Residential Lease Property Data Input Form

Document Sample
Residential Lease Property Data Input Form Powered By Docstoc
					Residential Lease Property Data Input Form                                                                                           Page 1 of 8

                                                      North Texas Real Estate Information Systems, Inc.

                                             Residential Lease Property Data Input Form

                                     INFORMATION DEEMED RELIABLE BUT NOT GUARANTEED
     Fields REQUIRED for Active status denoted in BOLD BLUE WITH ( ). Italicized fields will be autofilled from public records, if available.

                                                                     MLS Information
                                                                                             Property Type        Apartment                   House
                                                                                                                  Condo/Townhome              Mobile
                                                                                                                  Duplex                      Triplex

       Range Pricing        Yes             No (Defaults to No)                                  Low Price
                                                                                                               (Above Required if answered Y to Range Pricing)
            List Price

                 Area                                                                             Sub Area

              County                                                                              Parcel ID
           Map Book         Dallas               Ft. Worth            Other
                            Denton               Parker               Collin
                            Cooke                Hood/Wise            Grayson
                            Kaufman              Ellis/Johnson
                            Hunt                 Hill/Rockwall

           Map Page                                                                             Map Coord

                                                                                                                  E        N         NE         NW
         Street/Box #                                                                      Street Direction
                                                                                                                  S        SE         SW         W
         Street Name                                                                           Street Type

    Street Directional      E          N           NE            NW
                                                                                                      Unit #
                Suffix      S          SE          SW            W

                  City                                                                       Will Subdivide       Yes           No (Defaults to No)

            Zip Code

          Subdivision                                                               Planned Development

                  Lot                                                                                 Block

       Multi Parcel ID      Yes             No                                             Additional Legal

         MUD District       Yes             No

                                                                 Office Information
                                System will auto-fill Listing Office and Listing Agent information including
  Office Code, Office Name, Office Phone, Office Fax, Office Address, Agent ID, Agent Name, Agent Fax, Agent Email and Agent Website

   Agent Other Phone

         Call for Appt      Agent                CSS             Owner                         Appt Phone
                            Builder              Office          Other
      Appt Phone Ext
         Sub Agency                                                                       Buyers Agency
         Commission                                                                          Commission

                                                                                                                                Last Revision 3/1/2010
Residential Lease Property Data Input Form                                                                        Page 2 of 8

                                               Office Information (continued)
          Variable Fee     Yes        No                                    Listing Type       Exclusive Right to Sell/Lease
Listings will Appear on    Members IDX Websites                                 (Select One)   Exclusive Agency
                           NTREIS Translator                                                   ER w/Reservations
                                                                          EA w/Reservations
                           Syndicate Listing                                                   Limited Service ER
                                                                                               Limited Service EA
         Allow Internet                                                   Allow Address
                           Yes        No                                                       Yes        No
               Display                                                           Display
     Allow Comments/
                           Yes        No                                      Allow AVM        Yes        No
           Listing Date                                                      Expire Date

                                                  Preferred Title Company
    Preferred Title Co.

       Title Co. Phone                                                 Title Co. Location

     Owner Permission to Video      N/A         Yes       No

                                                For Intra Office Information
         Owner Name
         Owner Home
                                                                              Occupancy        Owner           Tenant           Vacant
    Owner Alt. Phone                                                            Occupant
      Occupant Home
                                                                    Occupant Alt. Phone

              Showing     __________________________________________________
         Instructions 1   __________________________________________________
                                                                                                               (150 character limit)
    Secured Showing
           Instructions   __________________________________________________
                                                                                                                (50 character limit)

             Keybox #                                                             Combo

        Shackle Code                                                           CBS Code

                                                      Property Information
          # Bedrooms

          # Full Baths                                                       # Half Baths
               st                                                                 nd
 # Full Baths/1 Level                                              # Full Baths/2 Level
 # Full Baths/3 Level                                              # Full Baths Bsmt Level
               st                                                                 nd
 # Half Baths/1 Level                                              # Half Baths/2 Level
 # Half Baths/3 Level                                              # Half Baths Bsmt Level

             # Stories                                                       # Fireplaces

                                                                                                          Last Revision 3/1/2010
Residential Lease Property Data Input Form                                                                               Page 3 of 8
                                                  Property Information (continued)
       # Living Areas                                                             # Dining Areas

                     SqFt                                                           SqFt Source       Appraiser             Tax
                                                                                                      Building Plan         Other Documentation
                                                                                                           (Select One - Defaults to Tax)
   Handicap Amenities           Yes         No                                        List$/SqFt    System Calculated
  (Defaults to No)          (If Yes, Handicap Amenities Features Required)
            Year Built                                                       Construction Status      New Constr - Complete           Proposed
                                                                                                      New Constr - Incomplete         Unknown
                                                                                                        (Select One - Defaults to Preowned)
      Living 1 Length                                                             Living 1 Width

        Living 1 Level      (1 – 9, or B)
      Living 2 Length                                                             Living 2 Width

        Living 2 Level      (1 – 9, or B)
      Living 3 Length                                                             Living 3 Width

        Living 3 Level      (1 – 9, or B)
 Formal Dining Length                                                        Formal Dining Width

  Formal Dining Level       (1 – 9, or B)
     Breakfast Length                                                            Breakfast Width

      Breakfast Level       (1 – 9, or B)
       Kitchen Length                                                              Kitchen Width

        Kitchen Level       (1 – 9, or B)
    Master BR Length                                                            Master BR Width

     Master BR Level        (1 – 9, or B)
   Bedroom 2 Length                                                            Bedroom 2 Width

     Bedroom 2 Level        (1 – 9, or B)
   Bedroom 3 Length                                                            Bedroom 3 Width

     Bedroom 3 Level        (1 – 9, or B)
   Bedroom 4 Length                                                            Bedroom 4 Width

     Bedroom 4 Level        (1 – 9, or B)
   Bedroom 5 Length                                                            Bedroom 5 Width

     Bedroom 5 Level        (1 – 9, or B)

        Study Length                                                                Study Width

          Study Level       (1 – 9, or B)

         Utility Length                                                             Utility Width

          Utility Level     (1 – 9, or B)
Other Room 1 Length                                                          Other Room 1 Width

  Other Room 1 Level        (1 – 9, or B)
Other Room 2 Length                                                          Other Room 2 Width

  Other Room 2 Level        (1 – 9, or B)

                                                                                                                  Last Revision 3/1/2010
Residential Lease Property Data Input Form                                                                                          Page 4 of 8
                                                    Property Information (continued)

   Total Covered Parking                                                                # Garage Spaces

    # Carport Spaces

       Garage Length                                                                        Garage Width
                             (Above Required if answered # Garage Spaces)                                      (Above Required if answered # Garage Spaces)
     Security System           Yes           No                                          Pool on Property      Yes           No

      Lot Dimensions                                                                                Acres

                   HOA         Mandatory            None              Voluntary                HOA Dues

     HOA Billing Freq          Annually             Monthly           Quarterly       Semi-Annual      Other
                             (Above Required if answered HOA Mandatory)

                                                                School Information
        School District

        School 1 Type                                                                     School 1 Name
                  Bus 1        N/A            Yes          No
        School 2 Type                                                                     School 2 Name
                  Bus 2        N/A            Yes          No
        School 3 Type                                                                     School 3 Name
                  Bus 3        N/A            Yes          No
        School 4 Type                                                                     School 4 Name
                  Bus 4        N/A            Yes          No

                                                                Rental Information

    Property Also for Sale      Yes          No                                           Application Fee      Yes           No

                    Pets       Yes           No                                           Deposit Amount

     Monthly Pet Fee                                                                          Pet Deposit
                                                                                  Non -Refundable Pet
    # of Pets Allowed                                                                                          N/A            Yes          No
 Days Guests Allowed                                                                         # of Vehicles

       Date Available                                                                  When Commission Paid           Move-in               On Execution
                                                                                                                      Move-in 5             Other


          Directions to      ______________________________________________
                             _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____________________
                                                                                                                                    (150 character limit)

                                                                                                                             Last Revision 3/1/2010
Residential Lease Property Data Input Form                                                                                           Page 5 of 8
                                                               Remarks (continued)
                Property      __________________________________________________
              Description     ______________________________________________
                              _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____________________
                              _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
                              _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ______________
                                                                                                                                      (450 character limit)

                                                                                                                                      (110 character limit)
                   Remarks    _________________________ _____________________
                              _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____________________
                              _______________________________ _______________
                              _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____________
                                                                                                                                      (300 character limit)
                              ________________________________ ______________
               Intra Office   _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____________________
                   Remarks    __________________________________________________
                                                                                                                                      (225 character limit)

                              Lease Requirements                                                               Restrictions
   Application Fee              Prior Residence Info.     Written Application Only   Lease While on Market    No Sublease               Pet Restrictions
   Approval by HOA              References Required       Other                      No Pets                  No Waterbeds              Other
   Credit Report                Written Application (+)                              No Smoking               None

                                  Lease Type                                                                 Monies Required
   1 Year Plus                  Monthly                   Yearly                     First Months Rent        Pet Deposit               Waterbed Deposit
   Government Subsidy
                                Six Month                 Other                      Last Months Rent         Security Deposit          Other
   Lease Purchase

                               Tenant Expenses                                                               Style of House
   Alarm Monitor Fee            HOA User Fees             Sewer                      A-Frame                  Geo/Dome                  Spanish
   All Utilities                Maintenance Room          Water                      Colonial                 Loft                      Split Level
   Electric                     Pool/Spa Service          Yard Care                  Contemporary/Modern      Mediterranean             Studio
   Gas                          Renters Insurance         Other                      Early American           Oriental                  Traditional
                                                                                     English                  Prairie                   Tudor
                                                                                     Flat                     Ranch                     Victorian
                                                                                     French                   Southwestern              Other

                                                                                                                                 Last Revision 3/1/2010
Residential Lease Property Data Input Form                                                                                                   Page 6 of 8
                          Lot Size/Acreage (Select One)                                                           Lot Description
    Less than .5 Acre
                                 3 Acres to 4.99 Acres        Over 100 Acres      Acreage                           Horses Permitted            Subdivision
   (not Zero)
   .5 Acre to .99 Acre           5 Acres to 9.99 Acres        Zero Lot            Adjacent to Greenbelt             Interior Lot                Water/Lake Front
   1 Acre to 2.99 Acres          10 Acres to 100 Acres                            Corner                            Lrg. Backyard Grass         Water/Lake View
                                                                                  Cul De Sac                        No Backyard Grass           Other
                                                                                  Golf Course Lot                   Some Trees
                                                                                  Heavily Treed

                                Construction                                                                    Alarm/Security Type
   Brick                         Log                      Stucco                  Burglar                           Fire/Smoke                  Pre-Wired
                                                                                  Carbon Monoxide
   Common Wall                   Rock/Stone               Wood                                                      Leased                      Smoke Detector
   Fiber Cement                  Siding                   Other                   Exterior Security Light(s)        Monitored                   Unknown
   Frame/Brick Trim                                                               Fire Sprinkler System             Owned                       Other
                                                                                  Fire Walls

                              Exterior Features                                                                Backyard Pool Features
   Arena                         Gutters                  Satellite Dish          Above Ground                      Heated                      Lap Pool
   Balcony                       Lighting System          Sprinkler System        Attached Spa                      In Ground Fiberglass        Play Pool
   Covered Porch(es)             Patio Covered            Wood Deck               Cabana                            In Ground Gunite            Pool Perimeter Fence
   Equestrian Center             Patio Open               Other                   Cleaning System                   In Ground Vinyl             Separate Spa/Hot Tub
   Grill                         RV/Boat Parking                                  Custom Cover                      Indoor                      Other

                                Type of Fence                                                                       Parking/Garage
   Automatic Gate                Iron                     Rock/Stone              Area Assigned                     Individual Carport          Shared Garage
   Barbed Wire                   None                     Slick/Smooth Wire       Assigned Spaces                   None                        Unassigned Spaces
   Brick                         Partially Fenced         Vinyl                   Garage                            On Street                   Uncovered
   Chain Link                    Pipe                     Wood                    Garage Door Opener                Shared Carport              Other
   Cross Fenced                  Rail                     Other
   Dog Run

                                 Street/Utilities                                                                Common Features
   Aerobic Septic                Curbs                    Private Road            Boat Ramp                         Guarded Entrance            Playground
   All Weather Road              Dirt                     Private Sewer Co.       Campground                        Hanger                      Private Lake/Pond
   Alley                         Gravel/Rock              Private Water Co.       Club House                        Horse Facilities            Racquet Ball
   Asphalt                       MUD Sewer                Septic                  Comm. Sprinkler System            Jogging /Bike Path          RV Parking
   City Sewer                    MUD Water                Sidewalk                Common Elevator                   Landing Strip               Spa
   City Water                    No City Services         Underground Utilities   Community Pool                    Laundry                     Sauna
   Co-op Water                   Outside City Limits      Well                    Gated Entrance                    Marina                      Tennis
   Community Mailbox             Overhead Utilities       Other                   Golf                              Park                        Other
   Concrete                                                                       Greenbelt                         Perimeter Fence
                               Interior Features                                                                 Bed/Bath Features
   Bay Windows                   Intercom                 Vaulted Ceilings        Bidet                             Jack & Jill Bath            Separate Vanities
   Built-in Wine Cooler          Loft                     Wainscoting             Built-ins                         Jetted Tub                  Sitting Area in Master
   Cable TV Available            Multiple Staircases      Water Filter            Double Shower                     Linen Closet                Split Bedrooms
   Central Vac                   Paneling                 Water Purifier          Fireplace in Master               Medicine Cabinet            Steam Shower
   Decorative Lighting           Plantation Shutters      Water Softener          Garden Tub                        Murphy Bed                  Walk-in Closets
   Dry Bar                       Skylights                Wet Bar                 Hollywood Bath                    Separate Shower             Other
   Elevator                      Smart Home Features      Window Coverings
   High Speed Internet          Sound System
   Available                    Wiring

                                                                                                                                         Last Revision 3/1/2010
Residential Lease Property Data Input Form                                                                                                   Page 7 of 8
                                Specialty Rooms                                                                     Fireplace Type
   Dark Room                      Media Room               Solarium/Sunroom             Blower Fan                   Freestanding               Metal Box
   Exercise Room                  Mud Room                 Spa/Hot Tub Room             Brick                        Gas Logs                   See Through Fireplace
   Extra Storage Space            Music Room               Unfinished Bonus Room        Decorative                   Gas Starter                Stone
   Game Room                      Sauna/Steam Room         Wine Cellar                  Direct Vent                  Insert                     Wood Burning
   Library/Study                  Second Master            Other                        Electric                     Masonry                    Other

                                Kitchen Equipment                                                                   Kitchen Other
                                  Drop in Range/Oven-
   Built-in Compactor                                      Oven-Gas                     Breakfast Bar                Eat-in Kitchen             Tile Countertop
                                                           Plumbed for Gas in
   Built-in Icemaker              Drop in Range/Oven-Gas                                Butlers Pantry               Galley Kitchen             Walk-in Pantry
                                                                                        Corian/Corian Type           Granite/Granite Type
   Built-in Microwave             Dryer                    Refrigerator                                                                         Other
                                                                                        Countertop                   Countertop
                                  Dual Fuel Range          Self Clean                   Dumb Waiter                  Island
                                  Freestanding Range-
   Convection Oven                                         Vent Mechanism
   Cooktop-Electric               Freestanding Range-Gas   Warmer Oven Drawer
   Cooktop-Gas                    Indoor Grill             Washer
   Dishwasher                     None                     Water Line to Refrigerator
   Disposal                       Oven-Electric            Other
   Double Oven

                                  Utility Room                                                                         Flooring
   Drip/Dry Area                  None                     Utility Closet               Brick/Adobe                  Marble                     Vinyl
   Dryer Hookup-Elec              Room for Freezer         Utility in Garage            Carpet                       Parquet                    Wood
   Dryer Hookup-Gas               Second Pantry            Utility in Kitchen           Ceramic Tile                 Slate                      Wood Under Carpet
   Floor Drain                    Separate Utility Room    Washer Hookup                Concrete                     Stone                      Other
   Full Size W/D Area             Sink in Utility          Other                        Laminate                     Terrazzo
   Laundry Chute                  Stacked W/D Area

                           Heating/Cooling (2 Required)                                                   Energy Features (Energy Efficiency)
   Addtl Water Heater(s)          Geotherm                 Solar                        12 inch+ Attic Insulation    Foam Insulation            Solar Screens
   Central Air-Electric           Heat Pump                Space Heater                 13-15 SEER AC                Gas Water Heater           Storm Door (s)
                                                                                                                     High Efficiency
   Central Air-Gas                Humidifier               Two(+) Pipe (Condo)          16+ SEER AC                                             Storm Window (s)
                                                                                                                     Water Heater
                                                                                        90% Efficient                                           Tankless Water
   Central Heat-Electric          No Air                   Window Unit                                               Insulated Doors
                                                                                        Furnace                                                 Heater
   Central Heat-Gas               No Heat                  Zoned                        Attic Fan                    Low E Windows              Thermo Windows
   Electrostatic Air Filter       Panel/Floor/Wall         Other                        Ceiling Fans                 None                       Tinted Windows
   Gas Jets                       Propane                                               Dehumidifier                                            Turbines
                                                                                        Double Pane Windows          Radiant Barrier            Variable Speed HVAC
                                                                                        Electric Water Heater        Smart Electric Meter       Ventilator
                                                                                        Energy Star Appliances       Solar Panels               Other

                               Green Certification                                                                  Green Features

   Energy Star Certified          HERS 101+                LEED Platinum                Drought Tolerant Plants      Low Flow Commode           Recirculating Hot Water
                                                                                        Energy Recovery
   Green Built N. TX              HERS Rated               LEED Silver                                               Low Flow Fixtures          Solar Electric System
   HERS 0-85                      LEED Certified           NGBP-National Green          Enhanced Air Filtration      Mechanical Fresh Air       Solar Hot Water
   HERS 86-100                    LEED Gold                                             ET Irrigation Control        Rain/Freeze Sensors        Wind Power
                                                                                        Geo-thermal HVAC             Rain Water Catchment

                                                                                                                                         Last Revision 3/1/2010
Residential Lease Property Data Input Form                                                                                            Page 8 of 8

                                                                                                       Handicap Amenities
                             Special Notes
                                                                                          (Required if answered Y to Handicap Amenities)
    1 Right of Refusal       Res. Service Contract    Verify Flood Insurance   Elevator                   Meets ADA Requirements         Wide Doorways
    Affordable Housing       Section 8 Qualified      Verify Rollback Tax      Hand Rails                 Ramp                           Other
                             Senior Adult Living
    Deed Restrictions                                 Verify Tax Exemptions    Lower Fixtures             Wheelchair Access
    Flowage Easement                                  Other
    Owner/Agent              Survey Available

                                 Showing                                                                  Housing Type
    Agent or Owner Present   Combo Lockbox            Key in Office            Apartment                  Garden/Zero Lot Line
                                                                                                                                     (certificate exchanged)
    Appointment              Courtesy Call                                     Attached or
                                                      No Lock Box                                         Hi Rise                        Resort Property
   (Appt Svc only)           (Appt Svc only)                                   ½ Duplex
                                                                               Condo/Townhome            Historical
    Appointment Service      Go (Appt Svc only)       Sign on Lot                                                                        Single Detached
                                                                                                         Conservation Dist.
    Call-Key Box             Go-Key Box               Special                  Designated Historical      Interval Ownership             Singlewide w/Land
    Centralized Showing
                                                                               Doublewide w/Land          Lake House                     Underground
                                                                               Farm/Ranch House           Log Cabin                      Vacation Home

Owner(s) have examined the information contained in this profile sheet and warrant that the information contained herein is true and correct to
the best of their knowledge.

Owner’s Signature

Owner’s Signature

Signed the                           day of                         20

NOTE: Any information changes and/or status changes should be made on a separate listing modification form and entered into the Multiple
Listing Service within the time specified in the Multiple Listing Service Rules & Regulations. I certify that a written listing agreement has been
executed on the above property and that it complies with the Rules & Regulations of the Multiple Listing Service.

Participant/Subscriber for Participant

                                                                                                                                 Last Revision 3/1/2010