DUAL DATA ENTRY FORM

All exclusive-right-to-sell residential listings (single family, multi-family, and condominium) are required by GAMLS Rules and
Regulations to be entered into the RE/XplorerTM system within 48 hours (excepting weekends, holidays and postal holidays).
Failure to do so or entering false or incorrect information into the GAMLS system can result in a fine of $25, plus $5 per day
until the listing is input or corrected. Together, let’s work on providing the most accurate and complete data possible for each
GAMLS member.
All licensed agents who belong to GAMLS participating companies must have a user ID. This ID allows the agent and com-
pany information to be displayed along with the listing in the RE/XplorerTM system. Agent information can be kept current and
accurate using “Your Account” on the GAMLS home page ( User passwords are strictly confidential and
may not be used by anyone other than the person who is authorized to use it. Violations of this policy can result in fines or
suspension of GAMLS services.
Fill in the data entry form in its entirety. Accurate and complete information will provide proper disclosure and will aid in the
selling process of the property by giving interested buyers specific characteristics of the listed property. All fields denoted
by an R are required fields that must be entered. Failure to fill in these fields with the correct information will delay listing
entry or will cause incorrect information to be displayed in the RE/XplorerTM system, and other web sites fed by this informa-
tion such as GAMLS’, NAR’s, and Broker Reciprocity web sites. Field “nicknames” that will appear on the on-line system
are italicized for each field type. Listing information can be checked for inconsistencies and omissions after entry by using
“Listchex”, which is available through the GAMLS home page ( under the “Tools” then “Compliance” menu
All map information should be entered in its appropriate field using the page numbers and coordinates from the current
GAMLS on-line map. The maps are available through the home page ( under the “Maps” then “Street
Maps” menu items.
Description of GAMLS area boundaries and school codes, as well as this form and many other forms, may be found through
the GAMLS fax on demand system, 770-621-2222 or on GAMLS’ home page. Document #230 is the GAMLS Area Boundar-
ies list and #231 is the School Codes list.
Be sure to record the computer generated MLS number on the input sheet after the listing has been entered into the
RE/XplorerTM system. Before filing the input sheet, verify that the seller’s signature has been acquired certifying the
accuracy of the data and acknowledging the disclosure statement.
Unless previously communicated in writing to GAMLS by the Broker, limited information regarding this listing may appear on
GAMLS’ sites (,, and ), National Association of
Realtors®’ site (, and on other GAMLS members’ sites that participate in Broker Reciprocity for additional
exposure of the property. Because the listings are available through the Internet, consider the information entered on re-
marks lines 1, 2, and 3 to be public information.

                                                                                                                                                                                                                       Page 1 of 4
                                           GEORGIA MLS
Property Address ___________________________________ Listing Date                                                                                     ____________________________________
                                    ___________________________________ Listing Number ____________________________________
                                                         City                         State             Zip

Office Name                          ___________________________________ Agent Name                                                                    ____________________________________

 LAGRR       List_Agr_Type                           OWNRR         Ownership                               PRDS          Prop_Descr                   LAKE           Lake_River                      Wtrfrt Footage
     A - Exclusive Right to Sell                          A-Fee Simple Detached (FSD)                             A - Lake (LK)
     B - Agency (A)                                                                                               B - Mountain (MT)                                      |_|                               |_|_|_|_|_|
                                                                                                                                                                                                             Waterfront footage
                                                                                                                  C - River (RV)                           Enter code for Lake/River
                                                                                                                  D - Ocean/Gulf (OG)                      See page 4 for valid codes

STNR|_|_|_|_|_|_|                             STRR|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|                                                            State|_|_|              LPR|_|_|_|_|_|_|_|_|_|_|_|
                Street_Number                                    Street_Name (Add unit number after street name, i.e. Oak Street #2)                              State (GA)                             List_Price

CITY       R
               |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|                                                     CNTY       R
                                City                                                                                                County
           /         /                   /
                               XDR|_|_|_|_|_|_|_|_|/         FMLS Exp Date |_|_|_|_|_|_|_|_|
                                                                                    /           /
      List_Date (01/01/07)          Expire_Date (06/30/07)                FMLS Expiration Date (06/30/07)        R
ZIP |_|_|_|_|_| ZIP4 |_|_|_|_| AR |_|_|_|_| FMLS Area |_|_|_| SUBD |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| T
   R                             R                         R            R
               Zip_Code                         Zip4                       MLS Area                               FMLS Area                                Subdivision/Complex (If no subdivision or complex enter NONE)

TID    R
           |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| FMLS Tax ID |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| 1         R
                    Tax_ID_Number (Enter Exactly as MLS Tax Records)         Property Tax ID (Enter Exactly as on FMLS Tax Records)

TAXR|_|_|_|_|_|                         TXYRR|_|_|_|_|                          YRR*|_|_|_|_|                        Age +/- |_|_|_|                              NCOR|_|                         AGD |_|_|_|
       Taxes (County & City)                         Tax_Yr_Report                    Actual Year_Built                         Age of Property              New Construction (Y/N)                 Age Description

       |_|_|_|_| DIST |_|_|_|_| SEC |_|_|_|_| LOT |_|_|_|_| BLK |_|_|_|_| UNIT |_|_| PB |_|_|_|_|_| PAGE |_|_|_|_|_|

             Land_Lot                     District                        Section                       Lot                         Block                         Unit                Plat_Book                        Plat_Page

FMLS MAP |_|_|_|                        |_| |_|_|                 MAP     R
                                                                              |_|_|_|_|                   TGRD        R
                                                                                                                          |_|          SGRD           R
                                                                                                                                                          |_|_|                TOP   R
                                                                                                                                                                                         |_|_|_|            SIDE       R
FMLS Map Coordinates 1                    2          3                    MLS GA_Map_No                       Top_Grid (A-H)                Side_Grid (01-10)                   Top_Coord (Red #)             Side_Coord (Red #)

LTDM |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|                                                            FPR|_|                      HWR|_|                    Home Waranty                  |_|_|_|_|_|_|_|_|_|_|
                 Lot_Dimension (Start with street frontage and move clockwise                          Fireplaces            Home_Warranty                                         FMLS Home Waranty (Negotiable/Yes/No)
                      separating dimensions with an “X”)                                                                   Paid by Seller (Y/N)

FEE_AMT |_|_|_|_|                                                     DUE |_|                                     Swim/Ten |_|_|_|_|_|                                               DUE |_|
         Annual Assoc_Fee Amount                         Includes Swim/Ten,None,Optional,Required                                Swim/Tennis Amount                               None,Optional,Required

                     ES_BUS |_|                                                                      MS_BUS |_|                                                                            HS_BUS |_|
 Elem_School_B (On Elementary School Bus Route use                    )               Midd_School_B (On JR/Middle School Bus Route use            )                           High_School_B (On High School Bus Route use      )

ES   R
         |_|_|_|_|_|_|_|_|_|_|_|_|_|_|                                           MS    R
                                                                                           |_|_|_|_|_|_|_|_|_|_|_|_|_|_|                                        HS       R
               Elem_School (See School List for Code)                                         Jr/Midd_School (See School List for Code)                                       High_School (See School List for Code)

         Upper                Main                        Lower            P        MLS Only
 BR      R
             |_|          BR    R
                                    |_|              BR    R
                                                                |_|        H                         3x5 |_|_|_|                               CP |_|_|_|                                 CPP |_|_|_|
                                                                                               3x5 Color Photo 25 Pkg $10.00                   4 x 6 Color Print $2.50             4 x 6 Color Package 25 Pkg $10.00
BAFR|_|                 BAFR|_|                  BAFR|_|                   T                    MPK1 |_|_|_|                             MPK4 |_|_|_|                                    SBIZ |_|_|_|
                                                                                            Peti-Print 2½ x 3½ Pkg 25 $10.00       Peti-Print 2½ x 3½ Pkg 100 $30.00                Showbiz Cards Pkg/100 $25.00
                                                                           O                                                                                       P
BAHR|_|                   BAHR|_|                BAHR|_|                                           PNS |_|_|_|                          BWSP |_|_|_|                                     BWQ |_|_|_|
                                                                     Post-N-Sale Pkg/100 $45.00  4 x 6 Single Black & White $3.50 4 x 6 Single Black & White $2.50 A
       ONLY Remarks Lines 1 - 3 will appear on GAMLS internet sites and Broker Reciprocity sites
R1 |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| T

R2|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|                                                                                                                  2



FMLS |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|
                FMLS Additional Remarks

FMLS |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|
                FMLS Additional Remarks

FMLS |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|
                FMLS Additional Remarks

R Denotes Required Fields                                                                  PLEASE CONTINUE ON NEXT PAGE                                                                  *See disclosure statement on page 4
Address _____________________________________                                                                                                                       SF/RES-Page 2 of 4


            Directions2                                                                                                 P
D3|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| A
FMLS |_|_|_|_|_|_|_|_|_|_|_|_|         MLS LAR|_|_|_|_|_|_|_|_|_|_|_|_|    FMLS List Agnt |_|_|_|_|_|_|_|_|_|_|_|_| T
            FMLS Additional Directions              MLS List_Agent_ID                             FMLS Listing Agent ID

                                                                  MLS LA2     |_|_|_|_|_|_|_|_|_|_|_|_|                     Co-Agt Phone |_|_|_|_|_|_|_|_|_|_|_|_|
                                                                                           MLS Co-Agent ID                                                       FMLS Co-Agent ID
          VRC     R
        Variable_Rate Y/N
                                           FMLS CO            R
                                                         FMLS Commission to Selling Broker
                                                                                                             MLS CO   R              .
                                                                                                                     MLS Commission to Selling Broker

OWN |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|                                                                     -       -
                                                                                                                        OWNP |_|_|_|_|_|_|_|_|_|_|_|_|
                             Owner_Name (Last Name, Then First and Middle Initial)                                                          Owner_Phone Number

            MLS Office_Eyes1 (For Office Eyes ONLY, will only be displayed to listing office personnel)                  P
OE2|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| A
       MLS Office_Eyes 2 (For Office Eyes ONLY, will only be displayed to listing office personnel)                      R
FPR |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| T
       FMLS Additional Private Remarks

FPR |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|
            FMLS Additional Private Remarks                                                                                                                                           4
Assm: 1stR |_|               Owner Finance |_|                    Builder |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|
Assumable 1st (   for Yes)     Owner Finance (     for Yes)                                                   FMLS Homebuilder (List provided by FMLS)

AMENR - AMENITIES                      BOAT - BOATHOUSE_DOC                     CONR - CONSTRUCTION                DESCR - DESCRIPTION                   EQPR - EQUIPMENT_INC
  Boat/Camper/Van Prkg                   Uncovered - No Slip                      Aluminum/Vinyl                     Single Family Residence             (Continued)
  Clubhouse                              Covered Dock - 1 Slip                    Brick 4 Sided                      Cluster                               Washer
  Golf Course                            Covered Dock - 2 Slip                    Brick/Frame                                                              None
  Guest Lodging                          Covered Dock - 3 plus                    Log                              EGYR - ENERGY_RELATE                    Water Softener
  Lake                                   Boathouse - 1 Slip                       Press Board Siding                 Certified Energy Wise                Other FMLS Features
  Park                                   Boathouse - 2 Slip                       Rough-Sawn Siding                  Certified Good Cents                   Electric Oven/Range
  Physical Fit Facilities                Boathouse - 3 plus                       Stone                              Clock Thermostat                      Gas Oven/Range
  Playground                             No Dock or Boathouse                     Stone/Frame                        Double Pane/Thermo                    Security System-Leased
  Pool                                   Dock Approval Required                   Stucco Unspecified                  Insulation-Ceiling                    Security System-Owned
  Racquetball                            No Dock Rights                           Wood Siding                        Insulation-Floors                     Self-Clean Oven
  Security                               Verbal Appr Dock Permit                  Other Construction (MLS)           Roof Vent Fans                        Other Appliances (FMLS)
  Sidewalks                            Other FMLS Features                        Concrete Siding                    Storm Doors
  Street Lights                          Single Slip Dock                         Stucco EIFS                        Storm Windows                       EXT - EXTERIOR
  Swim Team                              Double Slip Dock                         Stucco Real                        Water Heater-Electric                 Balcony
  Tennis Courts                          Courtesy                                 Brick 3 Sides                      Water Heater-Gas                      Deck/Patio                 F
  Tennis Team                            Covered                                  Brick Front                        Water Heater-Solar                    Fenced Yard                E
  Undergound Utilities                   Dock Permit                              Steel Frame                        None                                  Garden Area
  Neighborhood Association               Hoist                                    Tabby                              Tankless Water Heater                 Gas Grill                  A
  Walk to Marta                          Lights                                 Other FMLS Features                Other FMLS Features                     Green House                T
  Walk to Schools                        None                                     Aluminum                           Extra Insulation                      Hot Tub
  Walk to Shopping                       Party Deck                               Cedar                              High Efficiency System                 Out Building               U
  None                                   Platform                                 Frame                              Ridge Vents                           Pool-Above Ground
  Marina                                 Other (FMLS)                             Shingle                            Other Energy (FMLS)                   Pool-In Gound              R
  Airstrip                                                                        Vinyl                                                                    Screen Porch               E
  Stables                              BSMTR - BASEMENT                           Other Construction (FMLS)        EQPR - EQUIPMENT_INC                    Sprinkler System
  Gated Communited                       Bath Finished                          COOLR - COOLING                      Cooktop, Separate                     Tennis Court               S
  Retirement Community                   Bath Stubbed                              A - Electric A/C                  Dishwasher                            Other Exterior Feature
Other FMLS Features                      Block                                     B - Gas A/C                       Disposal                              Barn
  Boating/Skiing                         Concrete                                 C - Solar A/C                      Icemaker Line                         Gazebo
  Country Club                           Crawl                                    D - Other Engery A/C               Indoor Grill                          Pool House
  Dry Dock                               Daylight                                  E - Ceiling Fan                   Microwave, Built In                   Stables
  Fishing                                Earthen                                   F - Central A/C                   Oven, Wall                            Porch
  Restaurant                             Entrance, Inside                         G - Common Cooling                 Range/Oven                            Workshop
  RV Parking                             Entrance, Outside                        H - Heat Pump                      Refrigerator                          Pool Screened/Enclosed
  Ski Lifts                              Finished Rooms                            I - Whole House Fan               Trash Compactor                       Dog Run/Pen
  Snow Skiing                            Full Basement                             J - Zoned/Dual                    Double Oven                         Other FMLS Features
  Tennis Lighted                         Partial Basement                          K - Other A/C (MLS)               Alarm-Burglar                         Deck
  Tennis Unlighted                       Slab                                      L - No Cooling                    Alarm -Smoke/Fire                     Heated Pool
  OTHER Amenities (FMLS)                 Boat Door                                M - Windows Units Cooling          Central Vacuum                        Invisible Fence
  Active Adult Community               Other FMLS Features                      Other FMLS Features                  Dryer                                 Patio
                                         Slab/None                                Central Electric                   Electric Air Filter                   Prof Landscaping
                                                                                  Central Gas                        Intercom/Radio                        Wrap Around Porch
                                                                                  Other Cooling (FMLS)               Satellite Dish                        Exterior Features (FMLS)
                                                                            PLEASE CONTINUE ON NEXT PAGE                                           R Denotes Required Fields
Address _____________________________________                                                                                  SF/RES-Page 3 of 4

 EXT - EXTERIOR                INTR - INTERIOR                  LDY - LAUNDRY_LOC        ONCN - OWNERSHIP_CON          RMSR - ROOMS
(Continued)                       Attic Expandable                Basement Laundry       (Condition)                     Bonus Room
   Pool - Gunite                  Bookcases                       Garage Laundry           Foreclosure                   Den
   Pool - Vinyl                   Cable TV Connection             Kitchen Area Laundry     Bank Owned                    Diningroom-L Shaped
   No Swimming Pool               Cable In Street                 Upstairs Laundry         Investor Owned                Dining Room/
   No Tennis Court on Property    Ceilings, Trey                  Other Laundry (MLS)      Estate Owned                     Living Room Combo
                                  Ceilings, Vaulted               Hall Laundry             Corporate Relocation          DR-Separate
                                  Ceilings 9' Plus                Mud Roome                Rental                        Family Room
                                  Foyer, Entrance               Other FMLS Features        Fixer Upper                   Great Room
 FEE_INCR - ASSOC_FEE_INC         Foyer, 2 Story                  Bathroom                 Recently Renovated            In-Law Suite or Apt.
   Bldg. & Liability Insurance    Hardwood Floors                 Laundry Chute            Agent Owned                   Library/Office
   Exterior Maintenance           Gas Logs                        Other Laundry (FMLS)     Historic                      Living Room Separate
   Facilities Fee                 Pull Down Attic Stairs                                 Other FMLS Features             Master on Main Level
   Garbage Pickup                 Skylight                                                 Certified Prof Home Builder    Rec Room
   Grounds Maintenence            Wall to Wall Carpet           LTYP - LAUNDRY_TYPE        Corporate Owner               Solarium/Sun Room
   Heating/Cooling                Rear Stairs                     Closet                   Owner will consider Exchg     Stubbed Bath
   Management Fee                 Wet Bar                         Room                     Lease Purchase                Other Rooms (MLS)
   Pest Control/Termite           Whirlpool Bath                  Other Type (MLS)         Owner Transferred             Exercise Room
   Reserve Fund                   Handicap Access                 No Laundry               No Specail Circumstances      Loft
   Security                       Other Interior (MLS)                                     Other special Circumstances   Roomate Plan
   Sewer                          Sauna                                                  PFIN - POSS_FINANCE
                                                                                                                         Split Bedroom Plan        F
   Water                          Elevator Service              LTDSR - LOT_DESCR                                        Dining Room Seats 12+
                                                                                           Assume                                                  E
   Other-Assoc Fee Includes       Recently Renovated              Less than 1/2 Acre                                     Theater/Media Room
   None                           Double Vanity                   1/2 Up to 1 Acre                                     Other FMLS Features         A
                                  Garden Tub                      1 Up to 2 Acres                                        Dining Area-Great Room
                                  Wak-In Closet                   2 Up to 5 Acres          FNMA Apprv
                                                                                                                         No Dining Area            T
                                  Separate Shower                 More than 5 Acres                                      Computer
 FPL - FIREPLACE_LOC            Other FMLS Features               Corner
                                                                                           FNMC Apprv
                                                                                                                         Nursery                   U
                                                                                           Lease Purchase
   In Great/Family Room           9’+ Ceiling Lower               Cul De Sac               Owner 1st
                                                                                                                         Other Rooms (FMLS)        R
   In Living Room                 10’ + Ceiling Lower             Golf Course                                            Bedroom on Main Level
                                                                                           Owner 2nd                                               E
   In Master Bedroom              9’+ Ceiling Main                Greenbelt                                              Sitting Room
   Other Fireplace Location       10’ + Ceiling Main              Level Lot                                              Other Bedroom Features    S
                                                                                           Other (See Remarks)
   In Basement                    9’+ Ceiling Upper               Sloping Lot              Release of Liability
 Other FMLS Features              10’ + Ceiling Upper             Waterfront lot                                       ROOF - ROOF_TYPE
                                                                                           GHFA Loan (GRFA)
   In Keeping Room                Cable Modem                     Wooded Lot                                             Composition Roof
                                  Cathedral Ceiling               None/Condo
                                                                                           Credit Report Required
                                                                                                                         Wood Shingle Roof         C
                                                                                           1031 Exchange
                                  DSL Connection                  Dock or Dock Rights      100% Financing
                                                                                                                         Tile Roof                 O
                                  Double Vanity (Master Bath)     Leased Land                                            Slate Roof
 FPT - FIREPLACE_TYP              Double Vanity (Other Area)      Stream/Creek/River     PHOTR - PHOTO                   Metal/Steel Roof          N
                                                                                           Take Photo                    Tar / Gravel Roof
   Factory Built                  Fire Sprinkler                  Open Land
                                                                                           Under Construction            Concrete Roof
   Masonry                        His/Hers Closets                Pond
   Wood Stove                     Permanent Stairs to Attic       Private Backyard         Out of Map Area               Other Roof                I
   Gas Starter                    Pine Floor                      Water View               Retake-Billable               Tin Roof
 Other FMLS Features              Separate His/Hers Bath          Deep Water Access        Wrong Photo                   Copper Roof               N
   Blower                         Interior Features (FMLS)        Lagoon                   No Photo Desired                                        U
   Circulating                                                    Marsh                    Broker Provided Photo       SHOR - SHOWING_INSTR
   Decorative Only                                                Tidal                        R
                                                                                         POSS - POSSESS_DATE             Appt. Agent               E
   Double Sided                                                 Other FMLS Features        At Closing                    Appt. Owner               D
   Glass Doors Remain                                             Under 1/3 Acre           Negotiable                    Appt. Tenant
   None (FMLS)                                                    1/3 to 1/2 Acre          3-7 Days after Closing        Call Agent Only
                                KTBK - KITCH_BRKFST               1/2 to 3/4 Acre          Other                         Caution Alarm
                                  Breakfast Area                  3/4 to 1 Acre                                          Caution Pet
                                  Breakfast Bar                   2 to 3 Acres           PRKR - PARKING                  Courtesy Call,
 HEAT - HEATING                   Breakfast Room                  3 to 5 Acres             Assigned Space                   Leave Msg
   Electric Heat                  Country Kitchen                 5 to 10 Acres            Attached Parking              Key in Office
   Gas Heat                       Island                          10 to 20 Acres           Auto Garage Door              Lockbox GAMLS
   Solar Heat                     Pantry                          20 or More Acres         Carport                          Compatible
   Other Heat Source (MLS)        Keeping Room                    City View                Detached                      See Remarks to Show
   Oil Heat                       Walk-In-Pantry                  Creek                    Drive Under/Basement          Vacant
   Propane Heat                   Solid Surface Counters          Flood Plain              Garage                        Under Construction
   Baseboard Heat               Other FMLS Features               Golf View                Parking Pad                   9AM EDT to 10PM EDT
   Central Heat                   Second Kitchen                  Lake Front               Side/Rear Entrance            24 Hour Access
   Common Heat                    Cabinets White                  Lake View                1 Car                         Special Hours
   Floor Furnace                  Cabinets Stained                Mountain Front           2 Car                         Day Sleeper
   Forced Air Heat                Cabinets Other                  Level Driveway           3 Car or More                 Lockbox Non-GAMLS
   Heat Pump Heat                 Counter Top - Laminated         Mountain View            None                             Compatible
   Space Heater                   Counter Top - Other             Ocean Front              Parking Shed                Other FMLS Features
   Steam/Hot Water                Counter Top - Stone             Ocean View               Kitchen Level Entry           Appointment Only
   Zoned/Dual Heat                Counter Top - Tile              Pasture                  Storage                       Call Listing Office/
   No Heating                     View to Family Room             River Front              RV/Boat Parking                  Agent Before Showing
   Ceiling Electric               Wine Rack                       River View             Other FMLS Features             Courtesy Call Owner
 Other FMLS Features              No Kitchen Features             Room for Pool/Tennis     3 Car Garage                  Courtesy Call Tenant
   Boiler                         Other Kitchen (FMLS)            Steep                    4 + Car Garage                Lockbox
   Gravity Floor Heating                                                                   Driveway                      No Showings in the A.M.
   Other Heat Type (FMLS)                                                                  Storeroom                     Don Not Disturb
                                                                                           Street                        No Lockbox
                                                                                           None                          No Sign

R Denotes Required Fields                                PLEASE CONTINUE ON NEXT PAGE
Address _____________________________________                                                                                 SF/RES-Page 4 of 4

STOR - STORIES                                   WSR - WATER_SEWER                               Master Bath (MSBT1-4 FMLS Only)
  1 Story                                         Private Water                                    Bidet
  1½ Stories                                      Public Water                                     Master Shower Only
  2 Stories                                       Septic Tank                                      Skylights
  Over 2 Stories                                                                                   Master Tub/Shower Combo
  Multi-Level                                      Sewer Connected                                 Master Tub Only-No Shower
  Split Foyer                                                                                      Vaulted Ceilings
  Split Level                                        Owner Initials ________________               Whirlpool Tub
                                                     Owner Initials ________________               Other Master Bath Feature

                                                   Sewer in Street
                                                   Community Well                                Handicapped Features (HAND1-10 FMLS Only)
STYR - STYLE                                     Other FMLS Features                               32” or Wider Doors
  Bungalow/Cottage                                 Other Water (FMLS)                              Bath Accommodates Wheelchair
  Cape Cod                                         Other Sewer (FMLS)                              Elevator for Wheelchair Access
  Colonial                                                                                         Garage Door Allows Van Access
  Contemporary                                                                                     Lowered Door Handles
  Country/Rustic                                                                                   Lowered Kitchen Countertops
  European                                                                                         Low Light Switches, Thermostats              F
  French Provincial                              House Faces (FACES FMLS Only)                     Ramps for Access to Doorways
  Mediterranean                                    North                                           Shower with Wheelchair Access                E
  Traditional                                      South                                           Stepless Entry into Home                     A
  Tudor                                            East                                            Wide Hallways for Wheelchairs
  Victorian                                        West                                            None                                         T
  Other Style (MLS)                                Northeast                                       OtherHandicapped Features
  Ranch                                            Northwest
  Townhouse                                        Southeast                                                                                    R
  Mobile Home                                      Unknown                                                                                      E
  Modular Home                                                                                   Road Type (RD1-2 FMLS Only)                    S
   LAND AND SOLD AS REAL ESTATE                                                                    Easement
                                                 Property Setting (SET1-3 FMLS Only)               Paved
  A-Frame                                          Golf Setting                                    Private Maintained                           O
  Craftsman                                        Lake Setting                                    Public Maintained
  Loft                                             Mountain Setting                                None                                         N
Other FMLS Features                                Ocean Setting                                                                                T
  Bungalow                                         River Setting
  Chalet                                           Ski Setting                                                                                  I
  Country                                          Other Setting
  Rustic                                                                                                                                        U
  Other Style (FMLS)
 LAKE - WATERFRONT PROPERTY (INCLUDING RIVERS)                          SELLER’S STATEMENT: Seller herein certifies that the property
                                                                        Seller is offering for sale through the broker was built in the year
    A - Allatoona                       W - Walter F. George            specified in this document, and Seller has been informed by the
    B - George W. Andrews               X - Weiss                       broker of the lead-based paint disclosure requirements under The
    C - Bartlett’s Ferry/Harding        Y - West Point
    D - Blackshear                      Z - Worth
                                                                        Residential Lead-Based Paint Hazard Reduction Act of 1992, 42
    E - Blue Ridge                      1 - Chattahoochee River         U.S.C. §4851-4856 (the “Act)”. Seller agrees to sign all the
    F - Burton                          2 - Savannah River              necessary disclosure forms, of which copies are attached hereto
    G - Carters                         3 - Other - Arrowhead           and made a part hereof by reference in order to abide by this Act;
    H - Chatuge                         3 - Other - Chickasaw           and, to disclose in writing to the broker and to prospective
    I - Clarks Hill                     3 - Other - Eufaula
    J - Goat Rock                       3 - Other - Juliette
                                                                         purchasers any other physical characteristics of the property that
    K - Hartwell                        3 - Other - Seed                may adversely affect its value. Seller understands and agrees that
    L - High Falls                      3 - Other - Thurmond            all the information above will be provided to agents who may
    M - Jackson                         3 - Other - Tugalo              represent other parties. Seller hereby waives any claims arising
    N - Lanier                          3 - Other - Windward            out of disclosure of such information to other parties. Seller agrees
    O - Nottely                         3 - Other - Yonah
    P - Oconee                          3 - Other - Lake* (See Below)
                                                                        above information is true and correct to the best of his/her
    Q - Oliver                          4 - St Marys River              knowledge.
    R - Rabun                           5 - Satilla River
    S - Richard B. Russell              6 - Intracoastal Waterway
    T - Seminole
    U - Sinclair         (OLKN) * Enter Other Name; ________________    Signature _______________________________ Date _______________
    V - Tobesofkee

                                                                        Signature _______________________________ Date _______________


To top