Yes or No        How Many

If not, Are Parking Spaces Sold Separately: Yes or No

Are Parking Spaces Leased: Yes or No    What is Monthly Fee

Are Parking Spaces Assigned: Yes or No     How Many

Information for Vacant Land Only

Actual Zoning             Current Use               Road Surface
Utilities to Site       Frontage/Access

Room Information

Living Room

Dimensions Floor Level Floor Covering

Dining Room

Dimensions Floor Level Floor Covering

Kitchen

Dimensions Floor Level Floor Covering

Family Room

Dimensions Floor Level Floor Covering

Master Bedroom

Dimensions Floor Level Floor Covering

Bedroom #2

Dimensions Floor Level Floor Covering

Bedroom #3

Dimensions Floor Level Floor Covering

Bedroom #4

Dimensions Floor Level Floor Covering

Bedroom #5

Dimensions Floor Level Floor Covering

Bedroom #6

Dimensions Floor Level Floor Covering

Additional Room #1:

Choose from the following: Recreation Room, Sunroom, Enclosed Porch, Den, Office, Study, Great Room, 1st Floor Laundry, Exercise Room, Foyer, Darkroom, Enclosed Balcony, Second Kitchen, Loft, Workshop, Utility Room, Library, Maid's Room

Dimensions Floor Level         Floor Covering

Additional Room #2:
           Choose from the rooms mentioned above:

Dimensions Floor Level           Floor Covering

Additional Room #3:
Choose from the rooms mentioned above:

Dimensions Floor Level          Floor Covering

Additional Room #4:
            Choose from the rooms mentioned above:

Dimensions Floor Level          Floor Covering

Additional Room #5:
            Choose from the rooms mentioned above:

Dimensions Floor Level          Floor Covering

Schools and Broker Information

    Grammar Name       Grammar District Jnr High Name Jnr High District

High School Name High School District    Is Owner a Real Estate Agent?

Commission You Will Pay a Buyer's Broker

Highlights of Home (345 Characters--About 60 words )

Other Information (For This Section Click On Applicable Boxes)
Air Conditioning

                     Air Conditioning    Central     Partial     Space Pac
1 Window Unit    2 Window Units 3+ Window Units        Zoned

Amenities
Amenities Clubhouse Park/Playground Indoor Pool Outdoor Pool Horsebarn Pond/Lake Water Rights Tennis Court Water Edge Horse Trail Dock

Amenities (For Condos/Townhomes Only)
Condo/Townhome Amenities Bike Room Door Person Coin Laundry Commissary Elevator Storage Health Club On Site-Mgr Party Room Sundeck Indoor Pool Outdoor Pool Receiving Room Restaurant Sauna Service Elevator Valet/Cleaner Whirlpool Tennis Court

Appliances
Double Oven Oven/Range Microwave Dishwasher Dishwasher-Portable Refrigerator Separate Freezer Washer Dryer Disposal Compactor Indoor Grill Outdoor Grill

Attic Information
Attic Finished Unfinished Full Partial Drop-Down Door Stairs

Basement Information
Basement Full Partial Walkout Finished Unfinished Crawl Slab Cellar English Sub-Basement Exterior Access

Bath Information
Master Full   Master Half   Shared Master   Whirlpool   Sauna   Separate Shower Steam Shower   Double Sink

Driveway Information
Driveway Brick Concrete Asphalt Gravel Dirt Shared Off Alley Side Drive Heated Circular

Electrical System
Circuit Breakers Fuses 60 Amp 100 Amp 150 Amp 200+Amp

Equipment
Humidifier   Water Softener-Owned   Water Softener-Leased   Central Vac   TV-Cable TV-Dish    TV-Antenna    TV-Rotor    Security System    Intercom    Fire Sprinklers CO Detector    Ceiling Fan    Attic Exhaust Fan    Whole House Fan    Sump Pump(s) Lawn Sprinkler   Air Cleaner   Air Exchanger

Exterior Construction
Brick Aluminum Siding Cedar Frame Block Dryvit Glass Log Masonite Shakes Stucco Stone Marble/Granite Concrete Other

Features
Deck Patio Screened Porch Vaulted/Cathedral Ceiling Skylight Balcony Porch Gazebo Storage Shed Greenhouse Dog Run Hot Tub Dry Bar Wet Bar

Foundation
Foundation Concrete Block Mixed Wood Pillars Reinforced Caisson Stone

Fireplace Information
Indicate Location(s)

Wood Burning Attached Door/Screen Electric Gas Starter Gas Logs

Kitchen Information
Kitchen   Eat-in Breakfast Bar   Eat-in Table   Galley Kitchen   Island   Butler Pantry Closet Pantry Walk-in Pantry

Heating System
Gas    Forced Air    Electric   Oil   Radiant   Radiator    Hot Water/Steam
Space Heaters   Solar   Zoned

Water Source
Lake       Public      Private Company      Community Well      Private Well
   Private Company Well      Shared Well

Sanitation
Mechanical Septic     Private Septic     Shared Septic     Public Sewer     Storm Sewer Holding Tanks     Overhead Sewer

Improvements
Paved Street Curbs/Gutters Sidewalks Street Lights Gated Entrance

Exclusions and Transportation
Exceptions Exclusions Home Warranty School Bus Service Commuter Bus Service Commuter Train Service

Exclusions: The following personal property is excluded from sale

Exceptions: No commission payable for these prior home viewers

Lot Information

Beach Channel Front Corner Cul-de-sac Fenced Yard Horses Allowed Irregular Lake Front Professionally Landscaped

Roof and Style Information
Asphalt/Glass Shingles   Asphalt/Glass Rolled    Tar   Flat   Metal   Rubber   Slate Other

Number of Stories      Style of Home

Time of Possession
Closing Immediate Negotiable Prior to Closing Tenant's Rights Harvest Rights

Garage and Parking Information

None Garage Spaces No. of Cars

Door Opener   Automatic Door Opener   Off Alley   Heated   Attached   Detached   Valet Parking   Guest Parking   Parking Fee   Permit Parking   Apron Street Entry Side Drive Street Parking

Other Matters

Lockbox
I wish a lockbox. Cash deposit of $100. $25 refund when returned

                                                   Feature Your Home On Our Website
                   I want my home featured in your Gallery of Homes
                   I want my website linked to your website
                   I want my MLS listing linked to your website

The fee for these services is $100 per service. If a broker brings you a buyer, $100 is deducted from its commission for each service at closing and credited to you so you receive the services for free. Since these amounts are advanced by you, they are included in your payment.

Premium "Showcase" Realtor.com Listing
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 and your entire property description up to 2500 characters (not just two sentences) for the public's viewing. Without the Premium Listing this information is not available on any website.
I want the Premium “Showcase” Listing ($199 extra)

                                                                      Virtual Tours
I want my listing to include a virtual tour on the MLS ($100 extra)
I want my listing to include a virtual tour on the MLS and realtor.com ($150 extra)

           This is how I found your FSBO service.

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

I AGREE


ONLY PERSONAL ACCOUNTS ALLOWED

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Exact Name as Shown on Card:
Address Statements are Received:
Zip Code Statements are Received:
Card Number:
Expiration Date:                        Month    Year
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                                                            A For Sale By Owner Affiliated Company

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