List Price________________________        MLS Listing Period (up to 1 year)______
Selling Agent Commission____________ 

Owner Information                                        Minimum listing period is 3 months but you

Please Print:                                                      can cancel the listing at any time without                                                                                   penalty.

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Last Name                                                         First Name
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Last Name (2nd Owner)                                    First Name
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Street Address                             Unit                City                       State                    Zip
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Daytime Phone                                                   Evening Phone
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Fax                                                                    Email Address

Property Address
Please Print:

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Street Address                            Unit                 City                      State                      Zip
________________________________          __________________________________
County                                                               Complex Name
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Model Name                                                     Development Name

Property Type
_____Condo, _____Villa, _____Co-Op, _____Townhouse, ___Duplex, _________Other,
The Unit is _____Attached, _____Detached,______Owner Occupied, ________Vacant,
________Rented,__________New Construction,__________Never Lived In,

Floor Location of Unit __1st, __2nd, __3rd, ________Other, _____Total Floors in Building
Unit#______, Building #_________, _______Total # of Units in Building, _____Total # of Units in Complex

Is the Property an Efficiency Unit ___Yes ___No, The Unit Has _____Balcony, _______Porch, ________Patio, __________________________________Other

Assigned Parking Space #__________________ Dock Space #_____________________ 

The Main Living Area is Located ______Entry Level, _______Upstairs, ________Other
 

Ownership (Check One)
___ Fee Simple, ____ Fee Simple W/Home Owner’s Association, ____Condominium
___Deed Restrictions, ______Homeowners Association Required, ______Homeowners
Association Optional, ______Land Lease

Governing Bodies
___Builder Control, ____Condo Association, ____Home Owners Association, ____None 

General Information
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Directions from a major road or intersection
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Remarks
_______________________________________________________________________
Property Description or additional information (up to 300 characters)
_______________________________________________________________________

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Financial Information
Selling Terms
___Assumption ___Conventional ___FHA/VA ____Lease Option ____Owner Financing
Other Terms Considered___________________________________________________

Total Mortgage Balance ___________________________________________________

Taxes Paid:_______________________          Tax Year__________________________

Tax Exemptions
____No Exemptions   ____Homestead   ________________________Other Exemptions
Do you pay any special tax assessments ___Yes ___No (Description)_______________
Tax I.D # (as shown on tax bill) _____________________________________________ 
Associations and memberships
Condo Owners Association __Yes ___No Association Name_______________________
Association Fee_______   ____Monthly,  ___Quarterly, ___Semi Annually, ___Annually
___________________Application Fee, ________________________Maintenance Fee, 

Association Approval Information
_____Application Fee Required, _____Association Approval Required, ______Personal Interview Required, ___No Approval Required, ___________Other Approvals Required,
___1-2 Weeks Approval, ___3-4 Weeks Approval, ____Rapid App