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RESIDENTIAL Data Input Form

SWMRIC

MLS # ______________

(All Required Fields in Gray)

Assigned by Computer

County Name: _________________________

Tax ID: ________________________________

(Enter Tax ID without hyphens, ex: 111868900036000)

Mailing Address:
Street # - Modifier: _________ - ______ Direction: ____ Street Name: _______________________ Suffix:__________ Post Direction: _____
Unit #: _____ City: ________________________________ Zip Code +4: _______ - ______
Cross Streets: _____________________________________________ & _______________________________________________________
Office ID: ____________
Property Subtype:
Area: _____

Agent ID: ____________

Residential:

Single Family

Co-Office ID: ____________


Condo/Coop

Co-Agent ID: ____________

Farm

Subarea: _____ Municipality: ______________________________ Listing Price: _____________

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)

Exclusive Agency: Yes No

Trans Coord:

Variable Rate:

_____ (%/Amt)

Yes No

Comments: ________________________________________

Reserved Prospect: Yes No

Lot Size: (acres or sq. ft.) ____________


Est. Year Built: _____

New Construction: Yes No

Listing Date: _______________

Expiration Date: _______________ School District: __________________________________________

Occupant Type: Owner Tenant Vacant Owner Name: __________________________________ Owner Phone: ____ - ____ - ______
Showing Instructions: _________________________________________________________________________________________________
Possession: _________________________________________________________________________________________________________
Taxable Value ($): ____________ SEV ($): ____________

For Tax Year: ____ Annual Property Tax ($): ____________ Tax Year: ____

Homestead %: _____ Spec Assessment & Type %: _________________________________________ Zoning: _______________________.


Lot Dimensions: ________________________________________ Road Frontage: _____________
Waterfront: Yes No

OR Water Access: Yes No

Water Frontage: ______ Body of Water: _________________________


Water Type: Lake River Stream/Creek Pond
Water Feature Amenities: All Sports Assoc. Access Channel Deeded Access Deeded Boat Lot Dock No Wake
Private Frontage Public Access Shared Frontage View
High School: _________________________________________
Middle School: _________________________________________
Elementary School: _________________________________________
Tour Date: ____________ Tour Time: ____________ Open House Date: ____________ Open House Time: ____________
Total Fireplaces: _____ Income Property: Yes No
Approx. Assoc. Fee: $________
Assoc. Fee Includes:
None ________________________________________

Lawn/Yard Care ________________________________________

Water ________________________________________

Sewer ________________________________________________

Electric _______________________________________

Heat _________________________________________________

Snow Removal _________________________________

Trash ________________________________________________

Cable/Satellite __________________________________

Other ________________________________________________

*Feature group allows a 40 character comment line for each selection in the feature group.
Page 1 RESIDENTIAL 05/2010

RESIDENTIAL Data Input Form


SWMRIC
(All Required Fields in Gray)
Assoc. Buy In Fee: $________

Condo Project Name: _________________________________________

Assoc. Fee Payable: Monthly Quarterly Annually


Accessibility Features: Yes No
Features Available:
No-Step Entrance

Covered Entrance

Ramped Entrance

Covered Ramp

36 in. Entrance Door

36 in. or + Hallway

42 in. or + Hallway

Accessible Mn. Flr. Bdrm.

Accessible M. Flr. Half Bath

Accessible Mn. Flr. Full Bath

Grab Bar

Mn. Flr Bath

Low Threshold Shower

Lever Door Handles

Accessible Elect. Controls

Rocker Light Switches

Accessible Kitchen Sink

Accessible Bath Sink

Total Rooms Above Grade: _____


Room Dimensions: For Levels Use: B-Basement L-Lower/Walkout M-Main U-Upper
Level

Kitchen:

Comments (40 characters)

Level

Comments (40 characters)

____ x ____ ____ ________________________ Mstr. Bdrm: ____ x ____ ____ ________________________

Formal Dining Room: ____ x ____ ____ ________________________

Mstr. Bath: ____ x ____ ____ ________________________

Dining Area:

____ x ____ ____ ________________________

Bedroom 2: ____ x ____ ____ ________________________

Family Room:

____ x ____ ____ ________________________

Bedroom 3: ____ x ____ ____ ________________________

Living Room:

____ x ____ ____ ________________________

Bedroom 4: ____ x ____ ____ ________________________

Recreation:

____ x ____ ____ ________________________

Bedroom 5: ____ x ____ ____ ________________________

Den/Study:

____ x ____ ____ ________________________

Addl Room: ____ x ____ ____ ________________________

Laundry:

____ x ____ ____ ________________________

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:

___________

__________

___________

______________

Finished Sq. Ft:

___________

__________

___________

______________

Total Sq. Ft:

___________

______________

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.
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RESIDENTIAL Data Input Form


SWMRIC
(All Required Fields in Gray)
WINDOWS:
Bay/Bow Insulated Low E Replacement Screens Skylight Storms
BASEMENT: Yes No
SUBSTRUCTURE: * Crawl Space _________________________

Partial Basement _________________________

Daylight _____________________________

Slab ___________________________________

Full Basement ________________________

Walk Out _______________________________

Michigan Basement ____________________

Other __________________________________

LOT DESCRIPTION:
Corner ____________________________________________

Cul-De-Sac ________________________________________

Flag Lot __________________________________________

Golf Community _____________________________________

Golf Course Frontage ________________________________

Level ______________________________________________

Ravine ___________________________________________

Recreational ________________________________________

Rolling Hills ________________________________________

Sidewalk ___________________________________________

Tillable ___________________________________________

Wetland Area _______________________________________

Wooded __________________________________________

Adj. to Public Land ___________________________________

SEWER: Public Septic System None


WATER: Public Well None
UTILITIES ATTACHED: Cable Natural Gas Extra Well Telephone Line
UTILITIES AVAILABLE AT STREET:
Broadband Cable Electric Natural Gas Public Sewer Public Water Storm Sewer Telephone Line
KITCHEN FEATURES:
Breakfast Nook Center Island Desk Built-in Eating Area Garden Window Mud Room Access Pantry Snack Bar
FIREPLACE:
Wood Gas Log Bathroom Den/Study Family Formal Dining Kitchen Living Master Bedroom
Other Bedroom Rec Room Other
ADDITIONAL ITEMS:
Air Cleaner All Window Treatments Attic Fan Ceiling Fans Central Vacuum Ceramic Floor Garage Door Opener
Gas/Wood Stove Generator Guest Quarters Home Warranty Hot Tub Spa Humidifier Iron Water Filter Laminate Floor
Laundry Chute LP Tank Owned LP Tank Rented Satellite System Sauna Security System Stone Floor
Water Softener/Owned Water Softener/Rented Wet Bar Whirlpool Tub Wood Floor
APPLIANCES:
Refrigerator Range Oven Built In Oven Microwave Cook Top Dishwasher Freezer Garbage Disposal
Trash Compactor Dryer Washer
HEAT SOURCE: Electric Natural Gas Geothermal Oil Propane Solar Wood None
HEAT TYPE: Baseboard Forced Air Gravity Heat Pump Hot Water Outdoor Furnace Passive Radiant Space Heater
Steam Wall Furnace Wood/Pellet Furnace None
AIR CONDITIONING: Central Wall Unit Window Unit
EXT. FEATURES: 3 Season Rm Deck(s) Fenced Back Gazebo Patio Play Equip. Porch(es) Scrn Porch Tennis Court
LANDSCAPE: Dcor Fence Dcor Pond Flower Garden Fountain Fruit Trees Garden Area Ground Cover
Shrubs/Hedges Terraced Yard Underground Sprinkler Waterfall
POOL: Outdoor/Inground Outdoor/Above Indoor Cabana

* Feature group allows a 40 character comment line for each selection in the feature group.
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RESIDENTIAL Data Input Form


SWMRIC
(All Required Fields in Gray)
OUTBUILDINGS: *
Barn __________________________

Hangar __________________________

Boat House ____________________

Pole Barn ________________________

Greenhouse ____________________

Stable ___________________________

Guest House ___________________

Storage Shed _____________________

Other ________________________

DRIVEWAY: Easement Paved Unpaved Shared Paved Shared Unpaved


STREET TYPE: Easement Paved Private Public Seasonal Unpaved
ASSOCIATION AMENITIES:
Airport Landing Strip Baseball Diamond Beach Area Cable TV Campground Club House Detached Unit End Unit
Fitness Center Golf Membership Hot Tub Interior Unit Library Meeting Room Pets Allowed Pool Indoor
Pool Outdoor Restaurant/Bar Sauna Security Skiing Storage Tennis Other
MINERAL RIGHTS: Yes No Partial Available Unknown
TERMS AVAILABLE: *
Assumable _________________________

Land Contract ______________________________

VA ________________________

Cash/Conventional ___________________

MSHDA ___________________________________

Other ______________________

Cash Only __________________________

Purchase Money Mtg_________________________

FHA _______________________________

Rural Development___________________________

SALE CONDITIONS: REO/Bank Owned Short Sale Possible None Other

*Feature group allows a 40 character comment line for each selection in the feature group.
Page 4 RESIDENTIAL 05 /2010

RESIDENTIAL Data Input Form


SWMRIC

Revised 05/2010

(All Required Fields in Gray)


Marketing Remarks (Maximum of 1,000 Characters) These will appear on the Internet

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Agent-Only Remarks (Maximum of 500 Characters)

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Legal Description (Maximum of 100 Characters)

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Directions to Property (Maximum of 250 Characters)

____________________________________________________________________________________________________________
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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.
__________________________

________________

______________________________

____________________

Signature: Listing Broker

Date

Signature: Seller

Date

_____________________________
Signature: Listing Agent

__________________
Date

__________________________________
Signature: Seller

______________________
Date

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