Professional Documents
Culture Documents
SWMRIC
MLS # ______________
Assigned by Computer
Mailing Address:
Street # - Modifier: _________ - ______ Direction: ____ Street Name: _______________________ Suffix:__________ Post Direction: _____
Unit #: _____ City: ________________________________ Zip Code +4: _______ - ______
Cross Streets: _____________________________________________ & _______________________________________________________
Office ID: ____________
Property Subtype:
Area: _____
Residential:
Single Family
Farm
Public Viewable: Yes No Show Address to Public: Yes No Show AVM to Public: Yes No VOW Public Comments: Yes No
Sub Agcy:
_____ (%/Amt)
Buyer Agcy:
_____ (%/Amt)
Trans Coord:
Variable Rate:
_____ (%/Amt)
Yes No
Comments: ________________________________________
Occupant Type: Owner Tenant Vacant Owner Name: __________________________________ Owner Phone: ____ - ____ - ______
Showing Instructions: _________________________________________________________________________________________________
Possession: _________________________________________________________________________________________________________
Taxable Value ($): ____________ SEV ($): ____________
For Tax Year: ____ Annual Property Tax ($): ____________ Tax Year: ____
Water ________________________________________
Sewer ________________________________________________
Electric _______________________________________
Heat _________________________________________________
Trash ________________________________________________
Cable/Satellite __________________________________
Other ________________________________________________
*Feature group allows a 40 character comment line for each selection in the feature group.
Page 1 RESIDENTIAL 05/2010
Covered Entrance
Ramped Entrance
Covered Ramp
36 in. or + Hallway
42 in. or + Hallway
Grab Bar
Kitchen:
Level
____ x ____ ____ ________________________ Mstr. Bdrm: ____ x ____ ____ ________________________
Dining Area:
Family Room:
Living Room:
Recreation:
Den/Study:
Laundry:
All Fields Are Required In The Grid Enter 0 (zero) for none
Above Grade
Upper Level
Main Level
Below Grade
LL/WO Level
Basement Level
# Bedrooms:
___________
__________
___________
______________
# Full Baths:
___________
__________
___________
______________
# Half Baths:
___________
__________
___________
______________
___________
__________
___________
______________
___________
______________
Stories: 1
1.5
3 or more Split
Design:
A Frame Bi-Level Bungalow Cabin/Cottage Cape Cod Chalet Colonial Contemporary Farm House Log Home
Mobile Quad Level Ranch Traditional Tri-Level Tudor Underground Victorian Other
Manufactured: Yes No
Manufactured Details: Titled
GARAGE: *
Yes
GARAGE TYPE:
Untitled
Title Unknown
Permanently Affixed
Single Section
Multi Section
No
1 __________________________
Attached _________________________
2 __________________________
Carport _________________________
3 __________________________
Detached ________________________
4+ _________________________
Tandem
________________________
EXTERIOR MATERIAL:
Aluminum Brick Concrete Block Log Poured Concrete Shingle Stone Stucco Vinyl Wood Other
ROOF:
Built Up Stone Wood Shingle Comp Shingle Metal Rubber Slat Tile Other
* Feature group allows a 40 character comment line for each selection in the feature group.
Page 2 RESIDENTIAL 05/2010
Daylight _____________________________
Slab ___________________________________
Other __________________________________
LOT DESCRIPTION:
Corner ____________________________________________
Cul-De-Sac ________________________________________
Level ______________________________________________
Ravine ___________________________________________
Recreational ________________________________________
Sidewalk ___________________________________________
Tillable ___________________________________________
Wooded __________________________________________
* Feature group allows a 40 character comment line for each selection in the feature group.
Page 3 RESIDENTIAL 05/2010
Hangar __________________________
Greenhouse ____________________
Stable ___________________________
Other ________________________
VA ________________________
Cash/Conventional ___________________
MSHDA ___________________________________
Other ______________________
FHA _______________________________
Rural Development___________________________
*Feature group allows a 40 character comment line for each selection in the feature group.
Page 4 RESIDENTIAL 05 /2010
Revised 05/2010
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Directions to Property (Maximum of 250 Characters)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
We (I) Agree that to the best of our knowledge this represents a fair and accurate representation of the property we (I) have listed with
the REALTOR below.
__________________________
________________
______________________________
____________________
Date
Signature: Seller
Date
_____________________________
Signature: Listing Agent
__________________
Date
__________________________________
Signature: Seller
______________________
Date